The Journal of Korean society of community based occupational therapy (대한지역사회작업치료학회지)

Korean Society of Community Based Occupational Therapy Association (대한지역사회작업치료학회)
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Comparison of Level of Participation and Quality of Life in Stroke Patients and the Healthy Elderly

뇌졸중 노인과 정상 노인의 참여수준 및 삶의 질 비교

  • Lee, Juyeon (Dept. of Health Science, The Graduate School, Dongseo University) ;
  • Lee, Chun-Yeop (Dept. of Occupational Therapy, Kaya University) ;
  • Yoon, Tae-Hyung (Dept. of Occupational Therapy & Senior Care Research Center, Dongseo University) ;
  • Kim, Tae-Hoon (Dept. of Occupational Therapy & Senior Care Research Center, Dongseo University)
  • 이주연 (동서대학교 대학원 보건과학과) ;
  • 이춘엽 (가야대학교 작업치료학과) ;
  • 윤태형 (동서대학교 작업치료학과, 동서대학교 고령자케어연구센터) ;
  • 김태훈 (동서대학교 작업치료학과, 동서대학교 고령자케어연구센터)
  • Received : 2019.03.07
  • Accepted : 2019.04.20
  • Published : 2019.04.30
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Abstract

Objectives : This study was to compare the level of activity participation(instrumental activities, leisure activities, and social activities of living) and quality of life for elderly people with and without stroke, and to analyze the correlation between the level of activity participation and quality of life in their scores on measures. Methods : The Korean Activity Card Sort(K-ACS) was conducted among 25 elderly people with stroke and 25 elderly people without stroke living in Busan, and their level of activity participation and quality of life were evaluated using the The Medical Outcome Study 36-item Short Form Health Survey(SF-36). Results : Elderly people with and without stroke both showed a significant difference in the retained level of activity participation, instrumental activities of daily living, leisure activities, social activities, and the SF-36 score. The scores of the elderly people with stroke for the retained level of activity participation and instrumental activities of daily living in the Korean Activity Card Sort had a significant correlation with the SF-36 score, whereas leisure activities and social activities did not show a significant correlation with the SF-36 score. Among the elderly people without stroke, there was a significant correlation between scores for the retained level of activity participation, leisure activities, and social activities of living in the Korean Activity Card Sort and the SF-36 score, but there was no significant correlation between instrumental activities of daily living and the SF-36 score. Conclusion : The level of activity participation and quality of life could be considered to correlate with one another, and an intervention to improve the activity participation of elderly people with stroke would help to enhance their quality of life.

목적 : 본 연구는 뇌졸중 노인과 정상 노인의 참여수준(수단적 일상생활활동, 여가활동, 사회활동) 및 삶의 질을 비교하고, 뇌졸중 노인 및 정상 노인에서 각각 참여수준과 삶의 질의 상관관계를 분석하고자 하였다. 연구 방법 : 뇌졸중 노인 25명과 정상 노인 25명을 대상으로 한국형 노인활동분류카드를 사용하여 활동 참여수준을 평가하고, SF-36을 사용하여 삶의 질을 평가하였다. 결과 : 뇌졸중 노인과 정상 노인은 참여활동보유율, 수단적 일상생활활동 점수, 여가활동 점수, 사회활동 점수, SF-36 점수에서 유의한 차이가 있었다. 뇌졸중 노인에서는 한국형 활동분류카드의 참여활동보유율, 수단적 일상생활활동점수는 SF-36 점수와 유의한 양의 상관관계가 있었으며, 여가활동과 사회활동은 SF-36 점수와 유의한 상관관계를 보이지 않았다. 정상 노인에서는 한국형 활동분류카드의 참여활동보유율, 여가활동 점수, 사회활동 점수와 SF-36 점수는 유의한 양의 상관관계가 있었으며, 수단적 일상생활활동과 SF-36 점수는 유의한 상관관계가 나타나지 않았다. 결론 : 뇌졸중 노인과 정상 노인의 활동 참여수준과 삶의 질은 차이가 있었으며, 뇌졸중 노인과 정상 노인 모두 활동참여수준이 높을수록 삶의 질이 높은 것으로 나타났다. 따라서 뇌졸중 및 정상 노인의 활동 참여수준을 향상시키는 중재는 삶의 질 향상에 도움이 될 것으로 사료된다.

