뇌졸중 환자의 사회재적응 구조모형: Roy의 적응모형에 기반하여

• Published in: Journal of Korean Academy of Nursing Vol. 53; no. 4; pp. 480 - 495
• Main Authors: 김정미(Kim, Jungmi), 김화순(Kim, Hwasoon)
• Format: Journal Article
• Language: Korean
• Published: 한국간호과학회 2023
• Subjects: Activities of Daily Living; 우울; 뇌졸중; Stroke; Social Support; 사회적 지지; Depression; 일상생활활동; 사회재적응; Social Adjustment
• ISSN: 2005-3673; 2093-758X

Purpose: This study aimed to develop and test a structural equation model on social re-adjustment of individuals with stroke based on a literature review and Roy's adaptation model. Methods: This study involved 321 participants who had a stroke and visited the outpatient department after discharge. The hypothetical model was developed based on Roy's adaptation model and a comprehensive review of previous literature on the topic. The model comprised four exogenous variables (neurological damage, gender [man], age, and social support) and five endogenous variables (activities of daily living, acceptance of disability, depression, rehabilitation motivation, and social re-adjustment). The data were analyzed using SPSS Windows software version 22.0 and AMOS 23.0. Results: Out of 28 research hypotheses, 18 were supported, and they indicated approximately 64% probability of social re-adjustment. Social re-adjustment is directly and significantly affected by age, social support, activities of daily living, and depression. Social re-adjustment is indirectly affected by neurological impairment, gender (men), age, social support, and rehabilitation motivation. Conclusion: Continuous assistance and care should be provided for individuals with disabilities caused by sudden neurological damage to facilitate gradual improvement in their social re-adjustment. To enhance social re-adjustment, especially among older adults, newly developed interventions should focus on improving their activities of daily living, preventing depression, and enhancing support from family and healthcare personnel.