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      뇌졸중 후 환자의 간호의존도와 영향요인 = Care Dependency of Post-stroke Patients and Its Affecting Factors

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      https://www.riss.kr/link?id=A105995730

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      다국어 초록 (Multilingual Abstract)

      Purpose: This study was aimed to identify the care dependency and its affecting factors of post-stroke patients. Methods: Cross-sectional and correlational descriptive study design was used. The subjects were 106 post-stroke patients who were in or ou...

      Purpose: This study was aimed to identify the care dependency and its affecting factors of post-stroke patients. Methods: Cross-sectional and correlational descriptive study design was used. The subjects were 106 post-stroke patients who were in or out-patients in a rehabilitation clinic at D city. Demographic, stroke related and post-stroke status variables (paralysis, arthria, verbal expression, visual disturbance, activity intolerance, nutritional status, depression and cognition) were included as affecting factors. Multiple regression was used to identify the affecting factors. Among demographic and stroke-related variables, significant variables such as age, education level, marital status, financial status, location of treatment, and total admission days were entered with post-stroke status variables. Results: Care dependency was still high regardless of disease duration or type of stroke. Overall, approximately 80.5% of total variances in care dependency was explained with all variables. Among those variables, nutritional status, cognition and activity intolerance were the significant affecting factors. Conclusion: To reduce the care dependency of post-stroke patients, it is recommended to improve nutritional status, cognition and activity intolerance.

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      참고문헌 (Reference)

      1 김영삼, "한국어판 세인트조지 호흡기설문의 타당도와 신뢰도 검정" 대한결핵및호흡기학회 61 (61): 121-128, 2006

      2 오의금, "퇴원환자의 신체적 기능상태 및 미충족 간호요구도: 만성호흡기질환, 장루보유 대장암, 뇌졸중 환자를 중심으로" 병원간호사회 22 (22): 194-204, 2016

      3 강지순, "뇌졸중 환자 가족의 지식 및 교육 요구도" 한국장애인재활협회 부설 재활연구소 21 (21): 173-191, 2017

      4 Kim, Y. S, "Validation of the Korean version of the general practitioner assessment of depression" 17 (17): 5-11, 2010

      5 Ate Dijkstra, "Using the Care Dependency Scale for identifying patients at risk for pressure ulcer" Wiley 71 (71): 2529-2539, 2015

      6 Tseng, B. Y, "The relationship between fatigue, aerobic fitness, and motor control in people with chronic stroke: A pilot study" 32 (32): 97-102, 2009

      7 Christa Lohrmann, "The care dependency scale: An assessment instrument for elderly patients in German hospitals" Elsevier BV 24 (24): 2003

      8 Jones, P. W, "The St George's respiratory questionnaire" 85 (85): 25-31, 1991

      9 Guigoz, Y, "The Mini Nutritional Assessment (MNA)" Serdi Publis 15-59, 1994

      10 Julie Paquereau, "The Long-term Nutritional Status in Stroke Patients and its Predictive Factors" Elsevier BV 23 (23): 1628-1633, 2014

      1 김영삼, "한국어판 세인트조지 호흡기설문의 타당도와 신뢰도 검정" 대한결핵및호흡기학회 61 (61): 121-128, 2006

      2 오의금, "퇴원환자의 신체적 기능상태 및 미충족 간호요구도: 만성호흡기질환, 장루보유 대장암, 뇌졸중 환자를 중심으로" 병원간호사회 22 (22): 194-204, 2016

      3 강지순, "뇌졸중 환자 가족의 지식 및 교육 요구도" 한국장애인재활협회 부설 재활연구소 21 (21): 173-191, 2017

      4 Kim, Y. S, "Validation of the Korean version of the general practitioner assessment of depression" 17 (17): 5-11, 2010

      5 Ate Dijkstra, "Using the Care Dependency Scale for identifying patients at risk for pressure ulcer" Wiley 71 (71): 2529-2539, 2015

      6 Tseng, B. Y, "The relationship between fatigue, aerobic fitness, and motor control in people with chronic stroke: A pilot study" 32 (32): 97-102, 2009

      7 Christa Lohrmann, "The care dependency scale: An assessment instrument for elderly patients in German hospitals" Elsevier BV 24 (24): 2003

      8 Jones, P. W, "The St George's respiratory questionnaire" 85 (85): 25-31, 1991

      9 Guigoz, Y, "The Mini Nutritional Assessment (MNA)" Serdi Publis 15-59, 1994

      10 Julie Paquereau, "The Long-term Nutritional Status in Stroke Patients and its Predictive Factors" Elsevier BV 23 (23): 1628-1633, 2014

      11 Thomas Boggatz, "Socio-demographic factors related to functional limitations and care dependency among older Egyptians" Wiley 66 (66): 1047-1058, 2010

      12 Hyun-Jung Lee, "Risk of ischemic stroke in metabolically healthy obesity: A nationwide population-based study" Public Library of Science (PLoS) 13 (13): e0195210-, 2018

      13 Cho, M, "Prevalence of cognitive impairment and depressive symptomatology of the elderly in a long-term institution" 37 (37): 913-920, 1998

      14 Lee, K. S, "Nutritional evaluation by using Mini Nutritional Assessment (MNA) and relating factors of postoperative recovery for elderly in gastric cancer" Kosin University 2003

      15 Monique AA Caljouw, "Natural course of care dependency in residents of long-term care facilities: prospective follow-up study" Springer Nature 14 (14): 1-8, 2014

      16 Claudia Kemper, "Mortality and Nursing Care Dependency One Year After First Ischemic Stroke: An Analysis of German Statutory Health Insurance Data" Informa UK Limited 18 (18): 172-178, 2015

      17 Phillip J Whitehead, "Interventions to reduce dependency in personal activities of daily living in community dwelling adults who use homecare services: a systematic review" SAGE Publications 29 (29): 1064-1076, 2015

      18 Susanne Schnitzer, "How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund" Springer Nature 15 (15): 135-, 2015

      19 Ate Dijkstra, "Health Related Quality of Life and Care Dependency among Elderly Hospital Patients: An International Comparison" Tohoku University Medical Press 235 (235): 193-200, 2015

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

      21 Wojszel, Z. B, "Determinants of nutritional status of older people in long-term care settings on the example of the nursing home in Białystok" 51 : 168-173, 2006

      22 O. Riedel, "Depression and care-dependency in Parkinson’s disease: Results from a nationwide study of 1449 outpatients" Elsevier BV 18 (18): 598-601, 2012

      23 Myzoon Ali, "Dependency and health utilities in stroke: Data to inform cost-effectiveness analyses" SAGE Publications 2 (2): 70-76, 2016

      24 Nursiswati Nursiswati, "Change in Care Dependency of Stroke Patients: A Longitudinal and Multicenter Study" 한국간호과학회 11 (11): 113-118, 2017

      25 Sandra Schüssler, "Care dependency and nursing care problems in nursing home residents with and without dementia: a cross-sectional study" Springer Nature 28 (28): 973-982, 2016

      26 Dijkstra, A, "A reliability and utility study of the care dependency scale" 14 (14): 155-161, 2000

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

      28 Alan C Tsai, "A population-specific Mini-Nutritional Assessment can effectively grade the nutritional status of stroke rehabilitation patients in Taiwan" Wiley 18 (18): 82-88, 2009

      29 Eric Pfeiffer, "A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients†" Wiley 23 (23): 433-441, 1975

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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
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      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.98 1.03 1.664 0.13
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