재활치료 중인 뇌졸중 환자의 스트레스 경험에 대한 현상학적 연구: 대처요구를 중심으로
Phenomenological Study on the Stress Experiences of Stroke Patients in Rehabilitation: Focused on Coping Needs
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Purpose: This study endeavored to delve into the lived experiences of stroke patients undergoing rehabilitation, with a particular focus on the stressors and coping mechanisms encountered during their hospital stay. By identifying common patterns within these experiences, the aim is to enlighten the development of more compassionate and effective support structures tailored to stroke recovery. Methods: Employing a qualitative phenomenological methodology, the research engaged ten stroke survivors through in-depth semi-structured interviews. The essence of the participants’ experiences was distilled using Colaizzi’s methodological framework, gathering data from a single hospital in D city throughout December 2024. Results: The analysis delineated five primary categories: ‘Existential Despair regarding Minimal Human Dignity,’ ‘Physical Suffering Stemming from Uncontrollable Symptoms,’ ‘Difficulties in Interpersonal Connections,’ ‘Recollections of Experiencing a Stroke Initiated by Delirium,’ and ‘Navigating through Stress Encounters.’ The participants voiced a dire need for augmented emotional support, suggesting music stabilization therapy and intensive counseling, facilitated by detailed insights into the stroke rehabilitation journey. Conclusion: The study emphasizes the critical role of psychological wellness in the realm of stroke rehabilitation. Incorporating tailored psychological aid and offering exhaustive knowledge about the recovery trajectory can notably amplify the quality of life and rehabilitation outcomes for stroke survivors. These findings advocate for healthcare professionals to embrace a comprehensive approach in post-stroke management, prioritizing both psychological well-being and physical recuperation.
Abstract
Purpose: This study endeavored to delve into the lived experiences of stroke patients undergoing rehabilitation, with a particular focus on the stressors and coping mechanisms encountered during their hospital stay. By identifying common patterns within these experiences, the aim is to enlighten the development of more compassionate and effective support structures tailored to stroke recovery. Methods: Employing a qualitative phenomenological methodology, the research engaged ten stroke survivors through in-depth semi-structured interviews. The essence of the participants’ experiences was distilled using Colaizzi’s methodological framework, gathering data from a single hospital in D city throughout December 2024. Results: The analysis delineated five primary categories: ‘Existential Despair regarding Minimal Human Dignity,’ ‘Physical Suffering Stemming from Uncontrollable Symptoms,’ ‘Difficulties in Interpersonal Connections,’ ‘Recollections of Experiencing a Stroke Initiated by Delirium,’ and ‘Navigating through Stress Encounters.’ The participants voiced a dire need for augmented emotional support, suggesting music stabilization therapy and intensive counseling, facilitated by detailed insights into the stroke rehabilitation journey. Conclusion: The study emphasizes the critical role of psychological wellness in the realm of stroke rehabilitation. Incorporating tailored psychological aid and offering exhaustive knowledge about the recovery trajectory can notably amplify the quality of life and rehabilitation outcomes for stroke survivors. These findings advocate for healthcare professionals to embrace a comprehensive approach in post-stroke management, prioritizing both psychological well-being and physical recuperation.
