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김은영 ( Kim Eun-Young ) - 서울대학교 보건대학원
최정현 ( Choi Jung-Hyun ) - 대원과학대학 간호과
김창엽 ( Kim Chang-Yup ) - 서울대학교 보건대학원
소애영 ( So Ae-Young ) - 원주대학 간호과
신지연 ( Shin Jee-Yeon ) - 서울대학교 보건대학원
이꽃메 ( Yi Ggod-Me ) - 을지의과대학교 간호대학
전경자 ( June Kyung-Ja ) - 순천향대학교 간호학과
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Abstract
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Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community-based case management program for stroke patients.
Method: This study was designed as a one group pre and post-test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre-test one week before intervention, and a post-test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t-test.
Results: First, significant differences in functional status, and specifically mobility and cognition, were found
between pre-test and post-test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks.
Conclusion: The community-based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.
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KeyWords
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뇌졸중, 사례관리, 가족부담감
Stroke, case management, FIM, caregiver burden
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원문 및 링크아웃 정보
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등재저널 정보
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