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The Correlation Between Psychosocial factors and Therapeutic Flow in Stroke Patients

뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성 연구

  • Kim, Ji-Hoon (Dept. of Occupational Therapy, Gimcheon University) ;
  • Kim, Hwan (International Institute for Rehabilitation Science, Daegu University) ;
  • Park, Joon-Woo (Dept. of Rehabilitation Industry, Daegu University)
  • 김지훈 (김천대학교 작업치료학과) ;
  • 김환 (대구대학교 국제재활과학연구소) ;
  • 박준우 (대구대학교 재활산업학과)
  • Received : 2017.03.20
  • Accepted : 2017.05.20
  • Published : 2017.05.28

Abstract

The purpose of this study was to analyze the correlation between psychosocial factors and therapeutic flow in stroke patients and identify the factors influencing therapeutic flow. Total 168 stroke patients from 15 hospitals were measure for depression, stress, self-efficacy, rehabilitation motivation and therapeutic flow. Factors that affect the therapeutic flow correlation as s result of negatively correlated with depression(r=-.349, p<.001), stress(r=-.290, p<.001), self-efficacy(r=.528, p<.001), rehabilitation motivation(r=.186, p<.05) was found in the positively correlated. Finally the effect on therapeutic flow in stroke patients variables affecting self-efficacy(${\beta}=.443$, p<.001) and depression(${\beta}=-.155$, p<.05) were the order of analysis. These result demonstrate that the therapeutic flow of storke patients was a significant correlation on psychosocial factors, future study will continue to be needed.

본 연구는 뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성을 알아보고, 치료적 몰입에 영향을 미치는 요인을 파악하기 위하여 실시하였다. 총 15개 기관에서 뇌졸중 환자 168명을 대상으로 우울, 스트레스, 자기효능감, 재활동기와 치료적 몰입을 평가하였다. 결과로 뇌졸중 환자의 치료적 몰입은 우울(r=-.349, p<.001), 스트레스(r=-.290, p<.001)와 음의 상관관계를 나타내었으며, 자기효능감(r=.528, p<.001)과 재활동기(r=.186, p<.05)간에는 양의 상관관계를 나타내었다. 최종적으로 치료적 몰입에 영향을 미치는 요인을 알아본 결과, 자기효능감(${\beta}=.443$, p<.001)과 우울(${\beta}=-.155$, p<.05)로 분석되었다. 이상의 결과를 통하여 뇌졸중 환자의 치료적 몰입과 심리사회적 요인은 유의한 관계가 있다고 확인된바, 향후 이에 대한 연구가 지속적으로 필요할 것이다.

