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하양숙,김금순 中央醫學社 1983 中央醫學 Vol.45 No.1
The purpose of this study was to identify the self-perception of the patients who have undergone open-heart surgery, and to identify and to test various factors which are closely related to self-perception of the patients after open-heart surgery. Each subject's self-perception was measured using 10 items semantic differential scale. The data were collected through the prepared questionnaire and patient's charts of the 111 patients who were visiting OPD for post operative follow up check in SNU hospital between 25th, April and 31th, May in 1983. The findings obtained from this study were as follows: 1. Thirty nine subjects' (35. 1%) reported self-perception were transformed from negative to positive after surgery. Forty nine subjects' (44. 1%) reported self-perception were continuously positive post operatively. Total of 88 subjects' (79.1%) reported post operative self-perception were positive. Postoperative self-perception transformed positively from preoperative self-percep-tion. (p<0. 01). 2. Factors influencing .postoperative self-perception, and preoperative self perception were tested by ANCOVA procedure. There were no statistically significant differences between factors-number of medication, time passed from operation, kind of operation- The .relationship between number of medication given post operatively and time passed from surgery showed significant difference.
조남옥,최희정,김금순,김인자,서문자 성인간호학회 2000 성인간호학회지 Vol.12 No.1
Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories : demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support was measured as the perceived mount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stoke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stoke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.