뇌졸중 중년 환자의 우울이 재활동기에 미치는 영향 - 극복력의 매개효과 중심으로

초록

This study was a descriptive correlational study investigating the mediating effects of resilience in the relationship between depression and rehabilitation motivation in middle-aged stroke patients. There was a total of 185 middle-aged patients aged 40 to 64 years, who were diagnosed with stroke at a university hospital and rehabilitated at three local hospitals located in S city and four hospitals in U city. The data were collected using a self-reported questionnaire between the 1st and 31st of December in 2016. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and step-wise causal method using SPSS/WIN 22.0 statistical program. To test the statistical significance of the mediation effect, PROCESS and bootstrapping were used. The mean age of the subjects were 56.26±6.37 years. There were 70.3% male subjects, an average depression level was 21.21±7.09, an average resilience was 25.52±9.63, and rehabilitation motivation was 47.44±5.87. Depression was negatively related to resilience and rehabilitation motivation. However, resilience and rehabilitation motivation have a static correlation. These results confirmed that resilience appears to be a complete mediating effect in the relationship between depression and rehabilitation motivation. Therefore, it is important to develop a resilience enhancement program to improve the motivation of rehabilitation for stroke patients.

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