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박안숙 ( Park An-Suk ) - 효드림 요양병원
고은 ( Ko Eun ) - 국립순천대학교 생명산업과학대학 간호학과
강희순 ( Kang Hee-Sun ) - 국립순천대학교 생명산업과학대학 간호학과
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Abstract
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Purpose: The purpose of this study was to compare motivation for rehabilitation, family support and adherence to rehabilitation and identify factors predicting adherence to rehabilitation between depressive and non-depressive stroke patients.
Methods: Stroke patients admitted to rehabilitation hospitals (n=159) participated in the study. Data were collected through self-reported questionnaires including general characteristics, depression, motivation for rehabilitation, family support and adherence to rehabilitation. The data were analyzed by descriptive statistics, t-test, x2 test, Pearson correlation coefficients and logistic regression using the SPSS/WIN 21.0 program.
Results: 62.9% of the subjects were identified as depressive patients. Motivation for rehabilitation (F=48.18, p=.020) and adherence to rehabilitation (F=9.68, p=.002) in depressive stroke patients were significantly lower than non-depressive stroke patients. Family support also in depressive group was lower than non-depressive group but there was no statistical significance (F=2.35, p=.127). Motivation for rehabilitation (OR=11.46), family support (OR=1.05) and onset period (less than 2 year)(OR=3.61) predicted the good adherence to rehabilitation in depressive stroke patients.
Conclusion: The results of this study indicate that health professionals need to identify factors affecting adherence to rehabilitation and provide a nursing intervention considering the depression especially when caring for stroke patients.
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KeyWords
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뇌졸중, 우울, 재활, 동기, 이행
Stroke, Depression, Rehabilitation, Motivation, Adherence
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원문 및 링크아웃 정보
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등재저널 정보
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