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이은화
김진숙/박은주/박혜진/최봄내
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Abstract
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About 25% of the stroke patients die within a month after attack, and even the patients who survive will have motor, sensory, cognitive dysfunction or speech defect, and therefore, they should continue to be taken care of.
Under such circumstances, this study was aimed at reviewing how the stroke patients requiring a long-term nursing were caring themselves and what were their family members´ needs for education and thereby, explore the ways for the nurse to intervene in their care.
To this end, a questionnaire survey was conducted by sampling the stroke patients hospitalized at ´E´ University hospital in Seoul for 3 or 4 days and their 75 family members. The data were collected for 57 days from July 14 to September 8, 2001.
The stroke patients´ self-care measured by using an ADL scale developed by Kang Hyeon-sook (1984), while their patients´ needs were measured by using a scale developed by Han Jeong-seok and Seo Mi-hye(1992) and complemented by Kim Mi-hee(1997) and adapted by the researcher for this study.
The collected data were analyzed using SPSS/PC+ 10.0 program for real numbers, percentages, means, standard deviations, ANOVA and Pearson´s coefficients.
The results of this study can be summarized as follows;
1) The stroke patients´ self-care scored 2.52(± 1.02) out of 4 perfect score. 38.1% of the patients were ´completely dependent´ on their family members for treatment, while 64.2% of them felt it difficult to nurse themselves.
2) Patients´ family members´ needs for education scored 4.11(±.78) out of 5 perfect score. The factor which scored highest was ´information related with treatment´(4.39±.76), followed by ´nursing requirement due to immovability´(4.05±.91), ´nursing related with ordinary life´(3.99±.85) and ´social, psychological and financial problems´(3.92±.04) in their order.
3) When analyzed in terms of patients´ demographic variables and characteristics of the disease, patients´ self-care was significantly higher when there were no grown-up children[F(1, 73)=4.115, p=.046], but there was found some significant difference depending on the number of troubles[F(5, 73)=2.562, p=.035]. But the patients´ self-care was significantly lower when they suffered from a paralysis[F(1,73)=4.072, p=.047] or when they suffered from a cerebral When analyzed in terms of patients´ demographic variables and disease types, their family members´ needs for education were highest when the patients suffered from both Middle Cerebral artery(MCA) and Brain Stem(B.S.) symptom, followed by when they suffered from MCA and when they suffered from B.S. trouble in their order [F (2, 73)=4.092, p=.021]. On the other hand, their needs for education were also high when the patients suffered from a paralysis[F(1, 73)=5.983, p=.0l7] and a speech defect.[F(1, 73)=4.572, p=.036].
4) When analyzed in terms of family members´ demographic variables, it was found that their educational needs was positively correlated with their educational background [F(3, 73)=3.731, p=.015] and religion, in particular Buddhism.[F(4, 73)=4.208, p=.004].
5) The stroke patients´ self-care was negatively but not significantly correlated with their family members´ needs for education.(r=-.113, p=.334).
As discussed above, it was confirmed through this study that stroke patients and their family members were much concerned about the prognosis of the disease and self-care, while the family members´ needs for education were very high beginning from the time when the patients were hospitalized. Therefore, it is necessary to develop an stroke patients´ educational program in consideration of their family members´ needs for education and priorities, while exploring an effective way to educate their family members about self-care at the initial stage of hospitalization. All in all, it is also deemed necessary to review the current nursing curriculum about nursing intervention and education of family members for stroke patients and thereby, perform an effective nursing intervention for them.
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KeyWords
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원문 및 링크아웃 정보
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등재저널 정보
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