Keywords

References

  1. Padilla, R. L., Byers-Connon, S., Lohhman, H. L, Occupational therapy with elders strategies for the COTA(3rd ed.). Maryland Heights, MO: Mosby. 2012.
  2. Zwecker, M., Levenkrohn, S., Fleisig, Y., Zeilig, G., Ohry, A., & Adunsky, A, "Mini-mental examination, cognitive FIM instrument, and the lowenstein occupational therapy cognitive assessment: Relation to functional outcome of stroke patients," Archives of Physical Medicine and Rehabilitation, Vol. 83, pp. 342-345. 2012.
  3. Ok-Soo Kim, Hee-Jeong Kim, "Posttraumatic stress disorder(PTSD), anxiety, and depression among stroke patients," Research Institute of Nursing Science. Ewha Womans University, Vol. 23, No. 1, pp. 1-12. 2011.
  4. Robinson, R. G., Starr, L. B., Lipsey, J. R., Rao, K., & Price, T. R. "A two years longitudinal study of post stroke mood disorder: dynamic changes in associated variables over the first six month of follow up," Stroke, Vol. 15, No. 3, pp. 510-517. 1984. https://doi.org/10.1161/01.STR.15.3.510
  5. Sinyor, D., Amato, P., Kaloupek, D. G., Becker, R., Goldenberg, M., & Coopersimith, H. "Post stroke depression: Relationships to functional impairment, coping, strategies, and rehabilitation outcome," Stroke, Vol. 17, No. 6, pp. 1102-1107. 1986. https://doi.org/10.1161/01.STR.17.6.1102
  6. Angelelli, P., Paolucci, S., Bivona, U., Piccardi, L., Ciurli, P., Cantagallo, A., Antonucci, G, Fasotti, L., Santatonio, A., Grasso, M. G., Pizzamiglio, L., "Development of neuropsychiatric symptoms in post stroke patients: a cross-sectional study," Acta Psychiatrica Scandinavica, Vol. 110, pp. 55-63. 2004. https://doi.org/10.1111/j.1600-0447.2004.00297.x
  7. Rao, D., Feldman, B., Fredericksen, R., Crane, P. K., Simoni, J. M., Kitahata, M. M., & Heidi, M. C. "A structural equation model of HIV-Related stigma, depressive symptoms, and medication adherence," AIDS and Behavior, Vol. 16, No. 3, pp. 711-716. 2012. https://doi.org/10.1007/s10461-011-9915-0
  8. Soo-Chan Choi, Ji-Sun Lee, Se-Teon Sim, Ji-Hye Lee, Ji-Hye Park, “The effect of job stress and depression on job satisfaction among workers in small and medium sized enterprises,” Journal of IT Convergence Society for SMB, Vol. 7, No. 1, pp. 1-9, 2017.
  9. Seok-Woo Moon, Jeong-Seok Seo, Beom-Woo Nam, Jin-Yong Choi, "Poststroke depression," The KonKuk Journal of Medical Science, Vol. 14, pp. 45-52. 2014.
  10. Oladigi, J. O., Akinbo, S. R., Aina, O. F., & Aiyejusunle C. B. "Risk factors of post-stroke depression among stroke survivors in Lagos, Nigeria," African Journal of Psychiatry, Vol. 12, No. 1, pp. 47-51. 2009.
  11. Keum-Sun Kim, Hyun-Mi Seo, Ji-Yean, Kang. "The effects of community based self-help management program on the activity of daily life, muscle strength, depression and life satisfaction of post-stroke patients," Korean Academic Society of Rehabilitation Nursing, Vol. 3 No. 1, pp. 108-117. 2000.
  12. Yoon-Hui Shin, Hee-Jung Jang., "Perceived exercise self-efficacy and exercise benefits/barriers of korean adults with chronic diseases," Journal of Korean Academy of Nursing, Vol. 30, No. 4, pp. 869-879. 2000. https://doi.org/10.4040/jkan.2000.30.4.869
  13. Ji-Young Moon, Bok-Hee Cho., "Relationships among rehabilitation motivation, perceived stress and social support in stroke survivors," Journal Korean Academic Society of Rehabilitation Nursing. Vol. 14, No. 11, pp. 24-31. 2011.
  14. Yeong-Sook Park, Sam-Sook Kweon, "Factors affecting stroke patient's rehabilitation-motivation," Journal of Korean Public Health Association, Vol. 28, No. 1, 21-30. 2002.
  15. Csikszentmihalyi, M. Flow: The psychology of optimal experience. New York: Harper and Row. 1990.
  16. Ji-Hoon, Kim, Hwan Kim, Hyuk-Cheol, Kwon, Sun-Min Lee, Sun-Wook Lee, Seung-Pyo Hong. "Study on the development and effectiveness of the flow-based therapy for stroke patients," Journal of Special Education & Rehabilitation, Vol. 55, No. 3, pp. 451-469. 2016. https://doi.org/10.15870/jsers.2016.09.55.3.451
  17. Csikszentmihalyi, M. Flow: The psychology of optimal experience. New York: Harper and Row, 1990.
  18. Seon-o Yoon, Woo-ho Kim, “Convergent research on how golf affects the subjective happiness of mothers who have children with disabilities,” Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 47-54, 2015. https://doi.org/10.15207/JKCS.2015.6.4.047
  19. Kyung-Ihl Kim, " A Model of the influence of IMS operation on organizational performance," Journal of IT Convergence Society for SMB, Vol. 6 No. 1, pp. 1-5, 2016..
  20. Jae-Hyun Ku, “Globalization Development Plans of the Convergence Systems and Policies for Domestic Fire Industry,” Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 55-61, 2015. https://doi.org/10.15207/JKCS.2015.6.5.055
  21. Ji-Hoon, Kim, Hwan Kim, "Effects of the functional occupational therapy using flow on upper extremity function and activities of daily living for stroke patients," Journal of Special Education & Rehabilitation, Vol. 54, No. 4, pp. 71-88. 2015. https://doi.org/10.15870/jsers.2015.12.54.4.71
