• 성인간호학회지
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• 제26권4호
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• pp.434-443
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• 2014

Purpose: This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness. Methods: The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured. Results: The result of this study showed poor adherence to VREP. The mean adherence score to VREP was $2.11{\pm}1.05$ (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP. Conclusion: Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

• 국제물리치료학회지
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• 제11권2호
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• pp.2028-2035
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• 2020

Background: Weakness of the trunk muscles decreases the trunk control ability of stroke patients, which is significantly related to balance and gait. Objectives: To compare the impact of diagonal pattern self-exercise on an unstable surface and a stable surface for trunk rehabilitation on trunk control, balance, and gait ability in stroke patients. Design: Nonequivalent control group design. Methods: Twenty four participants were randomized into the experimental group (diagonal pattern self-exercise while sitting on an unstable surface, n=12) and the control group (diagonal pattern self-exercise while sitting on a stable surface, n=12). All interventions were conducted for 30 minutes, three times a week for four weeks, and the trunk impairment scale (TIS), berg balance scale (BBS), functional gait assessment (FGA), and G-walk were measured. Results: All groups indicated significant increases in all variables (TIS, BBS, FGA, cadence, speed, stride length) after four weeks. The TIS, BBS, FGA, cadence, gait speed, and stride length group-by-time were significantly different between the two groups. Conclusion: We found that, in stroke patients, diagonal pattern self-exercise on an unstable surface is a more effective method for improving trunk control, balance, and gait ability than diagonal pattern self-exercise on a stable surface.

• 산업융합연구
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• 제20권8호
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• pp.155-161
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• 2022

본 연구는 재활트레이너의 완벽주의, 자기효능감, 주관적 삶의 질의 관계를 알아보고자 하였다. 이를 위해 수도권 소재의 병원 및 재활 운동 센터에 근무하는 재활트레이너를 대상으로 206부의 설문 결과를 얻었다. 이를 SPSS 통계를 프로그램으로 분석하여 다음과 같은 결과를 얻었다. 첫째, 재활트레이너의 완벽주의와 자기효능감의 관계에서 완벽주의의 하위요인을 독립변인으로 자기효능감의 하위요인인 신체 자신감을 종속변인으로 한 결과, 자기지향, 타인지향, 사회적 부과에서 신체자신감을 유의미하게 설명하였다. 둘째, 완벽주의와 자기효능감의 신체능력의 관계에서 자기지향, 타인지향, 사회적 부과에서 신체자신감을 유의미하게 설명하였다. 셋째, 완벽주의와 주관적 삶의 질의 관계에서 자기지향, 타인지향, 사회적 부과에서 주관적 삶의 질을 유의미하게 설명하였다. 넷째, 자기효능감과 주관적 삶의 질의 관계에서 신체 능력, 신체 자신감에서 주관적 삶의 질을 유의미하게 설명하였다. 본 연구를 통해 완벽주의, 자기효능감, 주관적 삶의 질의 관계가 유의미한 관계를 갖고 있는 것으로 판단되며, 이와 관련한 후속 연구가 필요하다.

• 대한물리의학회지
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• 제18권3호
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• pp.39-45
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• 2023

PURPOSE: This study aimed to provide the basic data necessary for rehabilitation by identifying the effects of complex balance exercises combined with self-observation training on balance and gait improvement in stroke patients. METHODS: This study assigned 20 people randomly into two groups: the control and experimental groups. The experimental group (10 subjects) underwent self-observation training-combined complex balance exercise. The control group (10 subjects) underwent complex balance exercises. A pretest of the balance ability and walking ability of both groups was performed. The interventions were conducted for 30 minutes three times a week for four weeks, and post-tests were conducted four weeks after all interventions were completed. RESULTS: There was a significant difference between the experimental and control groups according to the increase in Berg Balance Sale within the group and a statistically significant difference by a decrease in 10MWT (p < .01). On the other hand, there was a significant difference only in the change in Berg Balance Sale between the two groups (p < .05). CONCLUSION: Combined balance exercise combined with self-observation training and combined balance exercise alone positively affected the Berg Balance Sale and 10MWT in both groups. On the other hand, in the results between groups, there was a statistically significant difference in Berg Balance Sale in complex balance exercise combined with self-observation training. Therefore, self-observation training should be used for the rapid social rehabilitation of stroke patients.

