집단미술치료가 뇌졸중 노인의 심리적 재활에 미치는 영향

다국어 초록 (Multilingual Abstract)

A stroke which is a disease of blood vessel in the head which causes paralysis of half the body with confusion occurred by blood-flow disorders of blood vessel is more likely to occur by getting old. The stroke patients have physical disable and emotional pains such as social and psychological dysfunction, depression and anxiety. Rehabilitation for both physical and psychological function is required because it is physical damage and as well as Psychological at the same time.
This research has a Purpose to identify whether the group art therapy has a Positive effect on reduction of depression, self-esteem, motivation improvement of patients who are suffering from a stroke as a rehabilitation tool. For this research, J nursing home in Seoul and social workers were agreed to assist the initiation of the research.
With recommendation of the social worker, 12 volunteers with the same symptoms were collected from the nursing home and they are separated to 2
groups with 6 each, which are experimental and controlled groups respectively. The pre-test was performed a week before the program was operated and a week after the program was completed, post-test was performed. Total 16 times of Group Art therapy were performed as twice of a week with an hour for 8 weeks period from 2009/02/24 to 2009/04/17.
The result of this research is as follows.
First, it was considered whether the group art therapy affects on reduction of depression of the patients. According to the results, the group which received the group art therapy showed a greater reduction of depression than the other which did not receive it.
Second, it was examined whether group art therapy affects on improvement of self-esteem of the Patients. According to the results, the group which did not take the art therapy did not show any differences, however, the group which took the art therapy showed improved self-esteem
Third, it is checked whether the group art therapy affects on improvement of motivation for rehabilitation. The result showed that the experimental group was more considerably improved than it of the controlled group.
With these results, we can assure that the group art therapy helps improving with depression reduction, self-esteem, motivation improvementf or rehabilitation; in addition, it helps patients psychologically and physically stable.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• 1. 연구의 필요성 및 목적 = 1
• 2. 연구문제 = 1
• Ⅱ. 이론적 배경 = 5
• 1. 뇌졸중 = 5
• 1) 뇌졸중의 정의와 원인 = 5
• 2) 뇌졸중의 증상 = 6
• 2. 뇌졸중 노인의 재활 = 9
• 1) 뇌졸중의 재활 = 9
• 2) 뇌졸중 노인의 신체적 재활 = 11
• 3) 뇌졸중 노인의 심리적 재활 = 12
• 3. 미술치료 = 15
• 1) 노인미술치료 = 15
• 2) 집단미술치료 = 16
• 3) 뇌졸중 노인 집단 미술치료 = 17
• Ⅲ. 연구방법 = 21
• 1. 연구대상 = 21
• 2. 연구설계 및 절차 = 22
• 1) 연구설계 = 22
• 2) 연구절차 = 22
• 3. 연구도구 = 23
• 1) 우울척도 = 23
• 2) 자아존중감 척도 = 23
• 3) 재활동기 검사 = 24
• 4. 집단미술치료 = 24
• 1) 집단 미술치료 기간 및 환경 = 24
• 2) 집단 미술치료 진행 = 25
• 5. 자료분석 = 29
• Ⅳ. 연구결과 및 분석 = 30
• 1. 사전분석 = 30
• 2. 집단 내 효과 분석 = 31
• 1) 실험집단 내의 효과분석 = 31
• 2) 통제집단 내의 효과분석 = 33
• 3. 집단 간 효과 비교 분석 = 35
• Ⅴ. 결론 및 제언 = 37
• 참고문헌 = 40
• 부록 = 46
• 부록1.우울척도 = 47
• 부록2.자아존중감척도 = 51
• 부록3.재활동기검사 = 52
• 부록4.집단미술치료 회기별 작품 = 54
• ABSTRACT = 58