만성 뇌졸중 환자에게 치료정원을 이용한 원예작업치료프로그램이 삶의 질에 미치는 영향 = Effects of Horticultural Occupational Therapy Program Using Healing Garden on Quality of Life of Chronic Stroke Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine the effect of horticultural occupational therapy using a healing garden on quality of life of chronic stroke patients. The current study was applied to 30 chronic stroke patients that were hospitalized at rehabilitation facility of S hospital in Seoul between March and September 2008. The group was divided into an experiment group(N=17) and a control group(N=13), and the therapy was given 5 times a week for 12 weeks, and each session lasted 30 minutes. Patients in the experiment group went through four sessions of a general occupational therapy — combining a treatment that enhances upper-body functions and training for daily activities — and one session of horticultural occupational therapy using a healing garden. Meanwhile, patients in the control group went through a general occupational therapy 5 times a week. For the pre- and post-evaluation of the horticultural occupational therapy, the stroke specific quality of life(SS-QOL) was applied. After undergoing the program, the average score of patients in the experiment group increased by 12.8 points from 151.4 to 164.2, at a statistically significant level(p=0.001). In comparison, the average score of patients in the control group increased by 7 points from 124.9 to 131.9, at a statistically significant level(p=0.01). Although patients in both experiment and control groups demonstrated a higher level of QOL after the therapy program, the increase of average score was greater for the experiment group. This finding suggests that a horticultural occupational therapy using a healing garden affects chronic stroke patients’ quality of life, and it is time to establish a long-term planning and implement the therapy program as the treatment period of chronic stroke patients grows longer and the community-oriented space for rehabilitation therapy increases.

참고문헌 (Reference)

• 1 김정임, "한지를 이용한 집단미술치료가 뇌졸중 노인환자 삶의 질 향상에 미치는 영향" 한국노년학회 32 (32): 87-102, 2012
• 2 이순화, "음악치료가 뇌졸중 환자의 삶의 질에 미치는 효과" 한국노인복지학회 41 (41): 205-234, 2008
• 3 정선희, "원예치료가 노인성질환자들의 자아존중감에 미치는 영향" 한국인간식물환경학회 9 (9): 79-87, 2006
• 4 송주영, "뇌졸중 후 집단 자가 운동프로그램이 삶의 질과 운동기능에 미치는 영향" 한국전문물리치료학회 15 (15): 20-29, 2008
• 5 Moon, J.I., "study on factors affecting stroke quality of life:using the stroke-specific quality of life(SS-QOL)" Deagu University 2004
• 6 Stein, E.K., "The development of an impact on family scale: Preliminary finding" 18 (18): 465-472, 1980
• 7 Kwork. T., "Quality of life of stroke survivors:1-year follow-up study" 87 (87): 1177-1182, 2006
• 8 Jonkman, E.J., "Quality of life of stroke survivors. Long-term developments and correlations in neurological deficit, mood and cognitive impairment" 98 : 169-175, 1998
• 9 King, R.B., "Quality of life after stroke" 27 : 1467-1472, 1996
• 10 Son, K.C., "Practice of professional horticulture therapy" Kubook 2006
• 11 Kavangh, J., "Outdoor space and adaptive gardenins, Degin" 287-316, 1998
• 12 Jennett, B.H., "Outcome of severe damage to the central nervous system: scale, scope, and philosophy of the clinical problems" 3 : 56-59, 1974
• 13 Marcus, C.C., "Heading garden" John Wiley and Sons 1999
• 14 Kim, E.K., "Effect of horticultural therapy on the rehabilitation of stroke partients" KonKuk University 2000
• 15 Kim, M.Y., "Effect of horticultural occupational therapy on the physcial and psychological in hemiplegia patient after Stroke" University of Seoul 2007
• 16 Relf, D., "Dynamics of horticultural therapy" 42 (42): 147-150, 1981
• 17 Ahlsio, B.M., "Disablement and quality of life after stroke" 15 (15): 886-890, 1984
• 18 Willianms, L.S., "Development of a stroke-specific quality of life scale" 30 (30): 1362-1369, 1999
• 19 National Rehabilitation Center, "Communtiy social rehabilitaion study reference"
• 20 White, J.H., "Communitydweling stroke surivors: Function is not the whole story with quality of life" 88 (88): 1140-1146, 2007
• 21 Wade, D.T., "A Critical approach to diagnosis treatment and management" Chicago Medical 1992