뇌졸중 환자에 대한 지역사회 중심 사례관리 효과

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community-based case management program for stroke patients.
Method: This study was designed as a one group pre and post-test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre-test one week before intervention, and a post-test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t-test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre-est and post-test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community- based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 2
• Ⅱ. 연구 방법 2
• 1. 연구설계 2
• 2. 연구대상 및 자료수집방법 2
• 3. 사례관리 프로그램 3
• 4. 효과측정 도구 3
• 1) 기능수준 3
• 2) 가족부담감 3
• 3) 사례관리의 호응도 4
• 5. 자료분석 방법 4
• 6. 연구의 제한점 4
• Ⅲ. 연구 결과 4
• 1. 대상자의 일반적 특성 4
• 2. 사례관리 전후의 기능상태 변화 4
• 3. 사례관리 전후의 가족부담감 변화 5
• 4. 사례관리의 호응도 5
• Ⅳ. 논의 6
• Ⅴ. 결론 및 제언 8