뇌졸중 환자의 디스트레스와 스티그마가 삶의 질에 미치는 영향
Impact of Distress and Stigma on Quality of Life among Patients with Cerebrovascular Disease
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Purpose: This study investigated how distress and stigma affect the quality of life (QOL) in stroke patients. Methods: Adescriptive research design was utilized with 150 stroke patients from three general and three long-term care facilities. Data were collected through an 86-item questionnaire from February 15 to April 10, 2023, using measures of distress,stigma, and QOL. Analysis was conducted using descriptive statistics, independent t-tests, one-way ANOVA, Pearson’scorrelation coefficients, and hierarchical regression analysis in SPSS/WIN 25.0. Results: The average QOL score was156.37±38.27 out of 245 points. Factors affecting QOL of stroke patients were distress (β=-.56, p<.001), stigma(β=-.26,p<.001), biplegia (β=-.11, p=.045), and unemployment (β=-.10, p=.045), explaining 68% of the QOL variance. Conclusion:Programs aimed at reducing distress and stigma in stroke patients are essential for enhancing QOL. Effective strategiesshould address post-stroke physical and mental states, prevent complications, restore health, reduce anxiety, andleverage family and social support to mitigate stigma. Special attention is needed for stroke patients with hemiplegia andthose who are unemployed.
Abstract
Purpose: This study investigated how distress and stigma affect the quality of life (QOL) in stroke patients. Methods: Adescriptive research design was utilized with 150 stroke patients from three general and three long-term care facilities. Data were collected through an 86-item questionnaire from February 15 to April 10, 2023, using measures of distress,stigma, and QOL. Analysis was conducted using descriptive statistics, independent t-tests, one-way ANOVA, Pearson’scorrelation coefficients, and hierarchical regression analysis in SPSS/WIN 25.0. Results: The average QOL score was156.37±38.27 out of 245 points. Factors affecting QOL of stroke patients were distress (β=-.56, p<.001), stigma(β=-.26,p<.001), biplegia (β=-.11, p=.045), and unemployment (β=-.10, p=.045), explaining 68% of the QOL variance. Conclusion:Programs aimed at reducing distress and stigma in stroke patients are essential for enhancing QOL. Effective strategiesshould address post-stroke physical and mental states, prevent complications, restore health, reduce anxiety, andleverage family and social support to mitigate stigma. Special attention is needed for stroke patients with hemiplegia andthose who are unemployed.
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