Keywords

References

  1. 국립특수교육원. (2009). 특수교육학 용어사전. 서울: 도서출판 하우.
  2. 국민건강보험공단. (2017). 뇌졸중 환자의 5명 중 4명은 60세 이상. Retrieved March 6, 2019, from https://www.gov.kr/portal/ntnadmNews/1038448?pageIndex=211
  3. 김정현, 김예진. (2018). 2018년 서울시 노인실태조사. Retrieved March 7, 2019, from http://wish.welfare.seoul.kr
  4. 오영희, 석재은, 권중돈, 김정석, 박영란, 임정기. (2005). 노인의 삶의 질 향상을 위한 정책방안 연구: 여성, 농어촌, 독거노인의 생활실태를 중심으로. 서울: 한국보건사회연구원.
  5. 유은영, 이상헌, 이택영, 정민예, 이재신. (2014). 한국형 노인활동분류카드. 서울: 학지사.
  6. 통계청. (2018). 2017년 인구 주택 총 조사. Retrieved Mar ch 6, 2019, from http://kostat.go.kr/portal/korea/index.action
  7. American Occupational Therapy Association. (2014). Occupational therapy framework: Domain & process. American Journal of Occupational Therapy, 68(1), 1-48.
  8. Atlantis, E., Chow, C. M., Kirby, A., & Singh, M. F. (2004). An effective exercise-based intervention for improving mental health and quality of life measures: a randomized controlled trail. Preventive Medicine, 39(2), 424-434. https://doi.org/10.1016/j.ypmed.2004.02.007
  9. Bae, S. Y., Ko, D. S., Noh, J. S., Lee, B. H., Park, H. S., & Park, J. (2010). Relation of physical activity and health-related quality of life in Korean elderly. Journal of The Korea Contents Society, 10(10), 255-266. https://doi.org/10.5392/JKCA.10.10.255
  10. Baum, C. M., & Edwards, D. F. (2001). Activity Card Sort(ACS): Test-Manual. St. Louis, Missouri: Washington University.
  11. Chang, K. Y., & Kang, J. M. (2005). The study of activities of daily living performance and quality of life for elderly residents in the Daejeon City. The Journal of Korean Society of Occupational Therapy, 13(1), 45-56.
  12. Cho, S. M. (2014). Reliability and validity assessment of SF-6D for measuring the quality of life for the general public, and comparison with SF-36 and GHQ-12. published master's thesis, University of Kangwon, Chuncheon.
  13. Daly, J. M., Bay, C. P., Levy, B. T., & Carnahan, R. M. (2015). Caring for people with dementia and challenging behaviors in nursing homes: A needs assessment geriatric nursing. Geriatric Nursing, 36(3), 182-191. https://doi.org/10.1016/j.gerinurse.2015.01.001
  14. Dorstyn, D., Roberts, R., Kneebone, I., Kennedy, P., & Lieu, C. (2014). Systematic review of leisure therapy and its effectiveness in managing functional outcomes in stroke rehabilitation. Topics in Stroke Rehabilitation, 21(1), 40-51. https://doi.org/10.1310/tsr2101-40
  15. Froes, K. S., Valdes, M. T., Lopes, D. P., & Silva, C. E. (2011). Factors associated with health related quality of life for adults with stroke sequelae. Arquivos de Neuro-Psiquiatria, 69(2), 371-376. https://doi.org/10.1590/S0004-282X2011000300020
  16. Ham, M. Y., Choi, K. S., & Ryu, E. J. (2000). Analysis of nursing studies about stroke research in Korea. The Korean Journal of Rehabilitation Nursing, 3(2), 154-168.
  17. Han, H. C., & Kang, H. S. (2012). The effect of leisure and socioeconomic characteristics of women on the happiness level: comparison between career women and housewives. Journal of Travel and Leisure Research, 24(1), 181-200.
  18. Hong, J. P. (2000). Prevalence of psychiatric illness and quality of life in the Korean urban elderly. published doctoral dissertation, University of Seoul, Seoul.
  19. Jeong, S. H. (2018). Impact of physical activity on self-rated health and medical utilization of the elderly. published master's thesis, University of Seoul, Seoul.
  20. Joo, K. H. (2011). Elder's level of social participation and quality of life by objective and subjective indicators. Journal of Community Welfare, 39(39), 231-264.
  21. Jung, J. Y., Kim, J. S., Choi, H. J., Lee, K. Y., & Park, T. J. (2009). Factors associated with ADL and IADL from the third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korean Journal of Family Medicine, 30(8), 598-609. https://doi.org/10.4082/kjfm.2009.30.8.598
  22. Kim, B. H., & An, Y. S. (2008). An exploratory study on the relationship between the leisure activity and quality of life of the elderly. Journal of Social Science, 15(1), 141-160.
  23. Kim, H. J., Kim, E. S., Kim, B. E., Shin, D. E., Lee, S. Y., & Jung, H. R. (2016). Correlation of elderly activity level and interpersonal relationship. The Journal of Korean Society of Community Based Occupational Therapy, 6(1), 25-32. https://doi.org/10.18598/kcbot.2016.06.01.03
  24. Kim, K. S. (2004). Study on the quality of life of the elderly in rural areas : A case of gam-moon myun, kim-chon. published master's thesis, University of Daejeon, Daejeon.
  25. Kim, S. J., Kim, Y. S., Choi, N. K., Lee, Y. Y., Lee, B. C., & Lee, M. H. (2002). Quality of life of patients in acute stage of stroke. Korean Journal of Psychosomatic Medicine, 10(1), 27-36.