• 한국보건간호학회지
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• 제18권1호
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• pp.167-177
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• 2004

This study was performed to explore the effects of aqua-exercise program on back pain, flexibility. time of exercise and self-efficacy in the women with chronic back pain. The design of this study was a equivalent pre-post test experiment. The subjects consisted of 31 women living in seoul. They underwent tests of back pain. flexibility. time of exercise and self-efficacy as baseline data before aqua-exercise program. The aquatic exercise was based on the Back hab and was consists of 60minutes session, 2 times a week for 5 weeks. Data were analyzed with percentage, mean, standard deviation, t-test and pearson correlation coefficient using SAS program. The results were as follows. 1. The back pain has significantly decreased after aqua-exercise program. 2. The dorsal flexibility has significantly increased after aqua-exercise program. 3. The time of exercise has significantly increased after aqua-exercise program. 3. The Self-efficacy has significantly increased after aqua-exercise program. The findings showed the aqua-exercise program could be effective in decreasing the back pain and effective in increasing the flexibility, time of exercise and self-efficacy. It can be suggested the aqua-exercise is effective in the health promotion of the women with chronic back pain.

• 한국간호교육학회지
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• 제15권2호
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• pp.260-273
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• 2009

Purpose: The purpose of this study was to investigate the knowledge of cardiac rehabilitation, educational needs, and self care in inpatients with coronary artery disease in China and to provide basic data for development of cardiac rehabilitation programs. Method: From Jan. 16th to Feb. 26th, 2009, 104 patients with coronary artery disease were hospitalized in general hospitals in K and H city in China. They were interviewed with a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis. Results: In inpatients with coronary artery disease in China, the score of knowledge of cardiac rehabilitation was average ($66{\pm}.18$), and the score of educational needs was high ($4.27{\pm}.49$). The score of self care was average ($3.12{\pm}.58$). The regular exercise group (p= .005) had a high knowledge of cardiac rehabilitation, the nonsmoking group (p= .022) and regular exercise group (p= .037) did well by themselves. Educational needs also affected the overall knowledge of inpatients with coronary artery disease (r= .288, p= .003). Conclusion: This study suggests that knowledge of cardiac rehabilitation and educational needs should be considered in enhancing cardiac rehabilitation programs designed for inpatients with coronary artery disease in China.

• 한방재활의학과학회지
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• 제21권1호
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• pp.137-148
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• 2011

Objectives : This study was to investigate the visual bio-feedback training for 5 weeks on balance and postural control for patients with stroke. Methods : The 26 subjects were randomly selected from the patients of the E hospital in the S city who met the study conditions. They were divided into a visual bio-feedback training group of 13 patients and a self-resistance exercise group of 13 patients. The visual bio-feedback training group received visual bio-feedback and general physiotherapy for five weeks and the self-resistance exercise group received cycling and general physiotherapy for the same period. The subjects were measured and compared for stability index, weight distribution index, fall down index, functional reach test and timed up and go test before and after the program. Results : The visual bio-feedback training group showed significant changes after the experiment in stability index, weight distribution index, functional reach test and timed up and go test(p<0.05), and the self-resistance exercise group also showed significant differences(p<0.05). The changes between prior to and after the experiment show that the visual bio-feedback training group had more significant effects than the self-resistance exercise group(p<0.05). Conclusions : The visual bio-feedback training for five weeks had effects in the improvement of the balance and posture control of stroke patients. Based on these results, more effective training programs should be developed and propagated.

• 보건의료산업학회지
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• 제5권3호
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• pp.53-61
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• 2011

This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

• 재활치료과학
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• 제7권4호
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• pp.43-55
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• 2018

목적: 본 연구는 뇌졸중 환자를 대상으로 자발적 혀 저항 운동을 적용하여 삼킴기능에 미치는 효과를 알아보았다. 연구방법: 본 연구는 2012년 9월 3주간, 2014년 2월 3주간 각각 2명의 환자를 대상으로 하는 사례연구였다. VFSS검사 이후 환자의 동의를 받고 매일 1회기씩 주 5회로, 3주 동안 진행하였다. 자발적 혀 저항운동은 혀 내밀기, 혀 옆으로 밀기, 혀로 입천장 밀기로 구성하였다. 중재는 한 회기 당 각각 운동별로 10회를 1세트로 총 3세트를 진행하였다. 결과: 자발적 혀 저항 운동 프로그램은 삼킴 장애 정도에서 VFS점수가 하강한 것으로 보아 삼킴 기능이 향상되었다. 둘째 자발적 혀 저항 운동 프로그램은 FOIS점수가 향상된 것을 바탕으로 구강섭취능력이 향상되었다. 결론: 삼킴 장애가 있는 뇌졸중 환자에게 환자 스스로 저항을 적용하는 자발적 혀 저항운동을 제공하였을 때 이들의 삼킴 기능 향상에 긍정적인 영향을 미칠 수 있다.

• 재활간호학회지
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• 제18권2호
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• pp.75-87
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• 2015

Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.