뇌졸중 환자의 재활동기 평가도구에 관한 체계적 문헌고찰
A Systematic Review of the Rehabilitation Motivation Evaluation Tool for Stroke Patients
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목적 : 본 연구는 뇌졸중 환자를 위한 재활동기 평가도구를 알아보고, 그 평가도구의 특징을 분석하여 평가내용의 구성에 사용된 개념적 틀과 특징을 분석하고자 하였다. 연구방법 : 2000년부터 2022년 5월까지 국내외 주요 데이터베이스(PubMed, National Digital Science Library [NDSL], Medline, EMbase)에 등록된 문헌들을 검색하여, 선정과 제외 기준에 따라 문헌을 선정하였다. 선정된 문헌들에서 사용한 평가도구들을 분석하고, 이 평가도구의 특징을 분석하고자 하였다. 결과 : 검색기준에 따라 총 30편의 문헌이 선정되었으며, 각 문헌에서 사용된 재활동기 평가도구를 분류한 결과 총 5개의 재활동기 평가도구로 분류되었다. 국내에서 가장 많이 사용되는 것은 장애인 재활동기 측정도구였으며, 국외에서 가장 많이 사용되는 것은 intrinsic motivation inventory였다. 5개의 평가도구의 평가내용 구성에 사용된 이론적 틀을 알아본 결과, 3개의 평가도구가 자기결정 이론(selfdetermination theory)에 근거하여 평가내용을 구성하였으며, 2개는 전문가 합의를 통해 평가내용을 구성하였다. 평가 항목수와 8개부터 45개 항목까지 다양하였으며, 평가 척도도 4점부터 7점까지 다양하게 사용되었다. 결론 : 본 연구를 통해 국내외 재활동기 평가를 위해 주로 사용되는 평가도구를 파악할 수 있었으며, 재활동기 평가도구 개발에 근거가 되는 주요 이론적 틀이 무엇인지 파악할 수 있었다. 본 연구 결과는 추후 뇌졸중 환자를 위한 재활동기 평가도구 개발 연구에 기초 자료로 활용될 수 있을 것으로 보여진다.
Abstract
Objective : In this study, the rehabilitation motivation evaluation tool for stroke patients was identified, and the characteristics of the evaluation tool were analyzed to analyze the conceptual framework and characteristics used in the composition of the evaluation contents. Methods : From 2000 to May 2022, documents registered in major domestic and foreign databases (PubMed, NDSL, Medline, and EMbase) were searched and selected according to the selection and exclusion criteria. The evaluation tools used in the selected documents were analyzed, and the characteristics of this evaluation tool were analyzed. Results : A total of 30 documents were selected, and they were classified into a total of five rehabilitation motivation evaluation tools. The most widely used in Korea was the measurement tool for rehabilitation motivation for the disabled, and the most widely used overseas was the intrinsic motivation inventory. Three evaluation tools constructed the evaluation contents based on the self-determination theory, and two constructed the evaluation contents through expert agreement. The number of evaluation items and 8 to 45 items were varied, and the evaluation scale was also used in various ways from 4 to 7 point scale. Conclusion : It was possible to identify the evaluation tools mainly used for the evaluation of rehabilitation motivation, and to identify the main conceptual framework based on the development of the rehabilitation motivation evaluation tool. The results of this study are expected to be used as basic data for research on the development of rehabilitation motivation evaluation tools for stroke patients in the future.
