지역사회 거주하는 뇌졸중 장애인의 장애수용과 불안이 참여에 미치는 영향

국문 초록 (Abstract)

지역사회 거주하는 뇌졸중 장애인의 참여를 생산성, 여가, 사회생활 영역으로 살펴보고, 장애수용과 불안이 미치는 영향을 알아보고자 하였다. 자료수집은 2018년 10월부터 2019년 1월까지 복지관, 지역사회 서비스를 이용하는 192명을 대상으로 하였으며 장애수용, 불안과 참여에 대한 자료를 수집하였다. 일반적 특성은 기술통계, 일반적 특성에 따른 참여를 비교하기 위해 t-test와 일원배치분산분석을 실시하였다. 변인 간의 상관관계는 피어슨 상관분석, 그리고 인과관계 규명을 위해 다중회귀분석을 실시하였다. 그 결과, 참여의 생산성에 영향을 미치는 요인은 노동(ß=.28, p＜.001), 장애를 독특하게 여기지 않는 것(ß=.14, p＜.05), 보상적 행동의 질(ß=.22, p＜.01), 주관적 불안(ß=-.35, p＜.05)으로 나타났으며, 설명력은 33%(F=9.44, p＜.001)를 보였다. 여가는 장애에 대한 자기만족도(ß=.18, p＜.05)와 보상적 행동의 질(ß=.18, p＜.05)로 나타났으며, 23%(F=6.32, p＜.001)의 설명력을 보였다. 사회생활은 노동(ß=.19, p＜.01), 주관적 불안(ß=-.51, p＜.05)으로 나타났으며, 설명력은 23%(F=6.05, p＜.001)를 보였다. 이는 뇌졸중 발병 이후 변화된 삶을 위한 심리사회적인 요인에 대한 중요성을 시사하며, 뇌졸중 장애인의 참여를 개선하기 위한 프로그램의 구성과 적용, 실질적인 접근의 필요성을 제시한다.

다국어 초록 (Multilingual Abstract)

This study examined the participation of the people with stroke living in the community in terms of productivity, leisure, and social domain, and identified the effect on disability acceptance and anxiety. For data collection, from October 2018 to January 2019, data on disability acceptance, anxiety, and participation were collected from 192 people with stroke who used welfare centers and community services. For general characteristics, t-test and one-way ANOVA were used to compare participation according to descriptive statistics and general characteristics. Pearson correlation analysis was used for correlation between variables, and multiple regression analysis was used to identify causality. As the result, factors affecting the productivity of participation were labor(ß=.28, p＜.001), de-emphasis on disability salience(ß=.14, p＜.05), compensatory(ß=.22, p＜.01), and subjective anxiety(ß=-.35, p＜.05), and the explanatory power was 33%(F=9.44, p＜.001). Leisure was expressed as self-satisfaction with disability(ß=.18, p＜.05) and the compensatory(ß=.18, p＜.05), and had an explanatory power of 23%(F=6.32, p＜.001). Social activity was labor(ß=.19, p＜.01), and subjective anxiety(ß=-.51, p＜.05), which showed 23%(F=6.05, p＜.001) of explanatory power. This suggests the importance of psychosocial factors for a changed life after the onset of a stroke, and a practical approach is needed to construct and apply programs to improve participation.

목차 (Table of Contents)

• 요약
• Abstract
• Ⅰ. 서론
• Ⅱ. 연구 방법
• Ⅲ. 연구 결과
• Ⅳ. 고찰
• Ⅴ. 결론
• 참고문헌

참고문헌 (Reference)

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