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김금순 ( ) - 서울대학교 의과대학 간호학과
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Abstract
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The purpose of this study was to identify levels of activity of daily living, self-efficacy, stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home.
Data were collected from June to November. 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do.
The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program.
Data were analyzed using frequencies, percent, paired t-test, and Pearson´s correlation coefficient with the SAS(version 6.12) program.
The results are as follows :
1) Most of subjects were partially independent in ADL, but they needed assist once to do dressing, bathing, meal preparation and house keeping work.
2) The mean self-efficacy score was 54.89 (range : 1 to 80) and the individual differences were large.
3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role (51.4%), family functioning(58.3%) and mood (62.2%).
4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy.
5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke- specific quality of life, and need for self-help management.
6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management.
In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially. , physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.
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KeyWords
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일상생활활동, 자기효는감, 삶의 질, 자조관리 프로그램 요구도, Activities of daily living, self-efficacy, stroke specific quality of life, need of self-help management program, hemiplegia patients in home.
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원문 및 링크아웃 정보
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등재저널 정보
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