참고문헌 (47)
- Arbesman, M., "Using AOTA's critically appraised topic(CAT)and critically appraised paper(CAP)series to link evidence to practice", OT Practice, 13(12), pp.18~22 (2008)
- Bartlett, D. J., "Physical therapists' perceptions of factors influencing the acquisition of motor abilities of children with cerebral palsy : Implications for clinical reasoning", Physical Therapy, 82(3), pp.237~248 (2002)[DOI]
- Boiché, J., "Development and validation of the 'Echelle de Motivation envers l'Activité Physique en contexte de Santé' : A motivation scale towards health-oriented physical activity in French", Journal of Health Psychology, 24(3), pp.386~396 (2019)[DOI]
- Boosman, H., "Clinicians' views on learning in brain injury rehabilitation", Brain Injury, 27(6), pp.685~688 (2013)[DOI]
- Deci, E. L., "Handbook of selfdetermination research" (2002), University of Rochester Press
- Deci, E. L., "Self-determination theory : A macrotheory of human motivation, development, and health", Canadian Psychology, 2008, pp.49(3), 182~185
- Deci, E. L., "The Oxford handbook of human motivation", pp.85~107 (2012), Oxford University Press
- Gagné, M., "Self-determination theory and work motivation", Journal of Organizational Behavior, 26(4), pp.331~362 (2005)[DOI]
- Hafen, K., "Entwicklung eines Patientenfragebogens zur Erfassung der Reha-Motivation(PAREMO)", Die Rehabilitation, 40(1), pp.3~11 (2001)[DOI]
- 한혜숙, "장애인의 재활동기 측정도구의 신뢰도 및 타당도 검정 연구", 재활간호학회지, 5(2), pp.124~133 (2002), 한국재활간호학회
- Holmqvist, L. W., "Environmental factors in stroke rehabilitation", British Medical Journal, 322(7301), pp.1501~1502 (2001)[DOI]
- Karahan, A. Y., "Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers", Acta Medica(Hradec Kralove), 57(2), pp.68~72 (2014)[DOI]
- Kim, H. S., "The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients", The Journal of Korean Society of Occupational Therapy, 17(3), pp.41~53 (2009)
- 김선연, "뇌졸중 환자의 재활동기에 미치는 융복합적 영향 요인", 디지털융복합연구, 15(9), pp.375~384 (2017), 한국디지털정책학회[DOI]
- 권혜경, "영화기반 간호중재 프로그램이 뇌졸중 환자의 재활동기와 우울에 미치는 효과", Journal of Korean Academy of Nursing, 47(3), pp.345~356 (2017), 한국간호과학회
- Kumar, S., "Medical complications after stroke", Lancet Neurology, 9(1), pp.105~118 (2010)[DOI]
- 이명희, "뇌졸중 환자의 우울이 재활동기에 미치는 영향에 대한 자기효능감의 매개효과", 인문사회 21, 11(3), pp.927~940 (2020), 인문사회 21
- Lin, F. H., "Effect of social support and health education on depression scale scores of chronic stroke patients", Medicine, 98(44), pp.e17667~ (2019)[DOI]
- Litman, T. J., "An analysis of the sociologic factors affecting the rehabilitation of physically handicapped patients", Archives of Physical Medicine and Rehabilitation, 45, pp.9~16 (1964)
- Maclean, N., "Qualitative analysis of stroke patients' motivation for rehabilitation", British Medical Journal, 321(7268), pp.1051~1054 (2000)[DOI]
- Maclean, N., "The concept of patient motivation : A qualitative analysis of stroke professionals' attitudes", Stroke, 33(2), pp.444~448 (2002)[DOI]
- Mattson, R. H., "A graphic definition of the horticultural therapy model. In R. H. Mattson, & J. Shoemaker(Eds. ). Defining horticulture as a therapeutic modality(pp. 43-58). Department of Horticulture" (1982), Kansas State University
- McAuley, E., "Psychometric properties of the Intrinsic Motivation Inventory in a competitive sport setting : A confirmatory factor analysis", Research Quarterly for Exercise and Sport, 60(1), pp.48~58 (1989)[DOI]