참고문헌 (30)
- Almhdawi, K. A., "Post-stroke depression, anxiety, and stress symptoms and their associated factors : A cross-sectional study", Neuro Psychological Rehabilitation, 31(7), pp.1091~1104 (2021)[DOI]
- Busetto, L., "How to use and assess qualitative research methods", Neurology Research Practice, 2(14), pp.1~10 (2020)[DOI]
- Choi, S. E., "Effects of Korean mindfulness based stress program applied to acute stroke patients : Mixed-methods research", Journal of the Korea Entertainment Industry Association, 17(2), pp.133~147 (2023)[DOI]
- Crowe, C., "A qualitative study of the experience of psychological distress post-stroke", Journal of Health Psychology, 21(11), pp.2572~2579 (2016)[DOI]
- De Witte, M., "Music therapy for stress reduction : A systematic review and meta-analysis", Health Psychology Review, 16(1), pp.134~159 (2022)[DOI]
- GBD 2019 Stroke Collaborators, "Global, regional, and national burden of stroke and its risk factors, 1990–2019 : A systematic analysis for the Global Burden of Disease Study 2019", The Lancet Neurology, 20(10), pp.795~820 (2021)[DOI]
- Grefkes, C., "Recovery from stroke : current concepts and future perspectives", Neurological Research and Practice, 2(17) (2020)[DOI]
- Han, K. S., "Non-contact nursing education in communication and group counseling : Current status and future directions", Korean Journal of Stress Research, 31(4), pp.149~157 (2023)[DOI]
- Hinwood, M., "Psychological stress management and stress reduction strategies for stroke survivors : A scoping review", Annals of Behavioral Medicine, 57(2), pp.111~130 (2023)[DOI]
- Jang, H. Y., "Analysis of qualitative research published in nursing journals in a recent 10-year period : Focused on JKAN and ANR", The Academy of Qualitative Research, 20(2), pp.100~112 (2019)[DOI]
- Jung, J. Y., "Delirium experience of the intensive care unit patients", Journal of Korean Academy of Nursing, 52(2), pp.134~143 (2022)[DOI]
- Kang, H. L., "A study on the recovery process of stroke in the middle-aged men patients", The Academy of Qualitative Research, 10(2), pp.152~165 (2009)
- Kim, B. H., "A comparison of phenomenological research methodology;Focused on Giorgi, Colaizzi, Van Kaam methods", Journal of Korean Academy of Nursing, 29(6), pp.1208~1220 (1999)
- Kim, J. H., "The effects of art and craft activities on anxiety and stress of stroke patients", Journal of Digital Convergence, 17(11), pp.251~258 (2017)[DOI]
- Kim, M. J., "The experience of horticulture therapy among the elderly patients with stroke", The Academy of Qualitative Research, 11(1), pp.36~49 (2010)
- Kim, N. Y., "Diagnosis and treatment of poststroke delirium", Brain & Neuro Rehabilitation, 8(2), pp.59~64 (2015)[DOI]
- Lee, H. J., "Adjustment of middle-aged people with hemiplegia after a atroke", Journal of Korean Academy of Nursing, 36(5), pp.792~802 (2006)
- Lee, M. J., "Stress-related factors in Korean middle-aged and older adults : The 8th Korea National Health and Nutrition Examination Survey(2020)", Korean Journal of Family Practice, 13(1), pp.47~54 (2023)[DOI]
- Lim, K. C., "Older adults' experiences of living with and using diapers for urinary incontinence in long-term care facilities", Journal Muscle of Joint Health, 26(2), pp.90~101 (2019)[DOI]
- Lincoln, Y., "Naturalistic inquiry" (1985), Sage
- Nam, S. Y., "A study of CVA patients' experience of the illness", Journal of Korean Academy of Nursing, 28(2), pp.479~489 (1998)
- "Emergency medical status statistics" (2023)[URL]
- Oh, S. Y., "Hemiplegic experience after stroke among middle aged man", Journal of the Korea Academia-Industrial cooperation Society, 17(5), pp.582~593 (2016)
- Park, Y. H., "Study of stress in patients with stroke", The Journal of Korea Aging Friendly Industry Association, 4(2), pp.23~30 (2012)
- Payton, H., "The experience of post-stroke pain and the impact on quality of life : an integrative review", Behavioral Sciences, 10(8), pp.128~ (2020)[DOI]
- Raglio, A., "Active music therapy approach for stroke patients in the post-acute rehabilitation", Neurological Sciences, 38, pp.893~897 (2017)[DOI]
- Sharma, A., "Review article : Diagnosis, management and patient perspectives of the spectrum of constipation disorders", Alimentary Pharmacology and Therapeutics, 53(12), pp.1250~1267 (2021)[DOI]
- Song, M. S., "Effects of stress due to constipation and nutritional status on degree of constipation among community-dwelling elders", Journal of Korean Gerontological Nursing, 22(1) (2020)[DOI]
- Tong, A., "Consolidated criteria for reporting qualitative research(COREQ) : a 32-item checklist for interviews and focus groups", International Journal for Quality in Health Care, 19(6), pp.349~357 (2007)[DOI]
- Yeo, Y. H., "Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremityrelated outcomes : a systematic review and network meta-analysis", Medicine & Health, 18(2), pp.328~372 (2023)[DOI]
