정신장애인의 재활동기와 재활성과에 관한 연구

김이영 한국임상심리학회 2006 Korean Journal of Clinical Psychology Vol.25 No.3

This study attempted to identify factors associated with mentally ill people's rehabilitation motivation and also examined the relationship between rehabilitation motivation and rehabilitation outcome for the mentally ill. The study participants were 415 mentally ill individuals. There were 207 subjects who were high in rehabilitation motivation and 208 subjects who were low in rehabilitation motivation. The analysis revealed that insight, level of education, support from agency staff and the level of assistance from the agency were significantly associated with rehabilitation motivation for the mentally ill. The results of the analyses were as follows; First, the two groups did not reveal any statistical differences in terms of rehospitalization rate. Second, the group with high rehabilitation motivation reported significantly higher scores in the total score of functioning level than the other group. Third, the high rehabilitation motivation group reported significantly higher scores in the total score of quality of life scale than low rehabilitation motivation. Fourth, compared to low rehabilitation motivation group, high rehabilitation motivation group reported significantly higher score in the total score of occupational exploration efficacy scale. These results indicated that high in rehabilitation motivation has a positive impact on the mentally ill people's functioning level, quality of life, and occupational exploration efficacy. Implications of the research findings were discussed.

뇌졸중 환자의 재활동기에 영향을 미치는 요인

박영숙,권삼숙 대한보건협회 2002 대한보건연구 Vol.28 No.1

The purpose of this study were to presenting basic materials for developing nursing intervention for patients to reaccommodate society in rehabilitation-process and promote stroke patients' rehabilitation-motivation by comprehending factors that will affect the rehabilitation - motivation. The instruments for this study were the PAREMO(Patient Questionnaire of Rehabilitation- Motivation) scale by Hafenl et al(2001), the VAMS(Visual Analog Mood Scales) scale by Arruda et al(1999), the EQR(Emotional Quality of the Relationship) scale by Kreuter et al(1996). The subjects were 82 stroke patients selected from D university's hospital in K, P and B city and data collection period was from Sep. 20 to Oct. 20 of 2001. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Tukey inspection, Pearson's Correlation Coefficients and Stepwise Multiple Regression. The results of this study were as follows; 1. The distribution of rehabilitation-motivation score was between 87 and 164 Average was 121.80(±19.62). 2. The rehabilitation-motivation score according to general characteristics, disease-related characteristics and rehabilitation-related characteristics of subjects showed a significant difference according to the level of education(F=6.488, p=.001), monthly income(F=5.653, p=.005), Occupation(F=-2.866, p=.005), channel of medical use(F=4.602, p=.013), situation of activity(F=9.006, p=.000), site of paralysis(F=7.333, p=.000), speech disorder(F=6.267, p=.001), sensational disorder(F=9.401, p=.000) and excretory disorder(F=8.111, p=.000). 3. Rehabilitation-motivation showed a significant correlation with depression (r=-.393, p=.000) and sex partner relationship(r=.519, p=.000). 4. The factors affecting stroke patients' rehabilitation-motivation were sex partner relationship, situation of activity and monthly income. In conclusion, rehabilitation nurse must make effort to promote stroke patients' rehabilitation-motivation considering the factors of sex partner relationship, situation of activity and monthly income

