[A study on perceived family support and anxiety in hemiplegic patients].

M H Lee, H S Kang
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引用次数: 5

Abstract

The purposes of this study were to identify causal factors of Anxiety and to analyze correlation between perceived family support and anxiety in hemiplegic patients. The subjects of this study were 88 hospitalized hemiplegic patients at Kyung-Hee Oriental medicine Hospital. Data were collected by using interview with questionnaire from Jan. 15 to Mar. 31, 1990. The measurement tools used by this researcher were Kang's family support scale, Spielberger's trait anxiety scale and the other anxiety scale which was developed by this researcher, approved it's reliability and validity. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and the hypothesis was tested by pearson correlation, partial correlation. The results of the study were as follow. 1) The analysis of causal factor of anxiety higher anxiety these three cases; (1) 1st causal factor was the delayed recovery of paralyzed upper limbs (2.42 +/- 1.27). (2) 2nd causal factor was the dysfunction of physical ability (2.30 +/- 1.29). (3) 3rd causal factor was difficulty for walking (2.30 +/- 0.83) and the anxiety level (2.02 +/- 0.83) of physical factor was the highest level than any other factors. 2) The hypothesis that the more perceived family support level is the less anxiety level of patient was supported (r = -.29, p = .003). 3) The analysis of the general characteristics exerting influences on anxiety level patients; (sex, age, marital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalization, side of paralysis). In this analysis, any factor has not a statistical significance. (p greater than .05). 4) The analysis of the relationship about effective factors of family support level by the general characteristics of patient (sex, age, marital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalization, side of paralysis). In this analysis, there was significant difference on perceived family support between married and bereaved patients (t = -2.68, p = .009). As a result of this study, anxiety level of physical factor was higher than any other factors (psychological factor, social factor) and the delayed recovery of paralyzed upper limbs is the largest causal factor of anxiety of physical factor. Meanwhile, the relationship between the degree of family support and the level of anxiety was negatively correlated but the degree of relationship was low. Therefore, one can infer from this study that sufficient information about recovery of physical problems and family support were effective in preventing and reducing anxiety in hemiplegic patient.

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偏瘫患者感知家庭支持与焦虑的研究
本研究旨在探讨偏瘫患者焦虑的成因,并分析家庭支持与焦虑的关系。本研究以88名在庆熙韩医院住院的偏瘫患者为研究对象。资料收集于1990年1月15日至3月31日,采用问卷访谈法。本研究使用的测量工具为Kang的家庭支持量表、Spielberger的特质焦虑量表和本研究开发的另一种焦虑量表,信度和效度均得到认可。本研究采用频率、t检验、方差分析等方法对收集到的数据进行分析,采用pearson相关、偏相关等方法对假设进行检验。研究结果如下:1)分析三种情况下高焦虑的原因;(1)第1因素为上肢瘫痪恢复迟缓(2.42 +/- 1.27)。(2)第二个原因是体能功能障碍(2.30 +/- 1.29)。(3)第3个原因是行走困难(2.30 +/- 0.83),身体因素的焦虑水平(2.02 +/- 0.83)高于其他因素。2)患者感知到的家庭支持水平越高,患者焦虑水平越低的假设得到支持(r = -)。29, p = .003)。3)影响患者焦虑水平的一般特征分析;(性别、年龄、婚姻状况、宗教、文化程度、职业、经济状况、住院经历、照顾者、住院时间、瘫痪部位)。在这个分析中,任何因素都没有统计学意义。(p > 0.05)。4)通过患者一般特征(性别、年龄、婚姻状况、宗教信仰、文化程度、职业、经济状况、住院经历、护理人员、住院时间、瘫痪部位)分析家庭支持水平影响因素的关系。在本分析中,已婚和丧偶患者对家庭支持的感知差异有统计学意义(t = -2.68, p = 0.009)。本研究结果显示,身体因素的焦虑水平高于其他任何因素(心理因素、社会因素),上肢瘫痪的延迟恢复是身体因素焦虑的最大诱因。与此同时,家庭支持度与焦虑水平呈负相关,但相关程度较低。因此,从本研究可以推断,充分的身体问题恢复信息和家庭支持对预防和减少偏瘫患者的焦虑是有效的。
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