뇌졸중환자의 기능수준에 따른 주돌봄자가 느끼는 돌봄부담감 및 교육요구도 = Caregiver’s Burden and Educational Needs of According to the Stroke Patients’s Level of Function

다국어 초록 (Multilingual Abstract)

Objectives : The purpose of this study was to identify the cognitive function and activities of daily living activities of patients who were admitted to the hospital with stroke diagnosis, and to investigate the caregiver’s burden and education needs.




Methods : After receiving permission from the hospital rehabilitation department from July to August 2017, questionnaires were collected for the main caregivers of stroke patients. Patient's disease- related characteristics were based on data from medical records, and the functional level of stroke patients was directly observed and measured.




Results : According to the characteristics of stroke patients, the burden of care and education need were significantly different according to the education level of the patients. There was a significant difference in the burden of care according to the level of daily living ability of the patients (p<.05). There were significant differences in the educational needs of the caregivers according to the characteristics of the caregivers and the educational needs of the caregivers.There were significant differences in the care burdens according to the physical health status of the caregivers (p<.05). There was a significant correlation between the cognitive function of the patient and the daily life ability of the patient (p<.05).




Conclusion : The purpose of this study is to provide basic data for the development of an occupational therapy intervention program that meets the educational needs of the state carers and reduces the burden of care.

국문 초록 (Abstract)

목적:본 연구의 목적은 뇌졸중 진단을 받고 입원한 환자의 인지기능과 일상생활활동능력을 파악하고, 그에 따른 주돌봄자의 돌봄부담감과 교육요구도를 알아보고자 함이다.




연구방법:2017년 7월부터 8월까지 해당 병원 재활치료부의 허락을 받은 후, 뇌졸중 환자의 주돌봄자에게 설문지를 통해 자료 수집을 하였다. 환자의 질병관련 특성은 의무기록의 자료를 근거로 하였고, 뇌졸중환자의 기능수준은 본 연구자가 직접 관찰, 측정하였다.




연구결과:뇌졸중환자의 특성에 따른 돌봄부담감과 교육요구도는 환자의 교육수준에 따라 교육요구도에 유의한 차이가 있었으며. 환자의 일상생활능력 수준에 따라 돌봄부담감에 유의한 차이가 나타났다(p<.05). 주돌봄자의 특성에 따른 돌봄부담감과 교육요구도는 주돌봄자의 교육수준에 따라 교육요구도에 유의한 차이가 있었으며, 주돌봄자의 신체적 건강상태에 따라 돌봄부담감에 유의한 차이가 나타났다(p<.05). 주돌봄자의 돌봄부담감, 교육요구도, 환자의 일상생활활동, 인지기능 수준간의 상관 관계 분석결과 환자의 인지기능과 환자의 일상생활수행능력 간에 유의한 상관관계가 나타났다(p<.05).




고찰: 본 연구를 통해 주돌봄자의 교육요구도를 충족시키고, 돌봄부담감을 감소시킬 수 있는 작업치료적 중재프로그램을 개발하기 위한 기초자료를 제시하고자 하며, 작업치료 교육수가 도입 등 수가개선 방안 마련을 위한 기초자료를 제시하고자 한다.

참고문헌 (Reference)

• 1 양현주, "치매환자의 보호자 부양부담감- Giorgi 현상학적 연구방법 -" 고령자･치매작업치료학회 9 (9): 1-9, 2015
• 2 "뇌졸중 환자의 재활 경험" 한국재활간호학회 4 (4): 20-30, 2001
• 3 정범철, "뇌졸중 환자와 가족 보호자를 위한 재활 교육 프로그램의 효과" 한국교통대학교 대학원 2014
• 4 김인자, "뇌졸중 환자 가족 간호제공자의 불안과 부담감의 예측 요인: 자기효능과 돌봄에 대한 지식을 중심으로" 한국성인간호학회 24 (24): 1-10, 2012
• 5 Kwon, E. H., "study on the rehabilitation motive of stroke patients : Focused on individual and family support factors" Ewha Womans University 2002
• 6 Song, E. G., "effect of depression and social support on the quality of life of stroke patients" Kongju National University 2011
• 7 Song, S. E., "a Study on th Health Conditions and Education Needs for Family of Stroke Patients" Ewha Womans University 2012
• 8 Nam, M. S, "The effects of family education of stroke patient to their family burden and roll-stress"
• 9 Yu, S. H., "The educational needs of family-caregivers of stroke patient in admission and discharge" Yonsei University 2003
• 10 Lee, H. S, "The Knowledge and Educational Needs of Stroke among Care Workers"
• 11 Bae, Y. J., "The Effects of Computerized Cognitive Rehabilitation on Cognitive Function and Performance of ADL in Chronic Stroke Patients according to Age" Inje University 2012
• 12 Cho, N. J., "The Correlations Among the Functional Independence Measure, the Mini-Mental State Examination and Geriatric Depression Scale of the Old Elderly with Stroke" 5 (5): 1-12, 2011
• 13 Yu, E. Y., "The Cognitive Perceptual Performance in Relation to Activities of Daily Living in Stroke Patients" 5 (5): 8-19, 1997
• 14 You, S. I., "Study on quality of life and burden of caregiving for primary caregiver of stroke patients" Dongguk University 2014
• 15 Kwon, Y. C., "Standardization of Korean of the Mini-Mental State Examination (MMSE-K) for Use in the Elderly. Part II. Diagnostic Validity" 28 (28): 508-513, 1989
• 16 Choi, E. S., "Family knowledge and attitude towards stroke patients" Daejeon National University 2003
• 17 Kim, J. W, "Family Cregivers’ Burden and Psychological Well-Being According to Characteristics of Stroke Patients and family caregivers"
• 18 Kang, J. G., "Factors related stroke patients’ quality of life, and moderating effect of rehabilitation motivation" Chungbuk National University 2011
• 19 Kim, Y. H., "Caregiver's burden and educational needs of acute stroke patient" Eulji Universiti 2009
• 20 Son, J. H., "Burden and intention to use the long-term care hospital among family caregivers of elderly with stroke" Hanyang University 2016
• 21 Cha, K. H., "A study on mental health condition and burden of primary caregivers resulted from stroke patient's activies of daily living and cognitive function" Shinhan University 2017
• 22 Kim, H. S., "A study on acute stroke patient's functional condition, the Family burden and the family educational needs" Soonchunhyang University 2006
• 23 Jo, B. H, "A Study on the Degree of Self-care Activities of Stroke Patients, the Family Burden, and the Educational Needs of Primary Caregivers" 2 (2): 243-256, 1999
• 24 Ye, C. H., "A Study on Current Condition of Caring Behaviors and Economic and Ecmotional Butden Families of Long-term Rehabilitation Patients" Yeungnam University 2014
• 25 Jo, E. Y., "A Study on BMI, Smoking and Alcohol Intake in Cerebrovascular Accidents Patients" 96-105, 1999
• 26 Song, E. K., "A Study of Correlation between Cognitive Functions and Activities of Daily Living in Stroke Patients" 5 (5): 45-54, 2011
• 27 Yun, M. K, "(The) educational needs of family caregivers of stroke patient after discharge"
• 28 Kim. H. L, "(The) associated factors with caregiving burden of stroke patient's caregivers"