2009, Vol.17, No.2

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

pISSN : 1226-0134 / eISSN : 2671-4450
https://journal.kci.go.kr/kjot

Purpose : This study is designed to shed light on the relationships between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident. Method : The data were collected from 5 rehabilitation medical centers in the Seoul and Gyonggi-do districts from Dec. 2008 to Jan. 2009. The data were analyzed using an SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients, and multiple regression analysis. Result : The results are as follows: For mean rehabilitation-motivation, the total score was 10.81, while for mean quality of life, the total scores was 14.94. The positive rehabilitation-motivation was influenced by the onset of patient status (F=2.701, p=.015), education level (F=6.532, p=.000), economic status (F=4.668, p=.001), while the negative rehabilitation-motivation was influenced by medical insurance forms (F=3.490, p=.009), economic status (F=4.155, p=.003), and education level (F=7.209, p=.000). Also, expectations regarding the medical institution & the social support were influenced by sex (F=2.281, p=.024), age (F=3.827, p=.001), medical insurance forms (F=4.485, p=.002), education level (F=11.332, p=.000), and economic status (F=4.776, p=.001). The quality of life in patients after a cerebrovascular accident was influenced by medical insurance forms, education level, and economic status (p< .05). As a result, the more quality of life in social health increases, the more rehabilitation-motivation is influenced (beta .680). Second, is the general quality of life (beta .285), while third is physical health(beta -.250). Conclusion : This study shows that there is an affinity between perceived rehabilitation-motivation and quality of life in patients after a cerebrovascular accident, particularly relationships between quality of social health and rehabilitation-motivation. Therefore, we should come up with programs to provide patients after a cerebrovascular accident so that they can increase their quality of life in social health.

Objective : The purpose of this study is to investigate the effects of electrical stimulation on the neck muscles in the swallowing function of stroke patients with dysphagia. Methods : Eighteen stroke patients who are able to understand verbal commands and express themselves were recruited, based on the video-fluoroscopic findings of their swallowing difficulties. After two weeks of an observational period for spontaneous recovery, electrical stimulation during a one hour session each day, five days a week for four weeks was applied to the patients' neck muscles (digastic M., thyrohyoid M.). Their swallowing functions were evaluated using a functional dysphagia scale and pharyngeal transit time with a video-fluoroscopic swallowing study. The author compared the above initial data with the every- two-week follow-up data using a paired t test and repeated ANOVA measure, of which a significant level is below p=.05. Results : There was no natural recovery during the control stage (p>.05). After terminating treatment, the participants showed significant improvement in the functional dysphagia scale (p=.000) and had significantly reduced residue in their valleculae and piriform sinuses (p<.05). However, pharyngeal transit time did not show any difference between pre- and post-treatments (p>.05). Conclusion : These results suggest that electrical stimulation has positive effects on swallowing disorders caused by brain injuries and can be clinically used as a safe treatment method for dysphagia. In future studies, a long-term treatment of more than four weeks with a follow up should be conducted.

Objective : This study aims ascertain the influencing factor of post-stroke depression, and the relationship between post stroke depression, acceptance of the disability, and social support. Methods : For this research, 83 stroke patients were surveyed using a Short Geriatric Depression Scale, MOS Social Support Scale, and acceptance of disability scale, and assessed using an MMSE-K(Mini-Mental State Examination for Koreans) and Functional Independence Measure(FIM). Eighty of the surveys were used. Results : The manifestation of depression is significantly different for stroke victims according to gender, age, religion, family type, care giver, monthly income, therapy fees, and speech disorder. There are significant correlations with education, speech disorder, acceptance of disability, social support, and post-stroke depression. The most powerful factor of post-stroke depression is acceptance of the disability, and the next is social support. Conclusion : In managing the acceptance of one's disability, social support will be helpful to reduce post-stroke depression.