수공예활동을 이용한 그룹 작업치료 중재프로그램이 뇌졸중 환자의 일상생활 수행 능력과 삶의 질 향상에 미치는 효과
Effects of Stroke Arts and Craft Group Occupational Therapy Intervention Program on Improving the Quality of Life and Activity of Daily Living
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
목적 : 본 연구는 수공예활동을 이용한 그룹 작업치료 중재프로그램이 뇌졸중 환자의 일상생활 수행능력과 삶의 질 향상에 미치는 효과를 알아보고자 한다. 연구방법 : 뇌졸중 환자 10명을 대상으로 진행하였으며, 두 집단 사전-사후 설계(Pretest-Posttest control group design)를 사용하였다. 실험은 사전검사 1회, 중재 10회, 사후 검사 1회로 총 12회기로 주 2회 6주간 실시하였다. 인지기능은 한국판 간이 정신상태검사 (Mini-Mental State Examinatin for Korean:MMSE-K)와 일상생활평가로 한글판 수정 바델 지수 (Korean Version of Modified Bathel Index: K-MBI)와 캐나다 작업수행 측정 (Canadian occupational performance measure: COPM)을 사용하였고, 삶의 질 평가는 한국판 세계 보건기구 삶의 질 간편형 척도(The World Health Organization Quality of life- BREF: WHOQOL-BREF)를 중재 전·후에 시행하였다. 기술통계와 비 모수 통계를 이용하여 결과분석을 하였다. 결과 : 실험군과 대조군의 사전 - 사후 결과를 비교한 결과 일상생활 활동 수행능력 부분에서 K-MBI의 점수 증진은 있었으나, 유의미한 차이는 없었다. COPM은 실험군에서만 수행도 전·후에 유의미한 차이가 있었으며, 실험군, 대조군 모두 만족도에 유의미한 차이가 있었다. WHOQOL-BREF에서 실험군에서 실험 전·후 및 집단 내에 유의미한 차이가 있었으며, 집단 간에도 유의미한 차이가 있었다. 결론 : 본 연구 결과를 통하여 뇌졸중 환자에게 수공예활동을 적용한 그룹 작업치료 중재프로그램이 작업수행능력과 삶의 질 증진에 효과가 있음을 확인 할 수 있었다.
Abstract
Objective: The purpose of this study was to examine the effects of an occupational therapy intervention program of arts and crafts on the activities of daily living and quality of life of outpatients after a stroke. Methods: Using an experimental pretest-posttest control group design, we conducted the following with ten participants diagnosed with stroke: one retest session, 10 intervention sessions, and one posttest session. MMSE-K (Korean version of the Mini-mental State Examination), COPM (Canadian Occupational Performance Measure), and WHOQOL-BREF (The World Health Organization Quality of Life-BREF) scores were obtained before and after the intervention. The results were analyzed using descriptive and nonparametric statistics. Results: As a result of comparing the pretest-posttest scores of the experimental and control groups, there was no significant difference in K-MBI score improvement in terms of activities of daily living. There was a significant difference in COPM scores between the experimental and control groups. There was a significant difference between the WHOQUP-BREF scores of the experimental group before and after the experiment, as well as between the groups. Conclusions: The results suggest that an arts and craft group occupational therapy intervention program for stroke patients may have a positive impact on activities of daily living and quality of life. Although an arts and craft group occupational therapy intervention program appears to be a promising approach, further studies are required to confirm these findings.
