환자중심 과제지향적 훈련이 뇌졸중 환자의 삶의 질과 일상생활활동에 미치는 효과 = The Effect Patient Centered Task Oriented Training on quality of life and Activity of daily living for Stroke Patients

국문 초록 (Abstract)

본 연구의 목적은 과제지향적 훈련을 통해 환자 스스로 과제를 선택하고 수행하였을 때 환자의 삶의 질과 일상생활활동에 미치는 효과와 치료 만족도를 알아보고자 한다.
본 연구는 2017년 8월부터 2017년 10월까지 P, W시 병원에 입원하여 작업치료를 받는 뇌졸중 환자 46명을 대상으로 환자중심 과제지향적 훈련군과 전통적 작업치료군으로 각각 8주간 주5회 1회 15분씩 실시하였다. 각 치료효과의 결과를 확인하기 위해 SPSS 18.0 version 프로그램을 사용하여 빈도분석, 독립표본 t검정, 대응표본 t검정을 이용하였다.
과제지향적 훈련과 전통 작업치료의 유의미한 차이는 없었지만, 두 치료 모두 뇌졸중 환자의 삶의 질과 일상생활활동을 향상시키는데 효과적이었다. 특히, 환자의 만족도를 향상시키는데 있어서는 과제지향적 훈련이 전통 작업치료보다 효과적인 것으로 나타났다.
과제지향적 훈련과 전통 작업치료 모두 뇌졸중 환자의 삶의 질과 일상생활활동을 향상 시키고, 환자중심 과제지향적 훈련은 뇌졸중 환자의 치료 만족도를 향상시키는데 큰 도움이 된다. 따라서 과제지향적 훈련은 치료의 긍정적인 효과를 기대할 수 있을 것이다.

다국어 초록 (Multilingual Abstract)

Objective : The purpose of this study is to investigate the effects of patient’s self-selecting and performing tasks through task-oriented training on patient’s quality of life, daily activities, and treatment satisfaction.
Method : The purpose of this study is to investigate the effects of patient’s self-selecting and performing tasks through task-oriented training on patient’s quality of life, daily activities, and treatment satisfaction.
Result : Although there was no significant difference between task-oriented training and traditional occupational therapy, both treatment methods were effective in improving the quality of life and daily activities of stroke patients. In particular, task-oriented training was more effective than traditional occupational therapy in improving patient satisfaction.
Conclusion : Both task-oriented training and traditional occupational therapy improve patient’s quality of life and daily activities. Especially, patient-centered task-oriented training program is very helpful in improving treatment satisfaction in stroke patients. Therefore, task-oriented training program can be expected to have a positive effect of treatment.

목차 (Table of Contents)

• Ⅰ. 서 론
• Ⅱ. 연구방법 및 도구
• Ⅲ. 연구결과
• Ⅳ. 고 찰
• Ⅴ. 결 론

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