뇌졸중 환자의 우울이 재활동기에 미치는 영향에 대한 극복력의 매개효과
The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
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Purpose: This study is a descriptive correlational study to identify the mediating effect of resilience on depression and rehabilitation motivation. Methods: The study was conducted on 206 stroke patients that visited the D University Hospital in B City. Data was collected from July 1 to September 11, 2015. Data were collected for depression, rehabilitation motivation, and resilience. The data were analyzed by the t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS/WIN 21.0 statistical program. Results: 33.7% of subjects showed beyond mild depression. The level of rehabilitation motivation was higher in male stroke patients, and when the level of education and monthly income was higher. Moreover the levels of rehabilitation motivation were significantly higher when stroke patients were participating in exercise continuously. Resilience was found to partially mediate the relationship between depression and rehabilitation motivation. Conclusion: The finding of this study demonstrates that intervention on resilience, in addition to direct intervention on depression, can improve rehabilitation motivation in stroke patients.
Abstract
Purpose: This study is a descriptive correlational study to identify the mediating effect of resilience on depression and rehabilitation motivation. Methods: The study was conducted on 206 stroke patients that visited the D University Hospital in B City. Data was collected from July 1 to September 11, 2015. Data were collected for depression, rehabilitation motivation, and resilience. The data were analyzed by the t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using the SPSS/WIN 21.0 statistical program. Results: 33.7% of subjects showed beyond mild depression. The level of rehabilitation motivation was higher in male stroke patients, and when the level of education and monthly income was higher. Moreover the levels of rehabilitation motivation were significantly higher when stroke patients were participating in exercise continuously. Resilience was found to partially mediate the relationship between depression and rehabilitation motivation. Conclusion: The finding of this study demonstrates that intervention on resilience, in addition to direct intervention on depression, can improve rehabilitation motivation in stroke patients.
참고문헌 (31)
- Bae, S. Y., "Effects of discharge education program with music on resilience and stress responses in cerebral infarction patients", doctor, pp.2005
- Reuben M. Baron, "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986), American Psychological Association (APA)[DOI]
- Beck, A. T., "BDI-II, Beck depression inventory: Manual" (1996), Psychological Corporation
- A. Berg, "Poststroke Depression: An 18-Month Follow-Up", Stroke, 34(1), pp.138~143 (2003), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 조은아, "웃음요법이 유방암 생존자의 우울, 삶의 질, 극복력, 면역반응에 미치는 효과", Journal of Korean Academy of Nursing, 41(3), pp.285~293 (2011), 한국간호과학회
- 조옥희, "크론병 환자의 우울과 위험요인", Journal of Korean Academy of Nursing, 42(2), pp.207~216 (2012), 한국간호과학회[DOI]
- 한혜숙, "장애인의 재활 동기 측정도구 개발", 성인간호학회지, 14(4), pp.554~563 (2002), 성인간호학회
- Imm, S. J., "The factors influencing the resilience in stroke patients at home", master, pp.2013
- Jo, N. O., "Social readjustment and relating factors in stroke survivors", Korean Journal of Adult Nursing, 13(1), pp.96~107 (2001)
- Ali Yavuz Karahan, "EFFECTS OF REHABILITATION SERVICES ON ANXIETY, DEPRESSION, CARE-GIVING BURDEN AND PERCEIVED SOCIAL SUPPORT OF STROKE CAREGIVERS", Acta Medica (Hradec Kralove, Czech Republic), 57(2), pp.68~72 (2014), Charles University in Prague, Karolinum Press[DOI]
- 김대용, "뇌졸중 환자의 우울증에 영향을 미치는 요인", 고신대학교 의과대학 학술지, 24(2), pp.69~75 (2009), 고신대학교 의과대학 학술지
- 김주희, "불임 여성의 삶의 질 모형 구축", Journal of Korean Academy of Nursing, 43(3), pp.312~320 (2013), 한국간호과학회
- Kim, S. J., "Correlates of depression and anxiety in acute stroke patients", Journal of the Korean Geriatrics Society, 7(3), pp.230~242 (2003)
- 공희경, "임파워먼트 프로그램이 뇌졸중 환자의 재활동기, 우울, 일상생활수행능력에 미치는 효과", 성인간호학회지, 20(3), pp.406~417 (2008), 성인간호학회
- 공경란, "만성 폐쇄성 폐질환 환자의 증상경험과 우울의 관계에 미치는 극복력의 매개효과", 성인간호학회지, 27(4), pp.375~383 (2015), 성인간호학회[DOI]
- Lee, J. A., "Correlation between post stroke depression and activities of daily living", Journal of Oriental Neuropsychiatry, 11(2), pp.149~154 (2000)
- 이지예, "뇌졸중 환자의 사회적 지지, 자아존중감 및 재활동기가 일상생활 수행능력에 미치는 영향", 동서간호학연구지, 20(2), pp.145~153 (2014), 동서간호학연구소[DOI]
- SUNIYA S. LUTHAR, "The construct of resilience: Implications for interventions and social policies", Development and Psychopathology, 12(4), pp.857~885 (2000), Cambridge University Press (CUP)[DOI]
- Monahan, F. D., "Phipps‘ medical-surgical nursing health & illness perspectives" (2007), Elsevier Mosby
- Moon, H. H., "Relationship among depression, family support, and rehabilitation motive in patient with acute or subacute hemorrhagic stroke", master, pp.2010
- 박은경, "노인 천식 환자의 우울과 불안의 특성", Allergy Asthma & Respiratory Diseases, 2(3), pp.194~199 (2014), 대한 소아알레르기 호흡기학회
- Park, K. H., "Association for daily activities with depression and anxiety in stroke patients", master, pp.2007
- Park, Y. S., "Factors influencing the motivation for rehabilitation in patients with spinal cord injury", Journal of Korean Public Health Nursing, 17(1), pp.83~95 (2003)
- Pender, N. J., "Health promotion in nursing practice" (2006), Pearson Education Inc
- 유영미, "유방암 여성의 삶의 질 관련 요인", Asian Oncology Nursing, 13(3), pp.121~127 (2013), 대한종양간호학회
- Seo, M. J., "Integrative rehabilitation nursing" (2000), Shinkwang
- 신나연, "관상동맥질환자의 건강통제위, 회복력, 사회적 지지와 건강증진행위 간의 관계", 성인간호학회지, 27(3), pp.294~303 (2015), 성인간호학회[DOI]
- "Cause of death statistics in 2013" (2014)[URL]
- Wagnild, G. M., "The Resilience Scale User’s guide for the US English version of the Resilience Scale and the 14-item Resilience Scale (RS-14)", Resilience center, ~ (2009)
- Woo, G. M., "Effect of beach ball play for depression, powerlessness, self-esteem, activity of daily living in stroke patients", Korean Journal of Rehabilitation Nursing, 1(1), pp.15~25 (1998)
- 유경희, "만성 관절염 환자를 대상으로 한 극복력과 우울의 상관성 조사", 재활간호학회지, 9(2), pp.161~165 (2006), 한국재활간호학회