참고문헌 (33)
- "뇌졸중이란" (2016), 대한뇌졸중학회[URL]
- 손은교, "캐나다작업수행측정" (2001), 정담
- 옥금자, "집단미술치료 방법론" (2006), 하나의학사
- 이종렬, "WHOQOL-BREF를 이용한 대구광역시민의 삶의 질에 관한 조사", 석사, 공중보건, pp.2000
- 안승헌, "초기 뇌졸중환자의 집단 운동치료가 일상생활동작에 미치는 효과", 코칭능력개발지, 6(3), pp.309~320 (2004), 한국코칭능력개발원
- Blomdahl, A, "A realist review of art therapy for clients with depression", The Arts in Psychotherapy, 40(3), pp.322~330 (2013)[DOI]
- Choi, M. A, "Effect of group art therapy by cooperat ive activity on sociality of children using community child center", pp.2012
- 최유임, "한국판 수정바델지수(K-MBI)의 타당도, 신뢰도, 문항변별도 검증: 뇌졸중 환자를 대상으로", 한국산학기술학회논문지, 13(9), pp.4119~4125 (2012), 한국산학기술학회[DOI]
- Fidler, G, "Activities: Reality and symbo l" (1999), SLACK incorporated
- Judith Gonen, "Art therapy in stroke rehabilitation: a model of short-term group treatment", The Arts in Psychotherapy, 27(1), pp.41~50 (2000), Elsevier BV[DOI]
- Gong, P. O, "Effect of group art therapy on decreasing the level of depression and psychologica l stress of women on low wages-a focus on natural soap crafting activity program", The Korean Journal of Arts Therapy, 1, pp.179~205 (2013)
- Rezzan Gunaydin, "Determinants of quality of life (QoL) in elderly stroke patients: A short-term follow-up study", Archives of Gerontology and Geriatrics, 53(1), pp.19~23 (2011), Elsevier BV[DOI]
- Jin, S. H, "The effect of group art therapy for the improvements of the life quality and interpersonal relat ionship with seniors who has been mild dementia", The Korean Journal of Arts Therapy, 9(1), pp.153~172 (2009)
- Jo, H. K, "The case study of art therapy on depressi on and ADL of geriatric patient in nursing home", The Korean Journal of Arts Therapy, 8(1), pp.115~136 (2008)
- 강희숙, "집단미술활동이 지역아동센터 아동의 자아존중감과 의사소통에 미치는 효과", 예술심리치료연구, 8(4), pp.167~190 (2012), 한국예술심리치료학회
- Kim, H. C, "Influencing factors on Quality of life after Stroke", Korean Association for Geriatric Psychiatry, 7(1), pp.67~75 (2003)
- Kim, S. W, "Quality of life level in the patients with the sequelae of traumatic brain injur y", Journal of the Korean Neuropsychiatric Association, 37(4), pp.640~649 (1998)
- Kim, W. O, "Relationships among acticity of daily linvin g, depression and Quality of Life(QoL)inpatients with stroke", Journal of East-West Nursing Research, 13(2), pp.138~146 (2007)
- Kwon, Y. C, "Korean version of Mini-Mental State Examination(MMSE-K)-part Ⅰ: Developm ent of the test for the elderly", Journal of Korean Neuro psychiatric Association, 28(1), pp.125~135 (1989)
- Lorrain, W. P, "Occupational therapy: Practice skill for physical dysfunction" (1996), Mosby-Year book Inc
- Lee, B. C, "The effects of cognitive-behavioral group conseling pr ogram for stroke patients and their families on their quality of life", The Korean Journal of East West Science, 12(1), pp.44~59 (2009)
- Lee, I. S, "The effects of group art therpy with Hanj i, Korean paper. tp improve the quality of life of elderly stroke patients", pp.2011
- McColl, M. A, "Validity and community utility of the Canadi an Occupational Performance Measure", Canadian Jour nal of Occupational Therapy, 67(1), pp.22~30 (2000)[DOI]
- Min, S. K, "Development of Korean Versio of WHO Qual ity of Life Scale Abbreviated Version(WHOQOL-BREF)", Journal of the Korean Neuropsychiatric Association, 39(3), pp.571~579 (2000)
- Oh, J. W, "The effects of group educati on program on cognition, balance, and ADL in chronic stroke patients", Society of Occupational Therapy for the Aged and Dementia, 6(2), pp.55~62 (2012)
- Park, G. H, "The effect of group art therapy program on self-esteem and depression of persons with physical disabilities", Journal of Psychology and Behavior, 6(1), pp.1~14 (2014)
- Park, H. C, "A study on the effects of the art therapy of memory recollection on the lmprovement of cogniti ve of the elderly with demetia", The Korean Journal of Arts Therapy, 9(1), pp.1~21 (2009)
- Reynolds, F, "Art therpay after stroke: Evidence and a need for further research", The Arts in Psychotherapy, 39(4), pp.239~244 (2013)
- Richman, J, "Art therapy and group process", The Arts in Psychotherapy, 4(1), pp.5~9 (1977)
- Roley, S. S, "Occupational Thera py Practice Framework: Domain & process, 2nd editio n", American Journal of Occupational Therapy, 62(6), pp.625~683 (2008)[DOI]
- Tubbs, C, "Crafts and creative media in therapy" (2007), SLACK Incorpurated
- Taylor, E, "Use of treatment activities in occupational therapy", American Journal of Occupati onal Therapy, 45(4), pp.317~322 (1991)
- Yu, G. G, "A study of the effects of group art therap y on the decrease of depression and the improvement of self-esteem of hemiplegic elderly patients", 미술치료연구, 9(1), pp.173~192 (2009)