• Title/Summary/Keyword: Rehabilitation motivation

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Effects of Music Therapy on Depression and Rehabilitation Motivation of Inpatients with Stroke (뇌졸중으로 입원한 환자에게 제공한 음악요법이 우울과 재활 동기에 미치는 영향)

  • Choi, Youn-Young;Lee, Mi-Joon;Kim, Eun-Sil;Lee, Ji-Won;Kwon, Young-In;Ha, Yu-Mi
    • 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.

Physical Therapy Strategies for the Patient With Hysterical Motor Paralysis Disorder : A Case Report and Literature Review

  • Oh, Duck-Won;Yoo, Eun-Young
    • Physical Therapy Korea
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    • v.11 no.4
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    • pp.43-49
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    • 2004
  • It is not common in rehabilitation situation to encounter patients exhibiting paralysis or other disabilities which have no apparent organic basis. Even without organic causes for their signs and symptoms these patients often require comprehensive treatment and management. Patients with conversion disorder often pose particular difficulties because of diagnostic confusion and the lack of therapeutic strategies for rehabilitation management. We feel that systematic functional rehabilitation is helpful in resolving symptom and recovering normal function in the patient suffering from conversion disorder since it provides motivation and reduces reinforcements which contribute to sustained disabled state. This report describes the patient with hysterical motor paralysis who is successfully treated with structured physical therapy. The objectives of this report are to provide therapeutic guidelines for physical therapy and to emphasize the role of physical therapist in the assessment and treatment of hysterical paralysis.

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Virtual Environments and Haptics for Ankle Rehabilitation (발목재활을 위한 가상환경 및 햅틱스)

  • 류제하;송현식;윤정원;최형진;차종은;임길병;나영무;이기석;김현빈
    • Journal of Institute of Control, Robotics and Systems
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    • v.9 no.8
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    • pp.577-584
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    • 2003
  • Traditional ankle rehabilitation procedures are tedious, repetitive, and require therapist's help. Therefore, they do not provide patients with good motivation to actively participate in the rehabilitation exercises. In addition, objective diagnosis and evaluation of the treatment progress have been difficult because records of exercise history are made by passive instruments from time to time. The virtual reality technology can make these procedures more fun so that patients can perform everyday rehabilitation exercises more actively. Moreover, haptics technology can give active resistance to the patients ankle motion to improve strength of muscles as well as can record ankle's motion and force histories for objective diagnosis and evaluation. This paper summarizes development of a virtual environment fur reforming the conventional ankle rehabilitation procedures. First of all, conventional rehabilitation procedures have been summarized. Secondly, haptic design and control, user interface design, virtual environment contents design are described. Lastly, mutual cooperation among many developers including medical doctors and therapists and future works are commented.

Influence of Rehabilitation Therapists Six Personality Factors on Job Stress and Turnover Intention

  • Wang, Joong San;Park, Hyun Ju
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1528-1532
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    • 2018
  • This study aimed to analyze the six personality factors of rehabilitation therapists and to identify the effects of these factors on their job stress and turnover intention. This study involved physical therapists and occupational therapists as rehabilitation therapists. A structured questionnaire was distributed to rehabilitation therapists, and 186 answered copies were used for data analysis. The results of the survey were as follows: Among the six personality factors, the rehabilitation therapists showed the highest level of honesty-humility and the lowest level of openness to experience. In terms of job stress, the subjects experienced the highest level of stress from job autonomy and the lowest level of stress from relationship conflict. In terms of turnover intention and work motivation reduction, the subjects scored above the median points, showing their high levels of turnover intention. In addition, higher levels of extraversion and agreeableness in the rehabilitation therapists led to a statistically significant reduction in their turnover intention and a statistically significant decrease in most of their job stress factors. Based on these results, organizational management aimed at increasing the personality factors of extraversion and agreeableness is necessary as a measure to effectively manage rehabilitation therapists' job stress and turnover intention.

Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease (자기결정성 이론 기반 만성폐쇄성폐질환 환자를 위한 동기면담 호흡재활 프로그램의 개발 및 평가)

  • Jang, Jun Hee;Min, Hye Sook
    • 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.

The Correlation Between Psychosocial factors and Therapeutic Flow in Stroke Patients (뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성 연구)

  • Kim, Ji-Hoon;Kim, Hwan;Park, Joon-Woo
    • 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.

