Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Effects of Time-Use Intervention on Life Satisfaction and Self-Esteem in Stroke Patients

시간사용중재가 뇌졸중 환자의 생활만족도 및 자아존중감에 미치는 영향

  • 류성현 (순천향대학교 부속 천안병원) ;
  • 박수진 (울산시티병원) ;
  • 김민혁 (순천향대학교 부속 천안병원) ;
  • 황도연 (순천향대학교 부속 천안병원)
  • Received : 2019.12.17
  • Accepted : 2020.03.12
  • Published : 2020.08.31
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Abstract

Objective : This study investigated the effects of time-use intervention, conducted during 8 weeks, on the life satisfaction and self-esteem of stroke patients. Methods : Twenty-one stroke patients who were divided into an experimental group (n=10) and a control group (n=11), participated in this study from July 2019 to October 2019. Life satisfaction changes were measured using the Life satisfaction scale. Self-esteem changes were measured using the Self-esteem scale. Results : First, comparison between pre and post intervention showed a statistically significant difference in life satisfaction and self-esteem (p<.05). Second, comparison between post intervention groups showed a statistically significant difference in life satisfaction and self-esteem (p<.05). Conclusion : Based on the results from this study, we found that time-use intervention has a positive impact on life satisfaction and self-esteem. Therefore, participating in meaningful occupation performance will improve the mental health and quality of life of stroke patients.

목적 : 본 연구는 뇌졸중 환자를 대상으로 8주간 실시된 시간사용중재가 뇌졸중 환자의 생활만족도 및 자아존중감에 미치는 영향을 알아보았다. 연구방법 : 본 연구는 2019년 7월부터 10월까지 뇌졸중 환자 21명을 대상으로 실험군과 대조군으로 나누어 실시하였다. 생활만족도의 변화는 생활만족도 척도(Life satisfaction scale)를 사용하였고, 자아존중감의 변화는 자아존중감 척도(Self-esteem scale)를 사용하였다. 결과 : 첫째, 실험군과 대조군 각각 중재 전과 후를 비교한 결과, 생활만족도와 자아존중감 모두 통계학적으로 유의한 차이를 보였다(p<.05). 둘째, 중재 후 실험군과 대조군의 생활만족도와 자아존중감을 비교한 결과, 통계학적으로 두 집단 간 유의한 차이를 보였다(p<.05). 결론 : 본 연구의 결과 시간사용중재가 뇌졸중환자의 생활만족도와 자아존중감에 긍정적인 영향을 미쳤으며, 따라서 의미있는 작업 수행의 참여가 뇌졸중 환자의 정신건강과 생활의 질을 향상시킬 수 있을 것이다.

