Korean Journal of Occupational Therapy (대한작업치료학회지)

Korean Society of Occupational Therapy (대한작업치료학회)
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The Relationships Among ADL, Self-Esteem, and Motivation for Rehabilitation of Stroke Patients

뇌졸중환자의 일상생활활동 수행력 및 자아존중감과 재활동기와의 관계

  • Kim, Da-Hye (Dept. of Occupational Therapy, Graduate School, Dongshin University) ;
  • Oh, Myung-Hwa (Dept. of Occupational Therapy, Dongshin University) ;
  • Chung, Hyun-Ae (Dept. of Occupational Therapy, Dongshin University) ;
  • Kim, Jeong-Ja (Dept. of Occupational Therapy, Howon University)
  • 김다혜 (동신대학교 대학원 작업치료학과) ;
  • 오명화 (동신대학교 작업치료학과) ;
  • 정현애 (동신대학교 작업치료학과) ;
  • 김정자 (호원대학교 작업치료학과)
  • Received : 2013.07.30
  • Accepted : 2013.08.05
  • Published : 2013.12.30
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Abstract

Objective : This study was conducted to check the ADL, self-esteem, and motivation for rehabilitation of stroke patients and to investigate their relationship and effect. Methods : This study looked at 121 stroke patients, and as the study tools to check the ADL, self-esteem, and motivation for rehabilitation, each study participant filled out a questionnaire using the Korean version of the Modified Barthel Index (K-MBI), Rosenberg Self-Esteem Scale (RSES), and Motivation for Rehabilitation measurement tool. For the data, a frequency analysis, descriptive statistics, Pearson's correlation coefficient, and multiple regression analyses were performed. Results : Statistically significant correlations were found between the patient's self-esteem and ADL, as well as their task-oriented motivation, change-oriented motivation, and amotivation among synchronous sub areas of rehabilitation. Self-esteem was the factor most affecting the stroke patient's motivation for rehabilitation, with a 16.3% effect. Conclusion : We can conclude from the above that the self-esteem of stroke patients is an affecting factor for their motivation for rehabilitation. Consequently, it should be considered that not only an improvement in physical function but also the support of the patient's internal psychology be performed for the rehabilitation of stroke patients.

목적 : 본 연구는 뇌졸중환자의 일상생활활동 수행력, 자아존중감과 재활동기와의 관련성을 살펴보고 일상생활활동 수행력과 자아존중감이 재활동기에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구의 대상은 뇌졸중을 진단받은 환자 121명을 대상으로 실시하였으며, 연구 도구로는 일상생활활동 수행력과 자아존중감, 재활동기를 알아보기 위하여 한글판 수정바델지수(Korean-Version of Modified Barthel Index; K-MBI), 로젠버그 자아존중감 척도(Rosenberg Self-Esteem Scale; RSES), 재활동기 측정도구를 사용하여 대상자가 직접 설문지에 답하도록 하였다. 자료처리는 빈도분석, 기술통계 분석, 피어슨 상관관계와 다중회귀분석을 실시하였다. 결과 : 뇌졸중환자의 자아존중감은 일상생활활동 수행력과 재활동기와 유의미한 관련성이 있었으며, 재활동기 하위영역 중 과제 지향적 동기, 변화 지향적 동기, 무동기와도 유의미한 관련성을 보였다. 자아존중감은 재활동기에 영향을 미치는 요인으로 나타났으며, 설명력은 16.3%였다. 결론 : 뇌졸중환자의 재활동기에 영향을 미치는 요인은 자아존중감이었음을 알 수 있었다. 따라서 임상에서는 이루어지는 뇌졸중환자의 재활은 신체적인 기능향상뿐만 아니라 환자의 내적인 심리 즉 변화의 핵심이자 재활성과에 큰 영향을 미치는 재활동기를 향상시킬 수 있는 자아존중감에 대한 지지도 함께 이루어져야 할 것으로 생각된다.

Keywords

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