초록 열기/닫기 버튼

본 연구는 복합중재 활동프로그램을 적용하여 뇌졸중 노인의 신체기능, 인지기능, 우울에 미치는 효과를 알아보고자 하였다. 연구기간 및 대상은 2017년 9월 13일부터 12월 6 일까지 G광역시 A보건소와 B보건지소를 이용하는 뇌졸중 노인 30명(실험군 15명, 대조군 15명)으로 전후- 검사 통제집단설계를 사용하였다. 평가는 상지기능을위해 한글판 울프운동기능 검사(WMFT-K)를, 균형기능을 위해 버그균형척도(BBS)를, 인지기능을 위해 로웬스타인 작업치료 인지평가-노인용(LOTCA-G)를, 우울을 위해 백 우울척도(BDI)를 사용하였다. 연구결과, 본 연구의 복합중재 활동프로그램은 실험군의 상지기능, 균형기능, 인지기능을 향상시켰고우울을 감소시켰으며, 대조군과는 유의한 차이를 보였다. 따라서 본 연구는 뇌졸중으로 인한 노인의 저하된 복합적 기능 요인들을 포괄적이고 효율적으로다룰 수 있는 프로그램으로서의 가치 및 효용성을확인하였기에, 뇌졸중 노인을 위한 중재 프로그램으로 제안하는 바이다.


The purpose of this study was to apply a multi-intervention activity program in elderly stroke patients, and examine its effects on the subjects’ physical and cognitive functions as well as depression. The study was conducted between September 13 and December 6, 2017, involving 30 elderly stroke patients who used health centers A and B in G Metropolitan City and were selected using the pre- and post-test control group design. The Korean version of the Wolf Motor Function Test was used to measure the upper-limb function, and the Berg Balance Scale was used to measure balance function. In addition, the geriatric version of the Loewenstein Occupational Therapy Cognitive Assessment was used for cognitive function, and the Beck Depression Inventory was used for depression. According to the findings of this study, its multi-intervention activity program improved the upper extremity, balance, and cognitive functions and decreased depression in the experimental group. Moreover, statistically significant differences were found between the experimental and control groups. Therefore, the present study could confirm the value and effectiveness of the program as an intervention which can effectively deal with elderly people’s weakened complex functional factors due to stroke, and therefore, this program is proposed as an intervention program for elderly stroke patients