  26. Kim, T. H., Kim, D. B., Kim, M. H., Lee, Y. J., & Kim, A. S. (1999). Articles: A Study on improvement of the quality of life for the aged(2). Journal of the Korea Gerontological Society, 19(1), 61-81.
  27. Langhammer, B., Sunnerhagen, K. S., Stanghelle, J. K., Sallstrom, S., Becker, F., & Fugl-Meyer, K. (2017). Life satisfaction in persons with severe stroke-A longitudinal report from the Sunnaas International Network (SIN) stroke study. European Stroke Journal, 2(2), 154-162. https://doi.org/10.1177/2396987317695140
  28. Lee, D. S. (2004). Effects of participations in leisure activities on perceived quality of life for the elderly. published doctoral dissertation, National University of Gyeonsang, Jinju.
  29. Lee, J. H. (2016). Study on the influence of elderly social sports on psychological well-being and quality of life. published master's thesis, University of Hoseo, Asan.
  30. Lee, S. H. (2012). The retained activity level of the community dwelling healthy group and stroke group aged more than 55 years: A preliminary study. Journal of Academia-industrial Technology, 13(11), 5337-5344.
  31. Lee, S. H., Yoo, E. Y., Jung, M. Y., Park, S. H., Lee, J. S., & Lee, T. Y. (2010). Development of the Korean activity card sort. The Journal of Korean Society of Occupational Therapy, 18(3), 103-117.
  32. Lee, S. J. (2013). Social role and life satisfaction of Korean older adults. Korea Social Policy Review, 20(4), 9-35. https://doi.org/10.17000/KSPR.20.4.201312.9
  33. Lee, T. Y. (2007). Quality of life and activity levels in the elderly based on the model of human occupation. published doctoral dissertation, University of Yonsei, Seoul.
  34. Lee, T. Y. (2012). Correlations between quality of life and sensory processing abilities in older adults. Journal of The Korea Contents Society, 12(5), 272-279. https://doi.org/10.5392/JKCA.2012.12.05.272
  35. Lee, T. Y., Jung, M. Y., Chung, B. I., Yoo, E. Y., Chang, S. J., & Nam, E. W. (2009). Quality of life and activity levels in the elderly based on the model of human occupation. The Journal of Korean Society of Occupational Therapy, 17(1), 1-16.
  36. Lee, Y. Y., Seo, H. J., & Choi, C. R. (2012). The study on the relationship between socioeconomic status and Korean leisure activity. Korean Journal of Sports Science, 21(4), 147-164.
  37. Legg, L., Drummond, A., Leonardi-Bee, J., Gladman, J. R. F., Corr, S., Donkervoort, M., ... Langhorne, P. (2007). Occupational therapy for patients with problems in personal activities of daily living after stroke: Systematic review of randomised trials. The British Medical Journal, 335, 922-929. https://doi.org/10.1136/bmj.39343.466863.55
  38. Nam, B. H., & Lee, S. U. (2003). Testing the validity of the Korean SF-36 health survey. Journal of the Korean Society of Health Statistics, 28(2), 3-24.
  39. Noh, Y. J., & Kim, C. G. (1995). Comparisons of physical fitness, self efficacy, instrumental activities of daily living, and quality of life between institutionalized and noninstitutionalized elderly. Journal of Korean Academy of Nursing, 25(2), 259-278.
  40. Obembe, A. O., & Eng, J. J. (2016). Rehabilitation interventions for improving social participation after stroke: A systematic review and meta-analysis. Neurorehabilitation and Neural Repair, 30(4), 384-392. https://doi.org/10.1177/1545968315597072
  41. Rhee, H. S., Park, C. I., Park, E. S., & Sin, J. C. (2003). Correlation between cognitive perceptual performance and instrumental activities of daily living in women over the age of 65. The Journal of Korean Society of Occupational Therapy, 11(2), 43-64.
  42. Salter, K., Jutai, J. W., Teasell, R., Foley, N. C., Bitensky, J., & Bayley, M. (2005). Issues for selection of outcome measures in stroke rehabilitation: ICF activity. Disability and Rehabilitation, 27(6), 315-340. https://doi.org/10.1080/09638280400008545
  43. Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473-483. https://doi.org/10.1097/00005650-199206000-00002
  44. Woodman, P., Riazi, A., Pereira, C., & Jones, F. (2014). Social participation post stroke: a meta-ethnographic review of the experiences and views of communitydwelling stroke survivors. Disability and Rehabilitation, 36, 2031-2043. https://doi.org/10.3109/09638288.2014.887796
  45. World Health Organization Quality of Life Group. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of life Research, 2(2), 153-159. https://doi.org/10.1007/BF00435734
  46. Youngstrom, M. J., Brayman, S. J., Anthony, P., Brinson, M., Brownrigg, S., Clark, G. F., ... Lieberman, D. (2002). Occupational therapy practice framework: Domain and process. American Journal of Occupational Therapy, 56(6), 609-639. https://doi.org/10.5014/ajot.56.6.609

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