• Journal of Convergence for Information Technology
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• v.11 no.4
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• pp.220-229
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• 2021

This study aimed to evaluate the effect of music therapy on depression and rehabilitation-motivation provided to stroke patients, thus achieving evidence-based music therapy as a nursing intervention method for patients. Thirty-three people who were hospitalized for stroke diagnosis at K-Hospital were required to listen to 10 pre-selected songs for three days before bedtime. According to the general characteristics, the proportion of male participants (25, 75.8%) was higher than female (8, 24.2%), and by age group, 6(18.2%) were in 40s, 19(57.6%) were in 50s and 8(24.2%) were aged 60 or older. The study data were analyzed using Wilcoxon-signed rank test. As a result, music therapy does not affect depression and rehabilitation-motivation. However, it was shown to be effective in reducing depression in MMSE group 1 (≤ 29) with low cognitive levels. It is expected that this study can be used as an evidence for music therapy which can be applied as a way to increase the effectiveness of nursing intervention.

• Journal of Digital Convergence
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• v.15 no.5
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• pp.253-262
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• 2017

The purpose of this study was to analyze the correlation between psychosocial factors and therapeutic flow in stroke patients and identify the factors influencing therapeutic flow. Total 168 stroke patients from 15 hospitals were measure for depression, stress, self-efficacy, rehabilitation motivation and therapeutic flow. Factors that affect the therapeutic flow correlation as s result of negatively correlated with depression(r=-.349, p<.001), stress(r=-.290, p<.001), self-efficacy(r=.528, p<.001), rehabilitation motivation(r=.186, p<.05) was found in the positively correlated. Finally the effect on therapeutic flow in stroke patients variables affecting self-efficacy(${\beta}=.443$, p<.001) and depression(${\beta}=-.155$, p<.05) were the order of analysis. These result demonstrate that the therapeutic flow of storke patients was a significant correlation on psychosocial factors, future study will continue to be needed.

• Journal of Korean Biological Nursing Science
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• v.19 no.2
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• pp.113-122
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• 2017

Purpose: The purpose of this study was to identify influencing factors on rehabilitation adherence in stroke patients. Methods: This study was a descriptive survey. A structured questionnaire was used for face-to-face interviews with a convenient sample of 192 subjects, who were admitted in 5 rehabilitation hospitals located in G metropolitan city. Results: The score of rehabilitation motivation in the subjects was a mean of $2.04{\pm}0.35$, self-efficacy $6.22{\pm}2.32$, family support $3.40{\pm}0.82$ and rehabilitation adherence $3.08{\pm}0.41$. The rehabilitation adherence was a statistically significant difference according to the education level (F= 3.40, p= .035), marital status (F= 4.04, p= .019), number of personal insurance policies (K= 9.80, p= .020), location of paresis (F= 2.72, p= .046), and status of current smoking (M = 657.00, p= .001). There was significant correlation among degree of rehabilitation adherence, rehabilitation motivation (r= .30, p< .001), self-efficacy (r= .14, p= .046) and family support (r= .18, p= .011). Rehabilitation motivation (${\beta}=0.19$, p= .007), self-efficacy (${\beta}=0.14$, p= .035), marital status (${\beta}=0.14$, p= .038), number of personal insurance policies (${\beta}=-0.15$, p= .045) and location of paresis(${\beta}=-0.15$, p= .028) were identified as significant predictors. This model explained 22.6% of variance in rehabilitation adherence (F= 5.92, p< .001). Conclusion: There is a need to develop an effective intervention for rehabilitation adherence improvement considering the identified variables in this study.

• Journal of Korean Academy of Nursing
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• v.36 no.3
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• pp.542-550
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• 2006

Purpose: This study investigated the effects of a recovery education program on rehabilitation motivation, symptoms, and function for schizophrenic patients. Method: The study employed a quasi-experimental design. Participants for the study were 27 patients with schizophrenia, 14 in the experimental group and the other 13 in the control group. Data were analyzed by using the SPSS/WIN 11.5 program with Fisher's exact test, t-test, and Repeated measures ANOVA. Results: After a 7 week intervention, participants in the recovery education program group reported increased rehabilitation motivation and function scores, which was significantly different from those in the control group. Conclusion: A recovery education program was effective improving rehabilitation motivation and function for schizophrenic patients. Therefore, this program is recommended as a rehabilitation strategy for schizophrenic patients.

