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김병은 ( ) - 경희의료원 내과
이향련 ( ) - 경희대학교 의과대학 간호학과
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Abstract
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This study was designed to determine whether the health contract has influence on the performance level for activities of daily livings(ADLs) of patients with hemiplegia even in their homes after hospital discharge.
In the previous study, a total of 69 patients with hemiplegia were collected to determine the effect of the health contract between the experimental and control group. Among 69 subjects in the previous study, each 10 subjects as the contract and noncontract group were matched on the functional ability to perform ADLs before the health con-tract.
Observer training was conducted to control error by standardizing the observation procedure across observers. Two observers were trained prior to home visiting by the investigator to measure the functional ability of patients with hemiplegia to per-form ADLs.
Data were analyzed using ttest to measure the effect of functional ability to perform ADLs of patients with hemiplegia even after the health con-tract, and were analyzed to compare two groups.
The results of this study are as follows.
1 There was no statistically significant difference of the functional ability to perform ADLs between the contract and noncontract group after one year at the completion of health contract.
2. In the contract group, the ADLs scores (3.32) after the completion of the health contract were lower than those(4.13) after one year at the completion of the health contract. The results showed a significant decrease in the functional abilities of patients with hemiplegia to perform ADLs at the completion of the health contract, as compared with those after one year at the completion of the health contract(t=2.42, p=.039).
In the noncontract group. the ADLs scores (2. 86) after the completion of the health contract were lower than those (4.80) after one year at the completion of the health contract. The results showed a significant decrease in the functional abilities to per-form ADLs after one year at the completion of thehealth contract (t=5.22, p=.001).
In conclusion, the results of this study showed that the health contract did not have influence on the functional ability of patients with hemiplegia to perform ADIs in thier homes after the hospital discharge. At the completion of the health contract, the ADLs scores were high in the contract group, as compared with the those in the control group. After one year at the completion of the health contract, however, the ADLs scores low in the contract group, as compared with those in the noncontract group. During the hospitalization, the health con-tract as a reinforcer, is effective in influencing the functional abilities of patients with hemiplegia to perform ADLs in the contract group.
In this study, these findings suggest a need to continue the health contract even after the hospital discharge, and a need to develop the instrument on the measurement of functional ability of patients with hemiplegia to perform ADLs in their homes.
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KeyWords
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건강계약, 일상 생횔동작 수행정도
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원문 및 링크아웃 정보
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등재저널 정보
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