재활단계 입원 뇌졸중환자의 일상생활능력, 자기효능감 및 삶의 질

Activities of Daily Living, Self-efficacy, and Health Related Quality of Life in the Rehabilitation Stage after Stroke

Purpose: The purposes of this study was to identify the relationships among activities of daily living (ADL), self-efficacy, health related quality of life (HRQoL) in the rehabilitation after stroke. Methods: One hundred sixty-eight patients participated, who had admitted to five rehabilitation hospitals in G city, South Korea through 1, December to 31, December, 2011. Korea modified Bathel index (K-MBI), self-efficacy scale for stroke, and stroke specific quality of life (SS-QoL) were used for the survey. Results: The level of ADL, self-efficacy, and HRQoL were 47.98, 52.05, and 118.29, respectively. There were significantly correlated between ADL and self-efficacy (r=.827, p>.001), ADL and HRQoL (r=.653, p>.001), self-efficacy and HRQoL (r=.684, p.001). There were significant differences of ADL according to age, primary care-giver, site of paralysis, dysphagia, and dysphasia. There were significant differences of self-efficacy according to age, occupation, primary care-giver, type of cerebrovascualr accident (CVA), site of paralysis, dysphagia, and dysphasia. There were significant differences of HRQoL according to age, level of education, occupation, primary care-giver, type of CVA, site of paralysis, dysphagia, and dysphasia. Conclusion: This study showed that the level of ADL, self-efficacy, and HRQoL were still low in the rehabilitation stage. Through the strength of ADL and self-efficacy, it is needed that HRQoL after stroke increase, especially for risk groups of older age, and who have both site of paralysis, dysphagia, and dysphasia.