재활치료 중인 뇌졸중 환자의 재활동기, 의료인지지가 자가간호 수행에 미치는 영향

Abstract

Purpose The purpose of this study was to determine the effect of rehabilitation motivation and medical staff support on the self-care activities of stroke patients undergoing rehabilitation therapy.

Method The data for this study were collected from July to August 2020, through a structured questionnaire targeting 199 stroke in-patients receiving rehabilitation therapy at the departments of rehabilitation medicine at rehabilitation hospitals in metropolitan city B. The questionnaire was used as a measuring tool for the rehabilitation motivation, medical staff support, self-care activities. The collected data were analyzed with the independent t-test, Pearson correlation analysis, and multiple regression analysis using the SPSS 23 program.

Result 1. The practice of self-care activities according to general and disease-related characteristics included marital status(F=3.079, p=.048), religion(F=2.845, p=.025) main caregiver(F=3.343, p=.011), duration of stroke(F=3.868, p=.010), region of hemiplegia(F=4.253, p=.006), and dysphagia(t=−1.993, p=.048), which were statistically significant. 2. The self-care activities had a positive correlation with the rehabilitation motivation(r=.446, p<.01) and medical staff support(r=.184, p<.01). This means that higher rehabilitation motivation and medical staff support are associated with higher self-care activities. 3. The most influential factors for self-care activities were rehabilitation motivation(β=.411, p=.001), main caregiver(β=.195, p=.002), marital status(β=.129, p=.041), dysphagia(β=.127, p=.042), and region of hemiplegia(β=-.124, p=.046) in order. Moreover, the explanatory power of the regression model was 28.7%.

Conclusion In this study, rehabilitation motivation was identified as the major factors that affect self-care activities. According to the results of this study, in order to improve the self-care activities of stroke patients undergoing rehabilitation therapy, we propose an active intervention that encourages rehabilitation motivation.