환자중심 목표설정이 아급성기 뇌졸중 환자의 재활치료 성과에 미치는 영향

• 영문명: The Effect of Patient-Centered Goal Setting on Rehabilitation Outcomes in Patients With Subacute Stroke
• 발행기관: 한국전문물리치료학회
• 저자명: 원종임(Jong-im Won) 안창만(Chang-man An) 박민희(Min-hee Park)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제25권 제1호, 31~38쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2018.02.19

국문 초록

Background: Patient-centered care has recently become highly recommended, because it can improve health outcomes more effectively than problem-oriented care. The goal attainment scale (GAS) is one of the methods used for patient-centered care. It was originally developed as an outcome measurement tool, but it can also be used as a therapeutic intervention when setting quantifiable patient-centered goals. Objects: We sought to identify the effect of setting patient-centered goals on rehabilitation outcomes in patients with subacute stoke using GAS. Methods: Overall, 46 subjects with subacute stroke were divided into experimental (n 1 =23) and control (n 2 =23) groups. Subjects in both groups attended physical therapy sessions five times a week for four weeks. Those in the experimental group set goals using goal-attainment scaling. The mobility of each subject was evaluated using the Rivermead mobility index (RMI); daily-living activities, using the K-modified Barthel index (K-MBI); participation, using the Hopkins rehabilitation-engagement rating scale (HRERS); satisfaction, using the patient-satisfaction scale (PSS). Results: Subjects in the experimental group experienced more significant increases in RMI, HRERS, and PSS than those in the control group (p<.05, p<.05 and p<.01, respectively). After four weeks, GAS scores of the experimental group had increased more significantly than those of baseline (p<.01). Conclusion: Setting patient-centered goals is effective in improving the mobility and satisfaction of patients with subacute stoke. Setting patient-centered goals needs to be performed more frequently in clinical settings.

목차

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

키워드

Goal attainment scale Modified Barthel index Participation Patient-centered goal Rivermead mobility index Stroke.