뇌졸중 환자가 지각하는 불확실성, 우울, 삶의 질
Uncertainty, Depression, and Quality of Life in Patients with Stroke
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Purpose: The prevalence rate of stroke is increasing due to the rise in the aging population. The stroke sequela, including physical and mental disabilities, remain even though patients are alive, and these circumstances are causing major problems, both socially and economically. This correlation study aimed to identify uncertainty, depression, and quality of life among stroke patients. Methods: Participants included 94 outpatients who were diagnosed with stroke and discharged from a tertiary hospital in S city. Between September and October 2014, a survey on uncertainty, depression, and quality of life was conducted. Data collected were analyzed using SPSS 22.0. Results: The average scores of uncertainty, depression, and quality of life were 48.36 out of 80, 41.90 out of 80, and 175.94 out of 245, respectively. The uncertainties exhibited a positive correlation with depression and a negative correlation with quality of life. The correlation between depression and quality of life was found to be negative. Conclusion: To enhance the quality of life of stroke patients, interventions to reduce uncertainty and depression as well as improve physical care to reduce difficulties in daily living should be implemented.
Abstract
Purpose: The prevalence rate of stroke is increasing due to the rise in the aging population. The stroke sequela, including physical and mental disabilities, remain even though patients are alive, and these circumstances are causing major problems, both socially and economically. This correlation study aimed to identify uncertainty, depression, and quality of life among stroke patients. Methods: Participants included 94 outpatients who were diagnosed with stroke and discharged from a tertiary hospital in S city. Between September and October 2014, a survey on uncertainty, depression, and quality of life was conducted. Data collected were analyzed using SPSS 22.0. Results: The average scores of uncertainty, depression, and quality of life were 48.36 out of 80, 41.90 out of 80, and 175.94 out of 245, respectively. The uncertainties exhibited a positive correlation with depression and a negative correlation with quality of life. The correlation between depression and quality of life was found to be negative. Conclusion: To enhance the quality of life of stroke patients, interventions to reduce uncertainty and depression as well as improve physical care to reduce difficulties in daily living should be implemented.
참고문헌 (30)
- Borschmann, K. N., "Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase : A two-year, observational study", Physiotherapy, 107, pp.216~223 (2020)[DOI]
- Chen, R., "Diabetes and stroke : Epidemiology, pathophysiology, pharmaceuticals and outcomes", The American Journal of the Medical Sciences, 351(4), pp.380~386 (2016)[DOI]
- Chng, A. M., "Coping with the challenges of recovery from stroke : Long term perspectives of stroke support group members", Journal of Health Psychology, 13(8), pp.1136~1146 (2008)[DOI]
- Cho, O. H., "Uncertainty, anxiety and coping with mastectomy for breast cancer", Journal of Korean Academy of Nursing, 30(4), pp.1006~1017 (2000)
- 조숙희, "뇌졸중 환자의 불확실성, 생리적 위험지표, 자기효능감이 자기관리에 미치는 영향", 근관절건강학회지, 23(2), pp.114~124 (2016), 대한근관절건강학회[DOI]
- 최은실, "뇌졸중 환자의 우울이 재활동기에 미치는 영향에 대한 극복력의 매개효과", 근관절건강학회지, 23(1), pp.19~27 (2016), 대한근관절건강학회[DOI]
- Chon, K. K., "Preliminary development of Korean version of CES-D", Korean Journal of Clinical Psychology, 11(1), pp.65~76 (1992)
- Haghgoo, H. A., "Depression, activities of daily living and quality of life in patients with stroke", Journal of the Neurological Sciences, 328(1-2), pp.87~91 (2013)[DOI]
- 한윤희, "뇌졸중 후 우울변화가 인지 및 상지기능회복에 미치는 영향", 대한작업치료학회지, 19(2), pp.39~51 (2011), 대한작업치료학회
- Hannah, D., "Certain uncertainty : Life after stroke from the patient's perspective", Circulation : Cardiovascular Quality and Outcomes, 7(6), pp.968~969 (2014)[DOI]
- 전영혜, "뇌졸중 환자의 일상생활활동이 사회적 관계망에 미치는 영향", 대한작업치료학회지, 21(2), pp.49~60 (2013), 대한작업치료학회
- Jun, H. J., "The relationship between stroke patients' socio-economic conditions and their quality of life: The 2010 Korean community health survey", Journal of Physical Therapy Science, 27(3), pp.781~784 (2015)[DOI]
- 김철규, "뇌졸중 환자와 가족을 위한 웹 기반 뇌졸중 이차예방 교육 프로그램 개발 및 평가", Journal of Korean Academy of Nursing, 41(1), pp.47~60 (2011), 한국간호과학회
- 김경순, "뇌졸중 환자 가족원의 삶의 질에 영향을 미치는 요인", Korean Journal of Health Promotion, 5(2), pp.69~77 (2005), 대한임상건강증진학회
- Kim, K., "Correlation between the activities of daily living of stroke patients in a community setting and their quality of life", Journal of Physical Therapy Science, 26(3), pp.417~419 (2014)[DOI]
- 김미영, "뇌혈관 수술 환자의 삶의 질과 관련요인", 재활간호학회지, 8(1), pp.5~12 (2005), 한국재활간호학회
- 김연진, "혈액투석 환자가 지각하는 불확실성과 사회적 지지가 안녕감에 미치는 영향", 재활간호학회지, 15(1), pp.20~29 (2012), 한국재활간호학회[DOI]
- Kumar, S., "Medical complications after stroke", The Lancet Neurology, 9(1), pp.105~118 (2010)[DOI]
- 이종민, "뇌졸중 환자의 우울, 인지, 일상생활활동이 삶의 질에 미치는 영향", 대한지역사회작업치료학회지, 5(1), pp.1~9 (2015), 대한지역사회작업치료학회[DOI]
- Lee, K. S., "A study on the relationship between climacteric and depressive symptoms in middle aged women in an area", Journal of Korean Clinical Health Science, 6(2), pp.1171~1179 (2018)[DOI]
- McCarthy, M. J., "Gender, health ambiguity, and depression among survivors of first stroke : A pilot study", Archives of Physical Medicine and Rehabilitation, 94(1), pp.193~195 (2013)[DOI]
- Mishel, M. H., "Uncertainty in illness", Image the Journal of Nursing Scholarship, 20(4), pp.225~232 (1988)
- Mozaffarian, D., "Heart disease and stroke statistics-2016 update: A report from the American Heart Association", Circulation, 133(4), pp.e38~e360 (2016)
- Ni, C., "Uncertainty of acute stroke patients : A cross-sectional descriptive and correlational study", Journal of Neuroscience Nursing, 50(4), pp.238~243 (2018)[DOI]
- 박은영, "한국 뇌졸중 환자의 우울관련 변인에 관한 메타분석", Journal of Korean Academy of Nursing, 42(4), pp.537~548 (2012), 한국간호과학회
- Piber, D., "Depression and neurological diseases", Nervenarzt, 83(11), pp.1423~1433 (2012)
- "The cause of death statistics" (2018)[URL]
- 서민희, "뇌졸중 환자의 삶의 질 구조모형", Journal of Korean Academy of Nursing, 40(4), pp.533~541 (2010), 한국간호과학회
- White, C. L., "Dimensions of uncertainty after stroke : perspectives of the stroke survivor and family caregiver", Journal of Neuroscience Nursing, 46(4), pp.233~240 (2014)[DOI]
- Williams, L. S., "Development of a stroke-specific quality of life scale", Stroke, 30(7), pp.1362~1369 (1999)[DOI]