Korean J Rehabil Nurs.  2000 Dec;3(2):196-211.

Effects of 5 Weeks Self-Help Management Program on Reducing Depression and Promoting Activity of Daily Livings, Grasping Power, Hope and Self-Efficacy

• Kim K
• Seo H
• Kim E

Abstract

The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. This self-help management program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS( version 6.12) program. The results were as follows: 1) The score of ADLs was increased from 27.04 to 28.22 after program, and that was statistically significant(p = .005). 2) The score of IADLs was increased from 18.70 to 19.78 after program, and that was statistically significant(p = .004) 3) The grasping power of right hand was increased from 21.87kg to 26.93kg after program, and that was statistically significant (p = .002). But the grasping power of left hand were statistically insignificant (p = .919). 4) The score of depression was decreased from 39.63 to 35.30 after program, and that was statistically significant(p = .030). 5) The scores of hope was increased from 30.89 to 34.15 after program, and that was statistically significant(p = .002). 6) The score of self-efficacy was increased from 67.70 to 76.37 after program, and that was statistically significant(p = .000). According to the results of this study, the scores of Activity of Daily Livings (ADLs). Instrumental Activity of Daily Livings (IADLs). hope, and self-efficacy and the grasping power were improved and depression was reduced for post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patients.

MeSH Terms

Activities of Daily Living
Depression*
Hand
Hand Strength*
Health Education
Hope*
Humans
Nursing
Public Health
Surveys and Questionnaires
Recreation
Seoul
Stroke
Vital Signs