Keywords

References

  1. 양옥경. (1992). 정신장애자의 삶의 만족도에 관한 연구. 한국사회복지학, 20(1), 131-153.
  2. 양옥경. (1994). 삶의 만족 측정을 위한 척도 개발. 한국사회복지학, 24(1), 157-198.
  3. 진용관. (2003). 장애인의 사회관계망과 생활만족도에 관한 연구: 대전직업전문학교 장애인을 중심으로 (석사학위 논문). 대전대학교, 대전.
  4. Backman, C. (2004). Occupational balance: Exploring the relationships among daily occupations and their influence on well-being. Canadian Journal of Occupational Therapy, 71(4), 202-209. doi:10.1177/000841740407100404
  5. Baltes, M. M., Wahl, H. W., & Schmid-Furstoss, U. (1990). The daily life of elderly germans: Activity patterns, personal control, and functional health. Journal of Gerontology, 45(4), 173-179. doi:10.1093/geronj/45.4.p173
  6. Bejerholm, U., & Eklund, M. (2006). Engagement in occupations among men and women with schizophrenia. Occupational Therapy International, 13(2), 100-121. doi:10.1002/oti.210
  7. Campbell, A. (1981). The sense of well-being in America: Recent patterns and trends. New York: McGraw-Hill.
  8. Carpenter, L., Baker, G. A., & Tyldesley, B. (2001). The use of the Canadian Occupational Performance Measure as an outcome of a pain management program. Canadian Journal of Occupational Therapy, 68(1), 16-22. doi:10.1177/000841740106800102
  9. Cummins, R. A., Gullone, E., & Lau, A. L. D. (2002). A model of subjective well-being homeostasis: The role of personality. In E. Gullone, & R. A. Cummins (Eds.), The universality of subjective wellbeing indicators (1st ed., pp. 7-46). Dordrecht, Netherlands: Kluwer Academic Publishers.
  10. Diener, E., & Diener, M. (1995). Cross-cultural correlates of life satisfaction and self-esteem. Journal of Personality and Social Psychology, 68(4), 653-663. doi:10.1007/978-90-481-2352-0_4
  11. Hackett, M. L., Yapa, C., Parag, V., & Anderson, C., S. (2005). Frequency of depression after stroke: A systematic review of observational studies. Stroke, 36(6), 1330-1340. doi:10.1161/01.STR.0000165928.19135.35
  12. Hasselkus, B. R. (1998). Occupation and well-being in dementia: The experience of day-care staff. American Journal of Occupational Therapy, 52(6), 423-434. doi:10.5014/ajot.52.6.423
  13. Hayes, R. L., & Halford, W. K. (1996). Time use of unemployed and employed single male schizophrenia subjects. Schizophrenia Bulletin, 22(4), 659-669. doi:10.1093/schbul/22.4.659
  14. Hong, S. P., Jang, M. N., & Seo, E. K. (2011). Time use among people with tetraplegia participating in wheelchair rugby. Journal of Korean Society of Occupational Therapy, 19(2), 1-12.
  15. Hunt, E., & McKay, E. A. (2015). A scoping review of time-use research in occupational therapy and occupational science. Scandinavian Journal of Occupational Therapy, 22(1), 1-12. doi:10.3109/11038128.2014.934918
  16. James, W. (1890). The consciousness of self. In W. James (Ed.), The principles of psychology (1st ed., pp. 650-913). New York: Henry Holt.
  17. Jeon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11(1), 107-129. Retrieved from http://www.riss.kr/link?id=A3215438
  18. Jeon, B. J. (2011). A study on factors influencing elderly's life time use and occupational balance (Doctoral dissertation). Sungkyunkwan University, Seoul.
  19. Kabat-Zinn, J. (2016). Emotion regulation, selfmanagement, communication and interaction. In M. B. Early (Ed.), Mental health concepts and techniques for the occupational therapy assistant (5th ed., pp. 992-1033). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins.
  20. Kang, M. K., Lee, D. J., & Yoo, K. H. (2010). Effects of participation of the handicapped in leisure activities upon their life satisfaction depending on disability type. Korean Journal of Family Welfare, 15(4), 137-155.
  21. Kielhofner, G. (2002). Introduction to the model of human occupation. In G. Kielhofner (Ed.), A model of human occupation: Theory and application (3rd ed., pp. 1-9). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins.
  22. Kim, H. M., Lee, J. S., & Jeon, B. J. (2014). The effect of the lifestyle redesign program on the quality of life of elderlies with dementia. Journal of Korean Society of Occupational Therapy, 22(1), 1-14. doi:10.14519/jksot.2014.22.1.01
  23. Kim, H. M., & Shim, M. K. (2014). A comparative study of the time use and quality of life in local community and convalescent hospital of the stroke patient. Journal of Korean Society of Community Based Occupational Therapy, 4(1), 1-10.
  24. Kim, J. K., Kim, H. S., & Park, S. J. (2017). The effect of occupational participation on the quality of life and self-esteem of the elderly. Journal of Occupational Therapy for the Aged and Dementia, 11(1), 21-28.
  25. Kim, J. S. (1987). A study on life satisfaction of the elderly in korea (Doctoral dissertation). Ewha Womans University, Seoul.
  26. Kim, J. W., Oh, M. H., Baek, J. Y., & Lee, J. S. (2013). The effects of activities of daily living and living satisfaction of the physical disabled at home. Journal of Korean Society of Occupational Therapy, 21(1), 15-26.
  27. Kim, K. S. (2009). The relationship among acceptance of disability, self-esteem and life satisfaction according to participation physical activity of the hemiplegia due to stroke. Journal of Adapted Physical Activity, 17(4), 1-18.