정신장애인의 재활동기에 영향을 미치는 요인에 관한 연구

박은주(Park Eun Ju) 경성대학교 사회과학연구소 2009 社會科學硏究 Vol.25 No.4

재활동기는 재활성과의 중요한 요인임에도 불구하고 정신장애인의 재활 영역에서는 연구가 활발하지 못했다. 이에 본 연구에서는 정신장애인 재활동기의 유형별 수준과 특성 그리고 각 재활동기 유형에 영향을 미치는 요인을 분석하였다. 본 연구는 부산시에 거주하면서 퇴원 후 지역사회재활프로그램을 이용하고 있는 정신장애인을 대상으로 기관방문조사 또는 우편조사를 통하여 설문조사를 실시하였다. 그리고 회수된 설문지 중에서 최종분석에는 총251부를 사용하였다. 연구결과 첫째, 정신장애인 재활동기는 의무적 동기, 외부적 동기, 무동기가 과제지향적 동기와 변화지향적 동기에 비해 상대적으로 높았다. 즉 정신장애인이 상대적으로 자기 결정력이 낮은 재활동기적 특성을 나타냄을 알 수 있었다. 둘째, 과제지향적 동기에는 자기효능감, 타인지지, 가족지지가 유의미한 영향력을 발휘하였으며, 변화지향적 동기에는 재활서비스가 도움이 된다고 생각하는 정도, 그리고 의무지향적 동기에는 타인의지지, 재활서비스가 도움이 된다고 생각하는 정도, 나이, 신체건강정도가 의미있는 영향변수였다. 외부적 동기에는 가족의지지, 서비스 만족도, 성별이 영향요인으로 나타났다. 무동기에는 자기효능감, 사회적응도, 친구지지가 의미있는 영향을 미쳤다. 이상의 결과를 토대로 정신장애인의 재활과정에서 재활동기강화를 위한 개입방안을 논의하였다. The rehabilitation motivation is a key factor influencing rehabilitation results, but this was not significantly researched in the field of the mentally ill. Against such a backdrop, this study examined the characteristics of the mentally ill's rehabilitation motivation by type, and factors influencing such types of the rehabilitation motivation. The survey targeted 251 mentally ill people who lived in Busan City and that, after being discharged from hospitals, attempted to adjust themselves to communities and to rehabilitate themselves. The findings of the research indicated the following. First, with regard to the mentally ill people's rehabilitation motivation, their obligatory motivation, external motivation and a motivation were found to be high, compared with their task oriented motivation and change-oriented motivation. In other words, the mentally ill showed the characteristics of rehabilitation motivation with lower self-determination. Second, exercising a significant influence on the task oriented motivation were self-efficacy, others' support, and family's support: for the change oriented motivation, other's support and rehabilitation services were considered helpful; for the obligatory motivation, others' support and rehabilitation services were considered helpful; also, age and physical health degree were found to be significant influential variables. Factors influencing the external motivation were found to be family's support, service satisfaction, and gender. Exercising a significant influence on a motivation were self-efficacy, social adjustment, and friend's support. These findings of the research indicate a need to bolster involvement in strengthening the mentally ill people's rehabilitation motivation in their rehabilitation process, and to further research into such involvement measures.

물리치료 환경에 대한 근육뼈대계 및 신경계 환자의 환자만족도와 재활동기의 상관성

김충유,김현수,김성하,도현진,양미진 대한통합의학회 2024 대한통합의학회지 Vol.12 No.1

Purpose : This study was conducted to investigate correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment. Methods : This study conducted a survey on musculoskeletal and neurological patients receiving rehabilitation treatment at a hospital. The subjects of the study were patients who were currently receiving rehabilitation treatment, either hospitalized or outpatient. 234 people were collected. A questionnaire was consisted of a total of 55 questions, including 27 questions about motivation for rehabilitation, 14 questions about physical therapy service environment, and 14 questions about patient satisfaction and intention to revisit. The detailed items in rehabilitation motivation consisted of 8 questions about task-oriented motivation, 7 questions about change-oriented motivation, 4 questions about obligatory motivation, 4 questions about external motivation, and 4 questions about intrinsic motivation, and in the physical therapy service environment, 4 questions about facility service and therapist service. , 6 questions, 4 questions about services used, 3 questions about friendliness, 4 questions about professionalism, 3 questions about treatment satisfaction, and 2 questions each about repeat visit and recommendation. Results : Facility service (r=.21) was highly correlated for task-oriented motivation, therapist service (r=.22) for change-oriented motivation, therapist service (r=.31) for mandatory motivation, therapist service (r=.19) for external motivation, and facility service (r=.56) for internal motivation. Revisit for task-oriented motivation (r=.47) is kind to change-oriented motives (r=-.13) was highly correlated with kindness (r=.19) for mandatory motives, recommendation (r=.14) for external motives, and expertise (r=.52) for internal motives. There was a high correlation between professionalism (r=.61) for facility services and kindness (r=.53) for therapist services, and revisit (r=.40) for service use. Conclusion : According to the results of this study, it was found that there was a correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment.

Relationship Between Social Support and Health-Related Quality of Life among Patients with Stroke: Mediating Effect of Rehabilitation Motivation

Yae Ram Lee,Mi Hwa Won 한국성인간호학회 2021 성인간호학회 학술대회 Vol.2021 No.8

Aim(s): Stroke is the globally important health concern which decreases the health-related quality of life. Previous studies have shown a link between social support, rehabilitation motivation, and health-related quality of life of patients with stroke. However, the mechanisms underlying this relationship were rarely identified in stroke patients. This study aimed to identify the mediating effects of rehabilitation motivation in the relationship between support support and health-related quality of life among patients with stroke. Method(s): This study is a cross-sectional study design which was conducted from September 16, 2020 to December 20, 2020 at two general hospitals with more than 300 beds and one rehabilitation hospital located in Jeonbuk. The participants of this study were patients diagnosed with stroke over the age of 19 who were hospitalized for the purpose of rehabilitation treatment. A total of 174 patients who received a score of 24 or higher in the Korean version of the mini mental state examination were surveyed. Multiple regression models were tested using the SPSS PROCESS procedure with bootstrapping to determine the significance of the mediation. Result(s): Significant associations were identified among social support, rehabilitation motivation, and health-related quality of life. Results revealed an indirect effect, suggesting that the effects of social support on health-related quality of life were mediated by rehabilitation motivation. Conclusion(s): Social support for stroke patients had a positive effect on the health-related quality of life, and rehabilitation motivation was found to have a partial mediating effect in the relationship. This study suggests that the social support from healthcare provider and family for stroke patients can improve the patients’ health-related quality of life by inducing positive rehabilitation motivation. Thus, developing intervention strategies to motivation for rehabilitation treatment could improve health-related quality of life of patients with stroke.

