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KMID : 0939320030060010051
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Korean Journal of Rehabilitation Nursing
2003 Volume.6 No. 1 p.51 ~ p.60
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A Study on Stroke Patients´ ADL, Depression, Self-Efficacy and Quality of Life
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Cho Bok-Hee
Ko Mi-Hye
Kim Soon-Young
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Abstract
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This study was a descriptive research in search of a nursing intervention scheme to improve stroke patients´ quality of life by understanding the relationship of stroke patients´ ADL. depression, self-efficacy and quality of life with various variables and identifying factors that affect their quality of life. Each subject was interviewed one to one based on a structured questionnaire. With regard to research tools, Modified Barthel Index (MBI: Fortinsky et al., 1981), which was translated by Choi, Hye-sook (996), was used in measuring ADL, Randloff´s (1977) tool. which was translated by Choi, Soon-hee, was used in measuring depression, and the tool developed by Sherer et al. (1982), which is to measures self-efficacy under general conditions not limited to specific conditions, and modified by O, Bok-ja (1994) was used in measuring self-efficacy. The quality of life was measured using the scale of satisfaction of life developed by Diener et al.(1985).
The results of this study were as follows:
1. The means of ADL of the subjects was 79.5±31.9, depression 26.8±10.4. self-efficacy 47.1±25.7, and the quality of life 12.3±4.9. 2. The subjects´ quality of life showed a statistically significant difference according to gender (t=7.9, p= .006), satisfaction with income (F= 5.8, p = .004), the burden of medical fee (F=3.7, p= .028) and the period of disease (F=2.8. p= .042). 3. With regard to relationship among ADL, depression, self-efficacy and the quality of life, ADL was in a relatively low positive correlation (r= .293, p= .003) with and the quality of life, depression in a high negative correlation (r=- .634. p= .000) with the quality of life. and self-efficacy in a positive correlation with the quality of life (r= .388. p= .000). 4. Factors that made a significant influence on the quality of life were depression (8=- .309. p= .001) and satisfaction with income (8=-2.611. p= .001).
Based on these results, this study made following suggestions:
1. It is necessary to run rehabilitation programs to improve stroke patients´ ADL, depression and self-efficacy. 2. It is necessary to perform research of monitoring stroke patients´ quality of life in various areas using measuring tools.
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KEYWORD
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Stroke, ADL, Depression, Self-efficacy, Quality of life
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