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서문자
Noh S/Devins GM/김금순/김국기/송지영/조남옥/홍여신/김인자
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Abstract
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An explanatory design was employed to identify the relationship of physical, emotional & social readjustment and social support of post hospitalized stroke patients and their caregivers. A convenient sample of 254 patients who given follow-up care at the outpatient department after discharge and 225 caregivers were recruited. Mental Status Questionnaire (MSQ), Social Support Inventory Stroke Survivors (SSISS), Illness intrusiveness(II), Instument Activity of Daily Living(IADL), Center of Epidemilogic Studies-Depression(CES-D), social activity and caregiver burden were used for measurement in this study. Results showed patient′s physical level measured by IADL and psychological level measured by depression were high. But social activity was low. Cognitive function, depression & social activity were not significantly different by the posthospitalized period, but IADL was. The source of professional support was mostly the physician at the outpatient department. The family support was found significantly related to patient′s depression & social activity and caregiver′s subjective burden. Professional support was found significantly related to patient′s IADL & depression. Illness intrusiveness as a mediating variable was a sig nificantly predicting power on patient′s IADL & depression. The path analysis was used to identify the variables to predict the physical, emotional, and social status of patients. As a result, patient′s age, cognitive function, illness intursiveness and professional support significantly predicted the level of IADL ; patient′s cognitive function, illness intrusiveness and family support significantly predicted the level of depression ; and patient′s age and family support significantly predicted the level of social activity of posthospitalized stroke patients. Based upon these results, the rehabilitation programs to reduce the illness intrusiveness and improve cognitive funtion were recommended for the readjustment of the stroke patients. This model of the readjustment of the posthospitalized stroke patients is recommended as the framework for care of the stroke patients.
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KeyWords
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뇌졸중, 사회적지지, 질병으로 인한 영향, 재적응, Stroke, Social support, Illness intrusiveness, Readjustment
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원문 및 링크아웃 정보
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등재저널 정보
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