뇌졸중환자 가족의 스트레스에 관한 연구 = (A) Study on the Family Stress of Stroke Patient

다국어 초록 (Multilingual Abstract)

A Study on the Family Stress of Stroke Patient
The purpose of this research was to provide relevant care-giving to families including objects of care-giving of a generally unified unit of families in light of care-giving of cerebral apoplexy by identifying physical symptom and stress of the families of cerebral apoplexy patients in hospital.
The objects of research were 130 families hospitalized with a diagnosis of cerebral apoplexy in one university hospital, one Korean Chinese hospital attached to college, using question polls collection.
The tools of research were used with 35 questions of stress measurement tool of the cerebral apoplexy patients care-givers of Eun-sook Choi (1993), which is a measurement tool of family stress.
The conduction degree of living activity of a patient and physical health measurement of a family were operated using barthel index used by Young-wae Yang (1992).
The collected materials wee analyzed through statistical method of stepwise multiple regression, percentage, average and standard gap and errors and using SPSSwin 7.5 computer programs per item. The results of the research are as following.
1. The population features of a family of a cerebral apoplexy patient showed that 50 years old or older were 31.5%, ratio of sex was 70,8% single family was 82.3%, the married out of a marital state was 31.5%, finally, the relationship to a patient was a spouse taking 56.2%.
2. The confirmed stress degree of a family of a cerebral apoplexy through 35 questions showed that the items indicating an average of 3.0 or above symptom of redevelopment of a disease and being disabled M=3.50 (SD=0.81) , long time of medical treatment M=3.44 (SD=0.078) , Hearing a shocking works to a state of a patient M=3.41 (SD=0.87) , Watching a patient feeling painful M=3.30 (SD=0.71) in a statistical order, in addition, the items displaying rather lower range of stress below 2.0 were such areas the patient wants to know about his or her disease M=1.26 (SD=0.60) , the patient happens to know what disease he or she has M=1.32 (SD=0.66) , a neighbor has a different attitude due to a disease of a patient M=1.36 (SD=0.59) in the polls.
3. The degree of ordinary living (self care-giving_ according to a specialty of a patient showed a significant difference (F=25.828, P0.000) depending upon state of handicap.
4. The stat of physical symptom of a family depending upon family specialty showed that it had significant difference (T=7.292, P=0.0000) in the statistics with 60ies showed with physical symptom, in light of sec state, the female showed significant difference (T=-2.449, P=0.016) of physical symptom in statistics, in an academic career state, the elementary school or below showed significant difference (T=11.272, P=0.000) of physical symptom in the polls, in light of job state, the family without occupation showed significant difference (T=-3.828, P=0.0000) of physical symptom, in a monthly income, a person with 1 Million won or less showed significant difference (T=13.873, P=0.0000) of physical symptom in statistics, in light of relationship with a patient, the parents showed significant difference (T=4.194, P=0.003) of physical symptom in statistics.
5. The familys stress depending upon physical symptom of a family showed that a family without physical symptom showed higher rate of stress than not. In light of physical symptom, shoulder, waste showed significant difference (T=-2.794, P=0.006) in statistics, hand, fingers showed (T=-2.378, P=0.019), in the meantime, food and legs showed a significant difference (T=-2.174, P=0.032).
6. The stress state of a family depending upon specialty of a patient showed a significant difference (T=2.841, P=0.041) per age in the statistics, the part of being disabled showed a significant difference (T=4.967, P=0.003).
7. The major causes of effecting to a stress of a family were proved to 13.8% in a daily lives level (F=21.714, P=0.000), in the meantime, the age of a patient showed 18.0% (F=15.164, P=0.000), if a marital state of a family added in all, the stress of a family showed 20.8% (F=12.321, P=0.000).
As a result of conclusion, it is necessarily deemed to educate such families as well as identify a state of disease by such professionals including nurses with opportunities of conversation to identify what difficult and problems the family in care of cerebral apoplexy patients through search of stress causes who experience what the nurses experience.