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      뇌졸중 환자의 간호의존도 수준에 따른 피로, 우울 및 심리적 안녕감 비교 = A Comparison of Fatigue, Depression, and Psychosocial Well-being according Care Dependency in Stroke Patients

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      https://www.riss.kr/link?id=A108416808

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      Purpose: The purpose of this study was to compare fatigue, depression, and psychosocial well-being according to level of care dependency in stroke patients. Methods: 140 stroke patients participated in this descriptive correlation study. Data were collected from July 12, 2019, to March 25, 2020. The data collected using a structured questionnaire on care dependency, fatigue, depression, psychosocial well-being. To analyze the data, mean, standard deviation, x 2 test, ANCOVA, and Pearson's correlation coefficients were used. Results: Stroke patients with moderate to high level of care dependency showed higher fatigue compared to patients with low care dependency. The patients with high care dependency presented significantly higher depression than the patients with low and the moderate care dependency patients did. Low care dependency group had higher psychosocial well-being scores compared to moderate care dependency group, while moderate care dependency group had higher psychosocial well-being scores compared to high care dependency group. Conclusion: The results of this study showed that stroke patients with high care dependency presented high fatigue and depression in addition to low well-being. Therefore, it is necessary to develop and apply nursing interventions to reduce fatigue and depression and to promote psychosocial well-being for the patients with high level of care dependency.
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      Purpose: The purpose of this study was to compare fatigue, depression, and psychosocial well-being according to level of care dependency in stroke patients. Methods: 140 stroke patients participated in this descriptive correlation study. Data were col...

      Purpose: The purpose of this study was to compare fatigue, depression, and psychosocial well-being according to level of care dependency in stroke patients. Methods: 140 stroke patients participated in this descriptive correlation study. Data were collected from July 12, 2019, to March 25, 2020. The data collected using a structured questionnaire on care dependency, fatigue, depression, psychosocial well-being. To analyze the data, mean, standard deviation, x 2 test, ANCOVA, and Pearson's correlation coefficients were used. Results: Stroke patients with moderate to high level of care dependency showed higher fatigue compared to patients with low care dependency. The patients with high care dependency presented significantly higher depression than the patients with low and the moderate care dependency patients did. Low care dependency group had higher psychosocial well-being scores compared to moderate care dependency group, while moderate care dependency group had higher psychosocial well-being scores compared to high care dependency group. Conclusion: The results of this study showed that stroke patients with high care dependency presented high fatigue and depression in addition to low well-being. Therefore, it is necessary to develop and apply nursing interventions to reduce fatigue and depression and to promote psychosocial well-being for the patients with high level of care dependency.

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      참고문헌 (Reference) 논문관계도

      1 김세웅 ; 정한용 ; 나경세 ; 이소영 ; 김신겸 ; 이아름 ; 조준택, "한국판 WEMWBS의 타당화 연구" 대한신경정신의학회 53 (53): 237-245, 2014

      2 손유림 ; 유명숙, "족욕프로그램이 뇌졸중 환자의 심박변이도, 혈압, 체온 및 피로에 미치는 효과" 한국기초간호학회 18 (18): 51-59, 2016

      3 김인자, "뇌졸중 후 환자의 간호의존도와 영향요인" 한국재활간호학회 21 (21): 100-109, 2018

      4 송승일 ; 이종민, "게임 프로그램이 뇌졸중 환자의 우울과 자기효능감, 재활동기에 미치는 영향" 특수교육재활과학연구소 53 (53): 133-153, 2014

      5 Stewart-Brown, S., "Warwick- Edinburgh Mental Well-Being Scale (WEMWBS) User Guide Version 1"

      6 Valko, P. O., "Validation of the fatigue severity scale in a Swiss cohort" 31 (31): 1601-1607, 2008

      7 Doroszkiewicz, H., "Utility of the care dependency scale in predicting care needs and health risks of elderly patients admitted to a geriatric unit : A cross-sectional study of 200 consecutive patients" 13 : 887-894, 2018

      8 Krupp, L. B., "The fatigue severity scale application to patients with multiple sclerosis and systemic lupus erythematosus" 46 (46): 1121-1123, 1989