뇌졸중 환자의 신체기능, 균형, 인지 관계에서 재활동기의 조절효과에 관한 연구

박지원,김상우,이병희 대한물리치료과학회 2020 대한물리치료과학회지 Vol.27 No.2

Background: This study evaluates physical function, balance, and cognition rehabilitation motivation. Design: Cross-sectional study. Methods: The subjects include 67 stroke patients to measure physical function, balance, and cognition rehabilitation motivation. For evaluation of physical function, Manual Muscle Test, Range of Motion, Modified Ashworth Scale for spasticity, grasping power, and balance was measured using Functional reach test (FRT), Berg Balance Scale (BBS). For evaluating Cognition, Korean-Mini Mental State Examination, motivation for rehabilitation scale was used to measure for motivation. Results: The results of this study that the moderating effect of rehabilitation motivation was significant in the effect of physical function on BBS (p<0.01), The moderating effect of rehabilitation motivation was significant in the effect of FRT on physical function (p<0.01), The moderating effect of external motivation was also significant in the effect of FRT on physical function (p<0.01). However, the results of the rehabilitation motivations generally divided into three groups (Lower, Average, Upper) and all three results were statistically significant only in groups of average and lower. Conclusion: This study confirms that the rehabilitation motive has demonstrated significant adjustment effects between the body function and balance. In this study, physical function, balance and cognition were significantly correlated with each other, and rehabilitation motivation proved a significant moderating effect between physical function and balance.

보훈대상 뇌졸중 환자의 재활동기와 영향요인

서민영(Seo, Min-Young),양진향(Yang, Jinhyang) 기본간호학회 2020 기본간호학회지 Vol.27 No.3

Purpose: Rehabilitation motivation is very important for veterans who have had a stroke because they already have primary disabilities they suffered during their official duties. The purpose of this study was to identify factors associated with the rehabilitation motivation of hospitalized veterans after a stroke. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 128 veterans hospitalized following a stroke in five veterans’ hospitals in five major cities in South Korea. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 25.0 program. Results: There were statistically significant differences in rehabilitation motivation according to monthly income and time since duagnosis. The rehabilitation motivation of these veterans showed significant positive correlations with self efficacy and social support, and a significant negative correlation with depression. Multiple regression analysis for rehabilitation motivation revealed that the significant predictors were self efficacy, family support, time since diagnosis and monthly income. These factors explained 35.6% of the variance. Conclusion: The results indicate a need to enhance self efficacy and social support to improve the rehabilitation motivation of veterans. The findings also suggest that individual characteristics through time since diagnosis and monthly income should be considered for tailored interventions related to rehabilitation motivation. Furthermore, it is necessary to develop programs enhancing self efficacy and social support to improve the rehabilitation motivation for veterans who have had a stroke.

집단재활체조 프로그램이 뇌졸중 환자의 우울과 재활동기에 미치는 효과

여형남,김영경 병원간호사회 2012 임상간호연구 Vol.18 No.3

Purpose: The objective of this study was to investigate the effects of a group rehabilitation exercise program for stroke patients on their depression and motivation of rehabilitation. Methods: The design of this study was the nonequivalent control group non-synchronized quasi-experimental design. Data were collected from June through August in, 2012 in a rehabilitation hospital located in the C city. A total of 63 patients participated in the study [experimental group (n=32) and control group (n=31)]. The data were analyzed using x2-test and t-test. Results: The depression in the experimental group was lower than the control group (t=2.446, p=.017). The motivation of rehabilitation in the experimental group was higher than the control group (t=-4.90, p<0.001). Conclusion: Based on the results, the group rehabilitation exercise program for stroke patients is useful to decrease their depression and improve their motivation of rehabilitation. The program is considered to be an effective nursing intervention for decreasing the stroke patients' depression and improving their motivation of rehabilitation.