- Moher, D., "Preferred reporting items for systematic reviews and meta-analyses : The PRISMA statement", PLoS Medicine, 6(7), pp.e1000097~ (2009)[DOI]
- Monahan, F. D., , C. J (2007)[DOI]
- Morris, J. H., "Physical activity participation in community dwelling stroke survivors : Synergy and dissonance between motivation and capability. A qualitative study", Physiotherapy, 103(3), pp.311~321 (2017)[DOI]
- 나은하, "초발 뇌졸중 환자의 라이프 케어를 위한 자기결정성 이론에 기반한 자가간호 이행 구조모형", 한국엔터테인먼트산업학회논문지, 16(6), pp.291~304 (2022), 한국엔터테인먼트산업학회
- Pallesen, H., "Gateway to recovery : A comparative analysis of stroke patients' experiences of change and learning in Norway and Denmark", Rehabilitation Research and Practice, 2019, pp.1726964~ (2019)[DOI]
- 박안숙, "뇌졸중 환자의 재활동기, 자기효능감 및 가족지지가 재활이행에 미치는 영향", Journal of Korean Biological Nursing Science, 19(2), pp.113~122 (2017), 한국기초간호학회[DOI]
- 박안숙, "뇌졸중 환자의 우울 유무에 따른 재활동기, 가족지지 및 재활이행 간의 비교", 재활간호학회지, 19(2), pp.138~147 (2016), 한국재활간호학회
- Poltawski, L., "Motivators for uptake and maintenance of exercise : Perceptions of longterm stroke survivors and implications for design of exercise programmes", Disability and Rehabilitation, 37(9), pp.795~801 (2015)[DOI]
- Powers, W. J., "2018 Guidelines for the early management of patients with acute ischemic stroke : A guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2018, pp.49(3), e46~e110
- Relf, P. D., "Historical perspective on theoretical models for research and program development in horticultural therapy", Acta Horticulturae, 775, pp.79~91 (2008)[DOI]
- Rettig, K. D., "Affective, cognitive, and behavioral responses to economic stress", Family and Consumer Sciences Research Journal, 26(1), pp.3~28 (1997)[DOI]
- Ryan, R. M., "Intrinsic and extrinsic motivations : Classic definitions and new directions", Contemporary Educational Psychology, 25(1), pp.54~67 (2000)[DOI]
- Ryan, R. M., "Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being", The American Psychologist, 55(1), pp.68~78 (2000)[DOI]
- Sempik, J., "Social and therapeutic horticulture : Evidence and messages from research. Centre for Child and Family Research" (2003), Loughborough University
- 서민영, "보훈대상 뇌졸중 환자의 재활동기와 영향요인", 기본간호학회지, 27(3), pp.215~225 (2020), 기본간호학회[DOI]
- Shoemaker, C. A., "A model for healthy aging with horticulture", Acta Horticulturae, 775, pp.93~98 (2008)[DOI]
- Siegert, R. J., "Theoretical aspects of goal-setting and motivation in rehabilitation", Disability and Rehabilitation, 26(1), pp.1~8 (2004)[DOI]
- 송승일, "과제 지향적 활동이 뇌졸중 환자의 자기효능감과 재활동기에 미치는 영향", 특수교육재활과학연구, 54(4), pp.303~321 (2015), 특수교육재활과학연구소[DOI]
- Stewart, C., "Development of a participatory, tailored behaviour change intervention to increase active practice during inpatient stroke rehabilitation", Disability and Rehabilitation, 42(24), pp.3516~3524 (2020)[DOI]
- Tatla, S. K., "The effects of motivating interventions on rehabilitation outcomes in children and youth with acquired brain injuries : A systematic review", Brain Injury, 28(8), pp.1022~1035 (2014)[DOI]
- Waddington H., "Psychological and communication issues in feeding post-stroke patients with dysphagia", Nursing Times, 105(32-33), pp.25~26 (2009)
- 원종임, "뇌졸중 환자의 재활참여가 기능회복에 미치는 영향", 한국전문물리치료학회지, 27(1), pp.63~69 (2020), 한국전문물리치료학회[DOI]
- 유영열, "뇌졸중 환자가 인지하는 재활동기와 삶의 질 관계의 연구", 대한작업치료학회지, 17(2), pp.1~16 (2009), 대한작업치료학회
- Young, J., "Review of stroke rehabilitation", British Medical Journal, 334(7584), pp.86~90 (2007)[DOI]