      9 Statistics Korea, "Prevalence of stroke"

      10 Glader, E. L., "Poststroke fatigue : a 2-year follow-up study of stroke patients in Sweden" 33 (33): 1327-1333, 2002

      1 김세웅 ; 정한용 ; 나경세 ; 이소영 ; 김신겸 ; 이아름 ; 조준택, "한국판 WEMWBS의 타당화 연구" 대한신경정신의학회 53 (53): 237-245, 2014

      2 손유림 ; 유명숙, "족욕프로그램이 뇌졸중 환자의 심박변이도, 혈압, 체온 및 피로에 미치는 효과" 한국기초간호학회 18 (18): 51-59, 2016

      3 김인자, "뇌졸중 후 환자의 간호의존도와 영향요인" 한국재활간호학회 21 (21): 100-109, 2018

      4 송승일 ; 이종민, "게임 프로그램이 뇌졸중 환자의 우울과 자기효능감, 재활동기에 미치는 영향" 특수교육재활과학연구소 53 (53): 133-153, 2014

      5 Stewart-Brown, S., "Warwick- Edinburgh Mental Well-Being Scale (WEMWBS) User Guide Version 1"

      6 Valko, P. O., "Validation of the fatigue severity scale in a Swiss cohort" 31 (31): 1601-1607, 2008

      7 Doroszkiewicz, H., "Utility of the care dependency scale in predicting care needs and health risks of elderly patients admitted to a geriatric unit : A cross-sectional study of 200 consecutive patients" 13 : 887-894, 2018

      8 Krupp, L. B., "The fatigue severity scale application to patients with multiple sclerosis and systemic lupus erythematosus" 46 (46): 1121-1123, 1989

      9 Statistics Korea, "Prevalence of stroke"

      10 Glader, E. L., "Poststroke fatigue : a 2-year follow-up study of stroke patients in Sweden" 33 (33): 1327-1333, 2002

      11 Hama, S., "Poststroke depression and apathy : Interactions between functional recovery, lesion location, and emotional response" 11 (11): 68-76, 2011

      12 Dafer, R. M., "Poststroke depression" 15 (15): 13-21, 2008

      13 Knapp, P., "Non-drug strategies to resolve psychosocial difficulties after stroke" 29 : 23-30, 2000

      14 Kemper, C., "Mortality and nursing care dependency one year after first ischemic stroke : an analysis of German statutory health insurance data" 18 (18): 172-178, 2011

      15 McDowell, I., "Measures of self-perceived well-being" 69 (69): 69-79, 2010

      16 Kwakkel, G., "Impact of time on improvement of outcome after stroke" 37 (37): 2348-2353, 2006

      17 Dijkstra, A., "Health related quality of life and care dependency among elderly hospital patients : An international comparison" 235 (235): 193-200, 2015

      18 Tan, W. S., "Factors associated with delayed discharges after inpatient stroke rehabilitation in Singapore" 39 (39): 435-441, 2010

      19 Statistics Korea, "Emergency medical status statistics"

      20 Dijkstra, A., "Diagnostic accuracy of the care dependency scale" 50 (50): 410-416, 2005

      21 Yesavage, J. A., "Development and validation of a geriatric depression screening scale : A preliminary report" 17 (17): 1982-1983, 1983

      22 Findik, U. Y., "Determination of postoperative care dependency and anxiety levels of older cancer patients" 14 (14): 1062-1070, 2021

      23 Buijck, B. I., "Determinants of geriatric patients'quality of life after stroke rehabilitation" 18 (18): 980-985, 2014

      24 Chung, K. I., "Clinical usefulness of fatigue severity scale for patients with fatigue, and anxiety or depression" 9 (9): 164-173, 2001

      25 Johnson, R., "Changes over time in mental well-being, fruit and vegetable consumption and physical activity in a communitybased lifestyle intervention : A before and after study" 146 : 118-125, 2017

      26 Nursiswati Nursiswati ; Ruud J.G. Halfens ; Christa Lohrmann, "Change in Care Dependency of Stroke Patients: A Longitudinal and Multicenter Study" 한국간호과학회 11 (11): 113-118, 2017

      27 Dijkstra, A., "Care Dependency Scale-psychometric testing of the polish version" 24 (24): 62-66, 2010

      28 Dijkstra, A., "An international psychometric testing of the care dependency scale" 31 (31): 944-952, 2000

      29 Kee, B. S., "A preliminary study for the standardization of geriatric depression scale short form-Korea version" 35 (35): 298-307, 1996

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