Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke

뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계

  • Kim, Won-Ock (College of Nursing Science, KyungHee University, East-West Nursing Research Institute) ;
  • Kang, Hyun-Sook (College of Nursing Science, KyungHee University, East-West Nursing Research Institute) ;
  • Wang, Myoung-Ja (College of Nursing Science, KyungHee University, East-West Nursing Research Institute) ;
  • Kim, Jeong-Hwa (College of Nursing Science, KyungHee University, East-West Nursing Research Institute) ;
  • Choi, Jin-Yi (College of Nursing Science, KyungHee University)
  • 김원옥 (경희대학교 간호과학대학, 동서간호학연구소) ;
  • 강현숙 (경희대학교 간호과학대학, 동서간호학연구소) ;
  • 왕명자 (경희대학교 간호과학대학, 동서간호학연구소) ;
  • 김정화 (경희대학교 간호과학대학, 동서간호학연구소) ;
  • 최진이 (경희대학교 간호과학대학)
  • Published : 2007.12.31

Abstract

Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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