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편마비 환자의 재활과정에 따른 스트레스와 대처의 변화양상
Stress and Coping for Patients with Hemiplegia during the Rehabilitation Process

강현숙    (경희대학교 의과대학 간호학과  );
  • 초록

    It is important to understand that patients with hemiplegia are under stress during the rehabilitation process. This study was designed to determine what changes occur in the stress perceived by these patients during the rehabilitation process. and what changes occur in the ways they coped with stress. A decriptive study with a longitudinal design was conducted. A total of 57 patients with hemiplegia who were admitted to one general hospital made up the sample for this study. A questionnaire, observations and interviews were used for the data collection which was done in three phases(within one week after admission : within one week before discharge ; within one month after discharge ). Data were analyzed using t-test, ANOVA repeated measures of ANOVA, and post hoc paired t -test, Bonferroni correction. The results of this study are : 1. Changes in the perception of stress during the rehabilitation process : There was a statistically significant differencs in the perception of stress among these patients during the rehabilitation process. On the post-hoc test. the perception of stress showed a statistically significant decrease from admission to discharge. The perception of psychological stress was high during the rehabilitation process as compared with the perception of physical and social stress. 2. Changes in the way the patients coped during the rehabilitation process : On admission passive coping was used by most of the subjects(91.2%). Passive coping showed an decrease from admission to discharge, but an increase from discharge to follow-up at one month post discharge. There was, however, no statistically significant changes in the way the patients coped during the rehabilitation process. 3. Changes in perception of stress during the rehabilitation process according to variables. Perception of stress among patients classified as So-Um was higher during the rehabilitation process, when compared with patients classified as So- Yang and Tae-Um. There was, however, no statistically significant difference in perception of stress over time. The patients with right sided paralysis perceived higher stress than those with left sided paralysis. There was, however, no statistically significant difference in perception of stress over time. Hence, stress was not influenced by which side was paralyzed th frequency of the relapse of the disease, or the time in the rehabilitation process. 4. Changes in coping during the rehabilitation process according to variables. There was a statistically significant difference in the way the patients coped at follow- up according to the three different kinds of the constitution groups. In other words, coping was not used by patients classified as Tae-Um but was used by those classified as So-Um. On the repeated measures of ANOVA, there was a statstically significant difference in stress over time, and an interaction between constitution and time. But the way of coping during the rehabilitation process was not influenced by which side was paralyzed nor by the frequency of the relapse of the disease. In conclusion, perception of psychological stress was high during the rehabilitation process, as compared to perception of physical and social stress. There was a statistcally significant difference in the perception of stress over time, Perception of stress showed a gradual decrease from over admission to follow-up period. There was. however, no statistically significant difference in the way of coping over time. Passive coping was used by most of patients. In the study, these findings suggest a need for nursing care related to the psychological support for patients with hemiplegia both in the hospital as well as at home, and the need for education and counseling on independent self-care to help the hemiplegic patients adapt to stress using active coping.


  • 주제어

    재활과정 .   스트레스 .   대처.  

 저자의 다른 논문

  • 강현숙 (137)

    1. 1971 "일부 도시지역에 있어서 중, 고교생의 월경에 관한 조사연구" 간호학회지 = The Journal of Nurses Academic Society 2 (1): 63~72    
    2. 1982 "기본 간호학 교육의 현황 -간호학 학사과정-" 대한간호 = The Korean nurse 21 (3): 37~48    
    3. 1985 "학교보건 증진모델 개발을 위한 연구" 대한간호 = The Korean nurse 24 (1): 54~66    
    4. 1988 "연하장애 환자의 구강인두 기능회복을 위한 감각운동 자극의 효과" 대한간호학회지= Journal of Korean academy of nursing 18 (2): 211~219    
    5. 1989 "간호진단의 임상적용 현황, 문제점 및 개선방안" 대한간호학회지= Journal of Korean academy of nursing 19 (1): 24~39    
    6. 1989 "간호진단 프로토콜(Protocol)의 임상적용 효과에 관한 연구" 대한간호학회지= Journal of Korean academy of nursing 19 (1): 40~62    
    7. 1990 "열·냉요법" 대한간호 = The Korean nurse 29 (2): 16~23    
    8. 1991 "편마비 환자가 지각한 가족지지와 불안과의 관계 연구" 대한간호학회지= Journal of Korean academy of nursing 21 (1): 50~62    
    9. 1992 "2급 와동 복합레진 인레이 충전 후 변연누출에 관한 연구" 大韓齒科保存學會誌 = Journal of Korean Academy of Operative Dentistry 17 (1): 191~205    
    10. 1993 "한방간호접근을 위한 이론적 고찰" 대한간호학회지= Journal of Korean academy of nursing 23 (1): 118~129    

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