Electronic Pen-based Unilateral Visual Neglect Assessment and Rehabilitation System (전자펜 기반 편측시각무시(UVN) 환자 검사 및 재활치료 시스템)

  • Kim, Joonkyo;Jee, Haemi;Park, Jaehyun
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.6
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    • pp.647-650
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    • 2014
  • Assessment and rehabilitation of patients with unilateral visual neglect has been one of the fields that require assistive technology. Paper-and-pencil tests, including the LBT (Line Bisection Test), have been one of the most commonly used visual neglect assessment methods used in a clinical setting. The key motivation of this study was to establish a computer-based real-time assessment system for the hemi-neglect patients without altering the conventional paper-and-pencil based user tools. A digital penbased assessment and rehabilitation system, the ePen System, could eliminate the manual assessment time while maintaining measurement accuracy. As a result, the proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range assessment and rehabilitation modalities based on a pen and paper. It can also be applied to various patients such as those with Parkinson's disease, stroke sufferers, or those who have experienced different forms of brain lesions.

The Effects of Bicycle Racing Spectator Motivation on Stress : Focusing the Mediating Effect of Flow (경륜 관람 참여 동기가 스트레스에 미치는 영향 -몰입의 매개효과 중심으로-)

  • Maeng, Seong-Jun;Lee, Dong-Jun;Kang, Jun-Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.311-321
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    • 2019
  • This study was conducted to investigate the relationship between motivation, stress and flow in bicycle race gambling. To accomplish this, data were collected from gambling users of a bicycle velodrome. A total of 347 samples were employed for analysis. The collected data were analyzed through multiple regression analysis. The results of the analysis were as follows. First, the level of flow increased as the motivation for participating in the contest increased. Second, the influence of the motivation to participate in the race on immersion showed that a higher motivation to participate in the race was associated with a higher level of stress. Third, verification of the motive for participating in the race and the mediated effect of immersion between stress revealed that immersion had a mediated effect on stress. Based on the results of these analyses, practical and policy implications were suggested. Accordingly, there is a need to identify the motivation for career participation in counseling of experienced gamblers. Moreover, it is important to establish a system to prevent excessive gambling flow.

Individual, Family and Industrial Factors Related to Injured Workers' Motivation for Change : Application of the Transtheoretical Model (산업재해 근로자의 변화동기에 영향을 미치는 개인, 가족, 산업재해 요인 : 범이론 모형의 적용)

  • Song, Moon-Hee;Kwon, Hee-Kyung
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.258-268
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    • 2017
  • The purpose of this research was to examine the factors affecting motivation for change of injured workers. Data from 305 injured workers were anlayzed using hierarchical regression Factors associated with injured workers' motivation for change were: multiple psychological security, acceptability of injury, and independence at personal level, family support at family level, and perceptive severity of injury, job, and return to job.

A Structural Equation Model on Social Re-Adjustment of Stroke Patients: Based on Roy's Adaptation Model (뇌졸중 환자의 사회재적응 구조모형: Roy의 적응모형에 기반하여)

  • Kim, Jungmi;Kim, Hwasoon
    • Journal of Korean Academy of Nursing
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    • v.53 no.4
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    • pp.480-495
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    • 2023
  • Purpose: This study aimed to develop and test a structural equation model on social re-adjustment of individuals with stroke based on a literature review and Roy's adaptation model. Methods: This study involved 321 participants who had a stroke and visited the outpatient department after discharge. The hypothetical model was developed based on Roy's adaptation model and a comprehensive review of previous literature on the topic. The model comprised four exogenous variables (neurological damage, gender [man], age, and social support) and five endogenous variables (activities of daily living, acceptance of disability, depression, rehabilitation motivation, and social re-adjustment). The data were analyzed using SPSS Windows software version 22.0 and AMOS 23.0. Results: Out of 28 research hypotheses, 18 were supported, and they indicated approximately 64% probability of social re-adjustment. Social re-adjustment is directly and significantly affected by age, social support, activities of daily living, and depression. Social re-adjustment is indirectly affected by neurological impairment, gender (men), age, social support, and rehabilitation motivation. Conclusion: Continuous assistance and care should be provided for individuals with disabilities caused by sudden neurological damage to facilitate gradual improvement in their social re-adjustment. To enhance social re-adjustment, especially among older adults, newly developed interventions should focus on improving their activities of daily living, preventing depression, and enhancing support from family and healthcare personnel.