  28. Kim, Y. G. (2010). The effect on time-use intervention for the elder with disability. Journal of Rehabilitation Research, 14(4), 205-224.
  29. Kim, Y. S. (2015). The effects of daily activities, the life satisfaction and the self-esteem of stroke (Master's thesis). Kaya University, Gimhae.
  30. Krupa, T., Mclean, H., Eastabrook, S., Bohnam, A., & Baksh, L. (2003). Daily time use as a measure of community adjustment for persons served by assertive community treatment teams. American Journal of Occupational Therapy, 57(5), 558-565. doi:10.5014/ajot.57.5.558
  31. Law, M., Baptiste, S., McColl, M., Opzoomer, A., Polatajko, H., & Pollock, N. (1990). The canadian occupational performance measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy, 57(2), 82-87. doi:10.1177/000841749005700207
  32. Lee, I. S. (2006a). The comparison of children's characters from broken homes and from normal homes (Master's thesis). Hankuk University, Seoul.
  33. Lee, J. G. (2006b). The effects of arts therapy on depression, self-esteem and anger concerning women victims of domestic violence (Master's thesis). Wonkwang University, Iksan.
  34. Lee, J. Y., & Kim, H. S. (2014). Influences of social support, self-esteem and motivation for rehabilitation on the activities of daily living in stroke patients. Journal of East-West Nursing Research, 20(2), 145-153. doi:10.14370/jewnr.2014.20.2.145
  35. Lee, S. S. (2011). The effect of time use on life satisfaction of the retired elderly. Journal of Family Relations, 16(2), 35-58.
  36. Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11(1), 51-62. doi:10.1016/0149-7189(88)90033-X
  37. Levasseur, M., Desrosiers, J., & Noreau, L. (2004). Is social participation associated with quality of life of older adults with physical disabilities? Disability and Rehabilitation, 26(20), 1206-1213. doi:10.1080/09638280412331270371
  38. Mahabir, D., Bickram, L., & Gulliford, M. C. (1998). Stroke in trinidad and tobago: Burden of illness and risk factors. Pan American Journal of Public Health, 4(4), 233-237. doi:10.1590/s1020-49891998001000002
  39. Orth, U., Robins, R. W., & Widaman, K. (2012). Life-span development of self-esteem and its effects on important life outcomes. Journal of Personality and Social Psychology, 102(6), 1271-1288. doi:10.1037/a0025558
  40. Peloquin, S. M. (1991). Time as a commodity: Reflections and implications. American Journal of Occupational Therapy, 45(2), 147-154. doi:10.5014/ajot.45.2.147
  41. Riopel, N. L. (1982). An examination of the occupational behavior and life satisfaction of the elderly (Master's thesis). University of Illinois at Chicago, Chicago.
  42. Rosenberg, M. (1965). The measurement of self-esteem. In M. Rosenberg (Ed.), Society and the adolescent self-image (1st ed., pp. 16-36). Princeton, New Jersey: Princeton University Press.
  43. Sim, H. R. (2017). Effects of time-use intervention on self-efficacy and the six factors influencing occupational participation for stroke survivors (Master's thesis). Daegu University, Gyeongsan.
  44. Skidmore, E. R., Whyte, E. M., Butters, M. A., Terhorst, L., & Reynolds, C. F. (2015). Strategy training during inpatient rehabilitation may prevent apathy sy mptoms after acute stroke. Physical Medicine and Rehabilitation, 7(6), 562-570. doi:10.1016/j.pmrj.2014.12.010
  45. Smith, N. R., Kielhofner, G., & Watts, J. H. (1986). The relationship between volition, activity pattern and life satisfaction in the elderly. American Journal of Occupational Therapy, 40(4), 278-283. doi:10.5014/ajot.40.4.278
  46. Song, S. I., Ryu, S. H., & Park, S. J. (2016). The effects of virtual-reality game on stress and flow for stroke patients. Journal of Special Education & Rehabilitation Science, 55(1), 355-370. doi:10.15870/jsers.2016.03.55.1.355
  47. Statistics Korea. (2017). Cause of death statistics. Retrieved from http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=370710&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  48. Taylor, R. R., & Kielhofner, G. (2017). Introduction to the model of human occupation. In R. R. Taylor (Ed.), Kielhofner's model of human occupation: Theory and application (5th ed., pp. 3-10). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins.
  49. World Health Organization. (2019). Health topics: Stroke, cerebrovascular accident. Retrieved from https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1
  50. Yeon, E. M., & Choi, H. S. (2019). Exploring the latent profiles in self-esteem, self-efficacy, and acceptance toward disability of the disabled to life satisfaction and job satisfaction. Journal of Learner-Centered Curriculum and Instruction, 19(3), 133-152. doi:10.22251/jlcci.2019.19.3.133
  51. Yi, Y. H. (2001). A study on the emotional and cognitive factors that affect creativity of elementary school students (Master's thesis). Ajou University, Suwon.
  52. Yu, Z., Hao, J., & Shi, B. (2018). Dispositional envy inhibits prosocial behavior in adolescents with high self-esteem. Personality and Individual Differences, 122, 127-133. doi:10.1016/j.paid.2017.10.022
  53. Zemke, R., & Clark, F. (1996). Preface. In R. Zemke, & F. Clark (Eds.), Occupational science: The evolving discipline (1st ed., pp. 7-18). Philadelphia, Pennsylvania: Frank Allston Davis.