A Study on the Stress Perception Response Following the Aftereffect in Poststroke Patients

중풍환자(中風患者)의 후유증(後遺症)에 따른 Stress 지각반응(知覺反應)에 대(對)한 조사연구(調査硏究)

  • Park Jae-Hyeon (Dept. of Neuropsychiatry, College of Oriental Medicine, Won Kwang University) ;
  • Lyu Yeong-Soo (Dept. of Neuropsychiatry, College of Oriental Medicine, Won Kwang University)
  • 박재현 (원광대학교 한의과대학 신경정신과학교실) ;
  • 류영수 (원광대학교 한의과대학 신경정신과학교실)
  • Published : 1997.09.30

Abstract

The primary purpose of this study was to assess the relation of stress perception and poststroke. This study was done on 50 stroke patients in hospital. According to activities of functional impairment, they were classified into walking disturbance, motor weakness, dysphagia, or reattack etc. The stress perception test(GARS Scles) and stress response assessment shows the follwing results. 1. On the distribution in the stroke 50 patients, For the majority group were male in sex, sixty inage, middle towns people in residence. 2. On the comprehensive GARS scale scores, It marked the higest scores thirty at age, merchandise or salesman on jobs, a city in residence. There was no signigicant difference in mean GARS Scales scores between males and females group, the left hemiplegia and the Rt hemiplegia. 3. On the comprehensive GARS Scale tests, Overall glogal stressor(G8) and sickness stresor(G4) marked the highest scores of all GARS Scales. 4. On the comparative assessment of each group's stress reponse test scores, zung-bu(中腑) was showed higher scores than the other group in oriental diagnosis and hemorrage was showed higher scores than the other group in western medical diagnosis. 5. On the comprehensive assessment of each group's stress reponse test scores, aphsia(不語) marked the highest scores in another disphagia group's. It marked the highest scores in another group's that banshinbulsoo(半身不遂) as regards as hemiplegia generally. Standing disability is the higher scores than another group's walking alone or assist, and standing alone. 6. Secondary attack is the highest scores of all reattack stroke on the stress repones test. 7. Comparing and analyzing the GARS Scale total scores and GARS Scale subject fator at stroke, we found that sickness stressor and fininial stressor is showed the highest correlated to stress response fowlloing stroke. With those results, we can see that functional impairment following stroke is correlated to stress perception and reponse. In the furture studies using, we hope that the findings the study would have clinical relevance to the psychosocial adjustment and total rehabilation of stroke patients.

Keywords

References

  1. 國譯中風각詮 張壽願
  2. 金궤要略 張機
  3. 東垣十書 李고
  4. 동양의학 v.7 中風의 病因 病理에 관한 文獻的 硏究 金永錫
  5. 腦卒中에 관한 임상통계적 연구 윤진구
  6. 인제의학 v.10 최근 우리나라 10대 사망원인의 변동 이채언(외)
  7. 三訂新版 精身醫學 이정균
  8. 患者의 心理 金子仁郎(改著)
  9. 재활의학 서울의대재학의학교실
  10. Am. J. psychiatry v.146 Lateralization of dementia of depression in stroke patients Bolla-Wilson, K.
  11. Comprehensive psychiary v.24 Mood change in stroke patient-Relationship to lesion location Robinson Robert G.; Kubos, L.
  12. Brain v.107 Mood disorder in stroke patients; Impotance of location of lesion Robinson, R.;Robert, G.
  13. Stroke v.14 A two-year longitudinal study of post stroke mood disorders - Finding during the Initial evaluation Robinson Kenneth L.;Robert. G.;Lyn Book Starr;Kishna Rao
  14. 腦卒中후 憂鬱症에서 병변부위에 따른 憂鬱症의 정도와 Dexamethasone 억제의 차이 박동희
  15. Am. J. psychiatry v.148 Depression symptoms following stroke Bachmann, M.D.;Stern Robert A.
  16. Br. J. psychiatry v.151 Affective illness after stroke Ebrahim, S.;Barer, D.;Nouri, F.
  17. Brain v.109 Poststroke depression and lesion location Sinyor, D.;Jacques, p. Kaloupek
  18. 精校黃帝內經靈樞 洪元植
  19. 대한심신스트레스학회지 v.1 no.1 stress에 대한 한의학의 이해 황의완(외)
  20. 實用中醫內科學 重黎明
  21. Science v.33 The Secretion of the adreanal glands during emotional exitement Cannon, W. B.
  22. The stress of Life Selye, H.
  23. 경희한의대 논문집 v.13 stress의 槪念에 關한 文獻的 考察 황의완(외)
  24. 정신건강연구 v.10 stress의 개념 양병환
  25. 정신건강연구 v.10 stress과 생활사건 - 방법론 및 정신질환과의 관련성을 중심으로 - 백기청
  26. 정신건강연구 v.10 스트레스와 대처방안 원호택
  27. 신경정신의학 v.26 no.1 스트레스요인으로서의 생활사건과 통제소재 및 불안의 관계에 대한 연구 백기청;홍강의
  28. Int. J. psychiatry med. 54. v.15 no.1 A global assessment of recent stress(GARS) scale Linn, M. w.
  29. 신경정신의학 v.27 no.3 정신신체障碍患者들의 stress知覺 고경봉
  30. stress병과 홧병의 한방치료 조홍건
  31. 大韓韓醫學協會誌 v.14 no.2 中風患者의 半身麻痺回復度 에 대한 臨床的 觀察 李京燮(外)
  32. 大韓韓醫學協會誌 v.12 no.1 中風患者의 左.右 半身不遂에 관한 臨床的 觀察 李京燮(外)
  33. 神經外科學 大韓神經外科學敎室
  34. 大韓韓醫學會誌 v.12 no.2 中風患者의 言語障碍에 관한 임상적 고찰 李京燮(외)
  35. SPSSWIN을 이용한 통계분석 정충영;최이규
  36. SPSS와 통계분석 허만형
  37. 劉河間三六害 劉完素
  38. 丹溪心法附餘(上) 方廣
  39. 景岳全書(卷十 ) 張介賓
  40. 證治要訣(醫部全錄) 戴思恭
  41. 醫林改錯(卷下) 王淸任
  42. 大韓韓醫學會誌 v.13 no.2 中風患者의 物理治療에 對한 臨床的 考察 李京燮(외)
  43. 大韓韓醫學會誌 v.2 no.1 中風治療에 對한 考察 李京燮
  44. 大韓韓醫學會誌 v.8 no.2 腦卒中에 의한 片麻痺患者의 物理療法 申鉉大(외)
  45. 경희대학교 논문집 v.4 中風에 관한 임상적 연구 신진영;구본홍
  46. 신경정신의학 v.16 no.11 동의보감에 나타난 심신관계 이부영
  47. 慶熙韓醫大論文集 v.3 腦卒中에 關한 硏究 朴駿河
  48. 慶熙韓醫大論文集 v.8 中風(腦卒中)의 臨床的 硏究 張仁圭(외)
  49. 대한신경과학회지 v.7 no.2 최근 국내 腦卒中의 역학적 동향에 대한 연구 이원용(외)
  50. 실어증환자의 말,언어치료 한국언어병리학회
  51. 中風言語障碍의 治療에 대한 문헌적 考察 장종철
  52. 정신병리학의 기초 J. C. 네마이어
  53. 대한재활의학회지 v.18 no.1 척수 손상 患者의 憂鬱症에 대한 患者의 反應과 의료진의 評價 김은이(외)