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서문자 ( Suh Moon-Ja ) - 서울대학교 간호대학
정성희 ( Jeong Seong-Hee ) - 서울대학교 간호과학연구소
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Abstract
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Purpose: This research with one group pre-post design was carried out to test the practical feasibility to administrate the Music´ Movement program developed for the stroke patients.
Subjects: 12 stroke survivors at "J" Public Health Center in Seoul. were participated in. The average age was 68 years old. the ratio of sex was almost 5.8 :4.2, the duration of was almost over 1 year.
Method: Music´ Movement program was conducted for 2 hours x 1day x 6 weeks. The contents of Music´ Movement program were consisted of the preparatory activities, main activities and the wrap up activities. The preparatory activities are ice braking, greeting, explanation of the aims of music´ movement program, and introduction of stroke disease and ROM exercise. The main activities are the body motions with singing and playing musical instruments. The wrap up activities are stretching and joints and discussion of home activities.
Data Collection: The outcome variables are muscle strength, finger pinch power, ROMs. flexibility, depression, and life satisfaction. Depression was measured by CES-D(Kim, I. J., 1999), life satisfaction by ladder scale(McDowell & Newell. 1996), and ADL state (Holbrook & Skilbeck, 1983).
Data Analysis: SPSS/PC 10.0 for Window was used. Wilcoxon Signed Ranks Test was used to analyze outcome measures. The level of statistical significance was set at p≶.05.
Results: This program was effective to decrease the depression level of subjects(p≶.05). The muscle strength, hand grip power, ROMs, life satisfaction. and rehabilitation state of the subjects were slightly increased but no significant differences were found between the pre and post test. Additionally every patient replied that they were very satisfied and expressed their appreciation for this program very much. Of course they strongly want to continue to participate in and meet the peer group again.
Conclusion: Considering these results, the practical feasibility of Music´ Movement program can be supported. Therefore, this Music Movement program can be examined with the quasi-experimental design with control group and ongoing reviews. After that, this program would be applied in public health centers, medical institutes, and welfare centers for the rehabilitation of stroke patients.
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KeyWords
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음악·동작 프로그램, 뇌졸중, 유연성, 우울
Music·Movement program, Stroke, ADL, depression
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원문 및 링크아웃 정보
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등재저널 정보
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