• Design Convergence Study
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• v.17 no.3
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• pp.1-19
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• 2018

Hand rehabilitation training tools are used in hospitals and at home for patients and users who require recovery of disabled hands and improvement in overall hand function. However, existing training tools are not organized into a progressive system, and they lead to repeatability operations over a period of time. As a result, patients feel free and cannot be motivated by rehabilitation, and continuous rehabilitation training is difficult. Based on this argument, the study combines one of the elements of the game called the "Cat's cradle" to enable the user to feel achievement through play and to achieve natural rehabilitation through unconsciousness. After examining the characteristics of the tool, the user's environment, the relevance of the Cat's cradle game to the training tool and to the patient's continued rehabilitation was established. And design elements were derived through professional interviews. Later, design guidelines and prototypes have been created to complement the problems associated with guidelines and prototypes by conducting usability testing and design element assessment.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.35 no.4
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• pp.144-164
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• 2017

The purpose of this study is to analyze the tourism motivation of Chinese tourists visiting Daming Palace and Terra Cotta Warriors and to study market segmentation according to the motivation. As well as to research the difference of satisfaction toward cultural heritage utilization between Daming Palace and Terra Cotta Warriors. According to the results of the analysis, it was found that cultural heritage tourists preferred cultural experience of tourist sites. Therefore, it is necessary to put effort into cultural experience of cultural heritage sightseeing spots. What's more, it was showed that the preservation and recovery state of cultural heritage, the reality, the value of tangible cultural heritage, the experience programs related to cultural heritage, interpretation service, travel guides, rest facilities, symbolism of souvenirs, admission tickets, nearby restaurants and accommodation facilities could be influence factors of satisfaction toward cultural heritage utilization. The Managers of cultural heritage sightseeing spots are expected to preserve the cultural heritage well and to enhance the facilities and staff professionalism, to make visitors more easily understand cultural heritage, to put more emphasis on interpretation service, to make visitors feel that they got educational effect from visit experience, which will increase the satisfaction of cultural heritages.

• The Korean Journal of Rehabilitation Nursing
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• v.10 no.2
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• pp.125-133
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• 2007

Purpose: The purpose of this study was to identify motivational factors that may influence health behaviors of patients with coronary artery disease. Methods: Structured questionnaires were used with a convenience sample of 164 subjects who were discharged from the hospital. The subjects were recruited for an interview at outpatient clinic in hospitals. The tools for the study were the motivational factors and health behaviors measure for the Elderly with cardiovascular disease. The data were analyzed using frequency, t-test, ANOVA, sheffe, Pearson correlation coefficient and stepwise multiple regressions. Results: There were significant correlations between motivational factors and health behaviors, ranging from r=.192 to .692. Stepwise multiple regression analyses indicated that 51% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivational factors(F=34.988, p<.01). Self-efficacy contributed the greatest amount of variance in health behaviors(${\beta}=.467$), followed by perceived benefits(${\beta}=.235$). Conclusions: The results of the study indicate that motivation, especially self-efficacy, was very important in predicting health behaviors of patients with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program for people with coronary artery disease.

• Korean Journal of Adult Nursing
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• v.14 no.4
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• pp.554-563
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• 2002

Purpose: to develop an instrument to assess the rehabilitation motivation and to test its reliability and validity. Method: The data was collected with in-depth interviews of nine participants that include adults with disabilities acquired after they reached 18 years' of age. The development of the preliminary items was based on the theory of self-determination proposed by Deci & Ryan (1985) and the results from the analysis of the data. After these, appropriate specialists clarified the validity of the contents of the preliminary items twice. A test to reliability and validity was conducted with 186 disabled. A principal axis factor analysis with oblimin rotation was performed on 29 items. Result: Finally 27 items were selected. The 5-factor solution emerged as the most appropriate model for the data. The different types of motivation for rehabilitation were identified as: task-oriented motivation, change-oriented motivation, obligatory motivation, external motivation, and amotivation. The alpha coefficient of internal consistency was .85. Conclusion: The results of this study suggest that the instrument to measure motivation for the rehabilitation of the disabled may be a useful instrument with a high degree of reliability and validity.

• Journal of Korean Academy of Nursing
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• v.53 no.2
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• pp.191-207
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• 2023

Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status. Conclusion: The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

• Therapeutic Science for Rehabilitation
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• v.6 no.2
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• pp.29-36
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• 2017

Introduction: Occupation based intervention is effective intervention of nervous system clients. So, this study investigated theoretical background, definition, and domain of occupation based intervention through literature reviews. And the study suggested neurological references to apply it in realistic occupation therapy area. Body: Occupation based intervention is performed in occupation based practice. Client's proper performance in natural environments is important. That is application of meaningful occupation in client's realistic environment is occupation based intervention. At this point, meaningful occupation is included client's motivation, selective task, and habituation of performance. Conclusion: Occupation based intervention were included motivation, habituation, and realistic environment of clients. The reviews identified that each factor is based on neurological basis. Therefore occupation based intervention need to use in realistic neurorehabilitation.