도구적 일상생활 프로그램이 회복기 뇌졸중 환자의 자기효능감, 재활 동기, 사회적 지지에 미치는 영향 = The Effect of Instrumental Activities of Daily Living Program on General Self-Efficacy, Motivation for Rehabilitation, Social Support in a Patient with Subacute Stroke

다국어 초록 (Multilingual Abstract)

Purpose : The purpose of this study is to examine the effect of instrumental-activity of daily living program on a patient with subacute stroke in the view of self-efficiency, motivation for rehabilitation, social support.
Methods : Eight stroke patients who attended instrumental-activity of daily living program at P hospital in Busan Metropolitan City from march 2018 to January 2019 were recruited. Instrumental-activity of daily living program was offered to 8 stroke patients 1 session (at least 1 hours) a day, 5 times a week, for 4~5 weeks. We evaluated self-efficacy, rehabilitation motivation, social support before and after intervention.
Results : There were statistically significant differences in self-efficiency, rehabilitation motivation, social support between before and after instrumental-activity of daily living program (p<.05).
Conclusion : This study showed that the instrumental-activity of daily living program have positive effects on self-efficacy, rehabilitation motivation, social support and suggests that self-efficacy is an important factor for returning to society.

국문 초록 (Abstract)

목적 : 본 연구는 회복기 뇌졸중 환자를 대상으로 도구적 일상생활프로그램이 자기효능감, 재활동기, 사회적 지지에 미치는 효과를 알아보고자 하였다.
연구방법 : 2018년 3월부터 2019년 1월 까지 부산 소재의 P병원에서 도구적 일상생활프로그램을 8명의 뇌졸중 환자를 대상으로 실시하였다. 도구적 일상생활프로그램은 1일 1회, 1시간 주 5회, 총 4~5주간 실시하였고. 프로그램 중재 전-후 자기효능감, 재활동기, 사회적 지지를 측정하였다.
연구결과 : 도구적 일상생활프로그램을 실시 후 자기효능감, 재활동기, 사회적 지지에서 유의한 차이가 있었다(p<.05).
결론 : 본 연구는 도구적 일상생활프로그램이 회복기 뇌졸중 환자의 자기효능감, 재활동기, 사회적 지지에 효과적임을 보여주었고, 자기효능감이 사회복귀의 성패에 중요한 요인임을 제안한다.

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