  22. Kwang-Woong Kim, Jung-Min Boo, "The relationship between flow state, addiction orientation in online games and personal psychological factors with focuses on self-esteem, self-control, depression, aggressiveness and tendency in sensation seeking," The Korea Journal of Counseling, Vol. 7, No. 4, pp. 1169-1187. 2006.
  23. Peifer, C., Schulz, A., Schachinger, H., Baumann, N., Antoni, C. H., "The relation of flow-experience and physiological arousal under stress-can u shape it?" Journal of Experimental Social Psychology, Vol. 53, pp. 62-69. 2014. https://doi.org/10.1016/j.jesp.2014.01.009
  24. Tae-Jung Lee., "The effect of flow experience on career attitude maturity and career decision efficacy," Ph.D. dissertation, HongiK University, 2013.
  25. Yoshida, K., Asakawa, K., Yamauchi, T., Sakuraba, S., Sawamura, D., Murakami, Y., & Sakai, S. "The flow state scale for occupational tasks: development, reliability, and validity," Hong Kong Journal of Occupational Therapy, Vol. 23, No. 2, pp. 54-61. 2013. https://doi.org/10.1016/j.hkjot.2013.09.002
  26. Yoshida, K., Sawamura, D., Ogawa, K., Ikoma, K., Asakawa, K., Yamauchi, T., & Sakai, S. "Flow experience during attentional training improves cognitive functions in patients with traumatic brain injury: an exploratory case study," Hong Kong Journal of Occupational Therapy, Vol. 24, pp. 81-87. 2014. https://doi.org/10.1016/j.hkjot.2015.01.001
  27. Marioni, R. E., Chatfiled, M., Brayne, C., Matthews, F. E. "The reliability of assigning individuals to cognitive states using the mini mental-state examination: a population-based prospective cohort study," BMC Medical Research Methodology, Vol. 11, No. 127, pp. 1-6. 2011. https://doi.org/10.1186/1471-2288-11-1
  28. Ji-Hoon Kim, So-Young Kim., "Efeects of neurofeedback training on unilateral neglect and depression in patienst with stroke," Journal of Digital Convergence, Vol. 13, No. 9, pp. 361-368. 2015. https://doi.org/10.14400/JDC.2015.13.9.361
  29. Ji-Hoon Kim, Eui-Jung Park, Na-rae Oh., "Effects of neurofeedback on life stress and depression in female college students," Journal of Digital Convergence, Vol. 14, No. 13, pp. 299-307. 2016.
  30. Hong-Moo Hahn, Tae-Ho Yum, Young-Woo Shin, Kyo-Hun Kim, Doh-Joon Yoon, Keun-Jae Chung. "A standardization study of beck depression inventory in korea," Jornal of Korean Neuropsychiatric Association, Vol. 25, No. 3, pp. 487-500, 1986.
  31. Won-Kyung Park. Perceived stress and depression in hemiplegic patients using neuman's stressors concepts factors. M.S. dissertation, Ewha Womams University, 1988.
  32. Hye-Sook Kim, Yi-Soon Kim, “A study on the quality of life, self-efficacy and family support of stroke patients in oriental medicine hospitals,” Korean Journal of Health Education and Promotion, Vol. 20, No. 1, pp. 111-130, 2003.
  33. Hyung-Sun Kim, Yong-Ok Hwang, Jae-Ho Yu, Jin-Hwa Jung, Hee-Soon, Woo, Hee-Seung, Jung. "The correlation between depression, motivation for rehabilitation, activities of daily living and quality of life in stroke patients," Journal of Korean Society of Occupational Therapy, Vol. 17, No. 3, pp. 41-53. 2009.
  34. Young-Soo Son, Man-Sik Choi, Ik-Soo Moon. "Development and validation of a scale to measure optimal experience: the korean flow state scale," Korean Journal of Sport Psychology, Vol. 13, No. 2, pp. 59-73, 2002.
  35. Jung-Bin Yang, "A study on the major factors affecting health-related quality of life of elderly stroke survivors," Journal of the Korea Gerontological Society, Vol. 30, No. 4, pp. 1239-1261. 2010.
  36. Jeong-Hwa Kim, Hyun-Suk Kang, Won-Ock Kim, Myung-Ja Wang, Chong-Mi Chang. "Factors Affecting the Quality of Life in Stroke Patient at Home," The Korean journal of rehabilitation nursing, Vol. 4, No. 9, pp. 49-55. 2013.
  37. Seoung-Jin Oh, "The effects of an arts therapy program on female college students' flow," Journal of Arts Psychotherapy, Vol. 5, No. 3, pp. 1-16. 2009.
  38. Seok-Il Kim, Hyun-Ok Oh, "The effect of participants' in exercise program of leisure flow experience on depression and self-esteem," Journal of Korea Sport Research, Vol. 18, No. 2, pp. 259-270. 2007.
  39. Han-Sook Yi, "The study of mediating effects model of academic stress between flow experience of sports special ability. aptitude activities and family satisfaction of adolecenets," Journal of Leisure and Recreation Studies, Vol. 32, No. 2, pp. 59-70. 2008.
  40. Do-Woong Ham, "The relationship between flow experience, stress coping behaviors and self-efficacy according to water sports," Journal of Korea Sport Research, Vol. 18, No. 5, pp. 575-584. 2007.
  41. Seung-Il Song, Sung-Hyun Ruy, Su-Jin Park. "The effects of virtual-reality game on stress and flow for stroke patients," Journal of Special Education & Rehabilitation, Vol. 55, No. 1, pp. 355-370. 2016. https://doi.org/10.15870/jsers.2016.03.55.1.355
  42. Young-Sook Moon, Su-Jeoung Han, "Impact of self-efficacy and nursing professionalism on organizational commitment in nurses," Journal of Korea Academic Nursing Education, Vol. 17, No. 1, pp. 72-79. 2011. https://doi.org/10.5977/JKASNE.2011.17.1.072