시간사용중재가 뇌졸중 환자의 우울 및 재활동기에 미치는 영향

박수진,송승일 대한작업치료학회 2015 대한작업치료학회지 Vol.23 No.3

목적 : 본 연구는 심리적 장애를 가진 뇌졸중 환자를 대상으로 16주간 실시된 시간사용중재가 뇌졸중 환자의 우울과 재활동기에 미치는 영향을 알아보고자 하였다. 연구방법 : 연구는 2014년 5월부터 2014년 8월까지 뇌졸중 환자 10명을 대상으로 실험군과 대조군으로나누어 실시하였다. 우울의 변화는 우울척도(Beck Depression Inventory; BDI)를 사용하였고 재활동기의 변화는 재활동기 측정도구를 사용하였다. 결과 : 첫째, 두 집단 각각 중재 전후 결과, 우울과 재활동기 모두 통계학적으로 유의한 차이를 보였다(p<.05). 그러나 중재 후 두 집단 간 차이에서는 우울과 재활동기 모두 통계학적으로 유의한 차이를 보이지 않았다(p>.05). 결론 : 본 연구 결과, 시간사용중재가 뇌졸중 환자의 우울과 재활동기를 향상시키는 효과가 있는 것으로나타났으며 이를 토대로 시간사용중재를 작업치료와 더불어 뇌졸중 환자의 우울과 재활동기를 향상시키기 위한 중재 방법으로서 임상에서 유용하게 사용할 수 있을 것이다. Objective : This study examined the impact of a sixteen-week time-use intervention perio on the depression and rehabilitation motivation of stroke patients with psychological difficulties. Methods : Ten stroke patients who were divided into an experimental group and a control group participated in this study from May 2014 to August 2014. Depression changes were measured using a Beck Depression Inventory (BDI), and their rehabilitation motivation was evaluated using the Rehabilitation Motivation Scale. Results : The results of the present study showed that the experimental group and control group presented significant differences before and after intervention in terms of their depression and rehabilitation motivation. However, after intervention, the depression and rehabilitation motivation did not differ between the two groups. Conclusion : The results of this study indicate that time-use intervention was effective in improving the depression and rehabilitation motivation of stroke patients, and therefore time-use intervention with occupational therapy will be useful as a clinical method for improving their level of depression and rehabilitation motivation.

작업능력강화프로그램이 산재근로자의 자기효능감, 우울, 재활동기에 미치는 효과 : 원 직무복귀를 중심으로

노동희,조은주,한승협,감경윤 대한작업치료학회 2017 대한작업치료학회지 Vol.25 No.1

Objective : The purpose of this study is to examine the effect of work-hardening program on Job retention in industrially injured workers in the view of self-efficiency, depression, and motivation for rehabilitation. Methods : Forty-nine injured workers who attended work-hardening program at Korea Workers' Compensation and Welfare Service (KCOMWEL) C hospital in Gyeongsangnam-do from June 2015 to August 2016 were recruited. Work-hardening program was offered to 49 injured workers 1 session (at least 3 hours) a day, 5 times a week, for 4~8 weeks. We evaluated self-efficacy, depression, and rehabilitation motivation before and after intervention. Additionally subjects were divided into two groups depending on whether or not they had returned to their own work two months after the intervention, and differences between two groups were investigated. Results : There were statistically significant differences in self-efficiency, depression, rehabilitation motivation between before and after work-hardening program (p<.05). Two months after the intervention, there was a significant difference in self-efficacy between two groups (p<.05). Conclusion : This study showed that the work-hardening program have positive effects on self-efficacy, depression, rehabilitation motivation and suggests that self-efficacy is an important factor for returning to work. 목적 : 본 연구는 산재근로자를 대상으로 작업능력강화프로그램이 자기효능감, 우울, 재활동기에 미치는 효과와 원 직무복귀에 따른 그룹 간 차이를 알아보고자 하였다. 연구방법 : 2015년 6월부터 2016년 8월까지 경상남도 소재의 C병원에서 작업능력강화프로그램을 실시한 산재근로자 49명을 대상으로 실시하였다. 작업능력강화프로그램은 1일 1회 3시간 이상, 주 5회, 총 4~8주간 실시하였고, 프로그램 중재 전․후 자기효능감, 우울, 재활동기를 측정하였다. 산재요양기간 종료 후 2개월 뒤 추적관찰을 통해 대상자들을 원 직무복귀 그룹과 원 직무복귀 실패 그룹으로 나누어서 두 집단 간 차이를 알아보았다. 결과 : 작업능력강화프로그램 실시 후 자기효능감, 우울, 재활동기에서 유의한 차이가 있었다(p<.05). 산재요양기간 종결 2개월 뒤 원 직무복귀 여부에 따라 두 집단 간 차이를 확인했을 때 자기효능감의 변화량에서 유의한 차이를 보였다(p<.05). 결론 : 본 연구에서 작업능력강화프로그램은 산재근로자의 자기효능감, 우울, 재활동기 향상에 효과적임을 알 수 있었고, 원 직무복귀 그룹에서 복귀실패 그룹보다 유의한 자기효능감의 향상이 나타났다.