뇌졸중 환자의 디스트레스와 스티그마가 삶의 질에 미치는 영향

• Published in: 근관절건강학회지 Vol. 31; no. 2; pp. 95 - 106
• Main Authors: 이경희(Lee, Kyoung Hee), 전재희(Jeon, Jaehee)
• Format: Journal Article
• Language: Korean
• Published: 대한근관절건강학회 2024
• Subjects: 간호학; Social stigma; 뇌졸중; Stroke; 환자; 스티그마; 디스트레스; Psychological distress; Patients; 삶의 질; Quality of life
• ISSN: 1975-9398; 2288-789X
• DOI: 10.5953/JMJH.2024.31.2.95

Purpose: This study investigated how distress and stigma affect the quality of life (QOL) in stroke patients. Methods: A descriptive research design was utilized with 150 stroke patients from three general and three long-term care facilities. Data were collected through an 86-item questionnaire from February 15 to April 10, 2023, using measures of distress, stigma, and QOL. Analysis was conducted using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis in SPSS/WIN 25.0. Results: The average QOL score was 156.37±38.27 out of 245 points. Factors affecting QOL of stroke patients were distress (β=-.56, p<.001), stigma(β=-.26, p<.001), biplegia (β=-.11, p=.045), and unemployment (β=-.10, p=.045), explaining 68% of the QOL variance. Conclusion: Programs aimed at reducing distress and stigma in stroke patients are essential for enhancing QOL. Effective strategies should address post-stroke physical and mental states, prevent complications, restore health, reduce anxiety, and leverage family and social support to mitigate stigma. Special attention is needed for stroke patients with hemiplegia and those who are unemployed.