Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Depression on the Rehabilitation Motivation of Middle-Aged Stroke Patients - Focused on the Mediating Effects of Resilience

뇌졸중 중년 환자의 우울이 재활동기에 미치는 영향 - 극복력의 매개효과 중심으로

  • 오수용 (한양대학교 대학원 간호학과) ;
  • 황선영 (한양대학교 간호학부)
  • Received : 2017.03.16
  • Accepted : 2017.04.07
  • Published : 2017.04.30
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Abstract

This study was a descriptive correlational study investigating the mediating effects of resilience in the relationship between depression and rehabilitation motivation in middle-aged stroke patients. There was a total of 185 middle-aged patients aged 40 to 64 years, who were diagnosed with stroke at a university hospital and rehabilitated at three local hospitals located in S city and four hospitals in U city. The data were collected using a self-reported questionnaire between the 1st and 31st of December in 2016. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and step-wise causal method using SPSS/WIN 22.0 statistical program. To test the statistical significance of the mediation effect, PROCESS and bootstrapping were used. The mean age of the subjects were $56.26{\pm}6.37$ years. There were 70.3% male subjects, an average depression level was $21.21{\pm}7.09$, an average resilience was $25.52{\pm}9.63$, and rehabilitation motivation was $47.44{\pm}5.87$. Depression was negatively related to resilience and rehabilitation motivation. However, resilience and rehabilitation motivation have a static correlation. These results confirmed that resilience appears to be a complete mediating effect in the relationship between depression and rehabilitation motivation. Therefore, it is important to develop a resilience enhancement program to improve the motivation of rehabilitation for stroke patients.

본 연구는 중년기 뇌졸중 환자의 우울과 재활동기의 관계에서 극복력의 매개효과를 규명하기 위한 서술적 상관관계 조사연구이다. 연구대상자는 대학병원에서 뇌졸중으로 진단받고 S시에 소재한 3개의 병원과 U시에 소재한 4개의 병원에서 입원하여 재활치료중인 40세 이상 64세까지의 중년기 환자 185명이었다. 자료 수집은 2016년 12월 1일부터 12월 30일까지 구조화된 설문지를 이용한 자가 보고식으로 이루어졌다. 자료 분석은 SPSS/WIN 22.0 통계 프로그램을 이용하여 t-test와 ANOVA, Pearson's correlation coefficient, 인과적 단계방식이 활용 되었다. 매개효과의 통계적 유의성 검정을 위해 PROCESS가 활용되고 Bootstrapping 방식을 이용하였다. 연구결과는 대상자들의 평균 연령은 56.26이었고, 남성이 70.3%이었으며 우울 수준은 평균 21.21점, 극복력은 평균 25.52점, 재활동기의 평균은 47.44점이었다. 우울은 극복력 및 재활 동기와 부적인 관련성을 가졌다. 이에 반해서, 극복력과 재활 동기는 정적인 관련성을 가졌다. 즉 우울과 재활동기의 관계에서 극복력이 완전 매개효과로 보이는 것으로 나타난다. 그러므로 뇌졸중 환자에게 재활동기를 향상시키기 위하여 극복력 증진 프로그램을 개발하여 활용하도록 하는 것이 중요할 것이다.

Keywords

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