Adjustment of Middle-aged People with Hemiplegia after a Stroke

뇌졸중 후 편마비를 가진 중년기 환자의 적응과정

  • Published : 2006.08.01

Abstract

Purpose: The purpose of this study was to understand the adjustment process of middle-aged people in Korea with hemiplegia after a stroke. Method: For this study, the grounded theory method was utilized. Results: After constant comparative analysis, the core category emerged as 'rebuilding the body which was ruined'. In addition, the causal conditions were 'restriction of physical function', and 'loss of roles'. The adjustment process consisted of the 'facing reality phase', 'overcoming depression phase', 'overcoming physical limits phase' and 'reestablishing roles phase' The main strategies in the facing reality phase were 'holding on to a glimmer of hope', 'getting away from the harsh reality' and 'facing up to the reality'. The main strategies in the overcoming depression phase were 'soothing oneself', 'Self-introspection' and 'restoring self-esteem'. In addition, the main strategies in the self-initiative overcoming physical limits phase was 'discovering personal strategies and striving to recover'. The main strategies in the reestablishing roles phase were 'reestablishing a parents' role', 'reestablishing a spouse's role' and 'reestablishing social roles'. Conclusion: In conclusion, even though many middle aged stroke patients remained in the depression phase, most of them who overcame depression strived to conquer physical limits on their own initiative.

Keywords

References

  1. Ahn, Y. P., Lee, S. J., & Yang, S. H. (1984). Frame of consciousness in stroke hemiplegic patient. J Korean Acad Rehabil Med, 8(2), 92-98
  2. Altal, J. C., Ejido, J. A., Gonzalez, J., & De Seijas, V. (2000). Quality of life among stroke survivors evaluated J year after stroke; Experience of a stroke unit. Stroke, 31, 2995-3000 https://doi.org/10.1161/01.STR.31.12.2995
  3. Black-Schaffer, R. M., & Osberg, J. S. (1990). Return to work after stroke. Arch Phys Med Rehabil, 71, 285-290
  4. Burton, C. R. (2000). Living with stroke : A phenomenological study. J Adv Nurs, 32(2), 301-309 https://doi.org/10.1046/j.1365-2648.2000.01477.x
  5. Choi, B. S. (1998) Phenomenological perspective and discovery of meaning in mid-aged men's experience of the change of body. Unpublished master's thesis, Ewha Womans University, Seoul
  6. Jung, C., Kim, W. N., Kim, M. J., Choi, S. M., Lee, K. Y., Park, M. Y., Hah, J. S., & Byun, Y. J. (1993). The risk factors of recurrent ischemic stroke. Yeungnam Univ J Med, 10(1), 423-431 https://doi.org/10.12701/yujm.1993.10.2.423
  7. Jung, E. J. (2000). Clinical analysis of stroke in young adults. Unpublished master's thesis, Kyung Hee University, Seoul
  8. Kang. H. S. (1994). Stress and coping for patients with hemiplegia during the rehabilitation process. J Korean Acad Nurs, 24(1), 18-32
  9. Kim, B. E., & Lee, H. Y. (2000). A follow-up study on the performance of activities of daily living of patients with hemiplegia J Korean Acad Adult Nurs, 6(1), 101-111
  10. Kim, I. J., Suh, M. J., Kim, K. S., Cho, N. O., & Choi, H. J. (2000). Predicting factors of post-stroke depression. J Korean Acad Adult Nurs, 12(1), 147-159
  11. Kim, L. S. (1997a). The experience of the stroke patients about the use of oriental medicine. J Korea Community Health Nursing Academic Society, 11(1), 82-92
  12. Kim, L. S. (1997b). The hope of the stroke patients. J Korean Acad Nurs, 27(1), 212-227
  13. Korea National Statistical Office. (2004). The statistical outcome of death in 2002
  14. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York : Springe
  15. Lee, J. H. (2001). Frustration of stroke patients. Unpublished master's thesis, Kyung Hee University, Seoul
  16. Lee, M. H. (1991). A Study on perceived family support and anxiety in hemiplegic patients. Unpublished master's thesis, Kyung Hee University, Seoul
  17. Lee, S. (1993). Effect of a supportive-educative nursing intervention on older adults' perceptions of self-care after a stroke. Rehabil Nurs, 18(3), 162-167 https://doi.org/10.1002/j.2048-7940.1993.tb00745.x
  18. Ministry of Health and Welfare. (1999). 1998 national health and nutrition survey
  19. Ministry of Health and Welfare. (2002). 2001 national health and nutrition survey
  20. Nam, S. Y. (1997). A study of CVA patients' experience of the illness. J Korean Acad Nurs, 28(2), 479-489
  21. Park, K. E., Kim, H. S., Kim, J. S., Kwon, S. U., & Choi, S. M. (2001). Food intake, frequency, and compliance in stroke patients, Korean J Community Nutr, 6(35), 542-552
  22. Park, W. K. (1988). Perceive stress and depression in hemiplegia patients. Unpublished master's thesis, Ewha Womans University, Seoul
  23. Pyun, S. B., Kim, S. H., Han, M. S., Kwon, H. K., & Lee, H. J. (1999). Quality of life after stroke. J Korean Acad Rehabil Med, 23(2), 233-239
  24. Song, P. H., & Park, H. S. (2001). Effect of exercise for activity of daily living and depression in stroke patients. Korean J Rehabil Nurs, 4(2), 146-153
  25. Strauss, A., & Corbin, J. (1998). Basics of qualitative research : Techniques and procedures for developing grounded theory. Newbury Park, CA: SAGE Publication
  26. Suh, H. K. (2003). Influential factors on adolescent, middle, and old generation's awareness of supporting the older adults. Unpublished master's thesis, Hallym University, Chuncheon
  27. Suh. M. J. (1988). A study on factors influencing the state of adaptation of the hamiplegic patients. Unpublished doctoral dissertation, Seoul National University, Seoul
  28. Teasell, R. W., McRae, M. P., & Finestone, H. M. (2000). Social issues in the rehabilitation of younger stroke patients. Arch Phys Med Rehabil, 81, 205-209 https://doi.org/10.1016/S0003-9993(00)90142-4
  29. Woo, W. M. (1995). A study on the factors affecting health promoting lifestyles of middle-aged men. Unpublished