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PHRP : Osong Public Health and Research Perspectives

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Original Articles
Predictors of health-related quality of life in Koreans with cardiovascular disease
Jung-Hye Lim
Osong Public Health Res Perspect. 2022;13(1):62-70.   Published online February 22, 2022
DOI: https://doi.org/10.24171/j.phrp.2021.0286
  • 1,286 View
  • 53 Download
  • 1 Citations
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
This study aimed to identify the predictors of health-related quality of life (HRQoL) in Korean adults with cardiovascular disease (CVD). Methods: This was a cross-sectional study with a stratified multistage probability sampling design. Data from the 2016 to 2019 Korea National Health and Nutrition Examination Survey (n=32,379) were used. Among the participants aged 19 years or older (n=25,995), 1,081 patients with CVD were extracted after excluding those with missing data and those who had cancer. The participants’ HRQoL was measured using the three-level EuroQoL Group’s five-dimension questionnaire (EQ-5D) scale. Data were analyzed using the t-test, one-way analysis of variance, and general linear regression for complex samples. Results: The most potent predictors of HRQoL in Korean adults with CVD were limited activity (β =−0.103, p <0.001), poor perceived health (β =−0.089, p <0.001), depression (β =−0.065, p<0.01), low household income (β=−0.033, p<0.05), unemployment (β=−0.023, p<0.05), and older age (β=−0.002, p<0.01), which explained 37.2% of the variance. Conclusion: Comprehensive interventions that address both physical and mental factors and social systems that provide financial help need to be implemented to improve the HRQoL of Korean adults with CVD.
Effects of activities of daily living-based dual-task training on upper extremity function, cognitive function, and quality of life in stroke patients
Hee-Su An, Deok-Ju Kim
Osong Public Health Res Perspect. 2021;12(5):304-313.   Published online September 13, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0177
  • 6,893 View
  • 158 Download
AbstractAbstract PDFSupplementary Material
Objectives
The aim of this study was to investigate the effect of daily living dual-task training focused on improving attention and executive function of the upper extremities, cognitive function, and quality of life in stroke patients.
Methods
We included 30 stroke patients who were hospitalized between July 2020 and October 2020. They were divided into experimental and control groups through randomization. The experimental group performed 20 minutes of dual-task training and received 10 minutes of conventional occupational therapy, while the control group performed 20 minutes of single-task training and received 10 minutes of conventional occupational therapy. Both groups underwent their respective rehabilitation for 30 minutes per session, 5 times per week for 5 weeks.
Results
Both groups showed significant improvements in upper extremity function, cognitive function, and quality of life; the experimental group showed higher results for all items. A significant between-group difference was observed in the magnitude of the changes.
Conclusion
In stroke patients, dual-task training that combined attention and executive function with daily living activities was found to be meaningful, as it encouraged active participation and motivation. This study is expected to be used as a foundation for future interventions for stroke patients.
The Effects of the Korean Medicine Health Care Program on Stroke-Related Factors and Self-Care Enhancement
Kyoung-Oh Chang, Jung-Hye Lim
Osong Public Health Res Perspect. 2019;10(5):307-314.   Published online October 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.5.07
  • 2,933 View
  • 171 Download
AbstractAbstract PDF
Objectives

This study was performed to examine the effects of the Korean medicine healthcare program on stroke-related factors and self-care enhancement.

Methods

This study was a quasi-experimental, pretest-posttest nonequivalent control group design study (N = 58 participants), with 28 in the treatment group (Korean medicine health care program) and 30 in the control group (no intervention). The program was conducted twice a week for 2 hours, for a total of 12 weeks.

Results

There were statistically significant differences in systolic (p = 0.005) and diastolic blood pressure (p = 0.006), cholesterol (p < 0.001), blood glucose (p < 0.001), self-esteem (p = 0.001), self-efficacy (p < 0.001), health perception (p < 0.001), and the health behavior (p < 0.001) between the experimental group and the control group.

Conclusion

Thus, the Korean medicine healthcare program was effective in managing stroke-related factors and enhancing self-care, and should be actively used to develop community health promotion strategies to prevent strokes and prepare long-term measures.

The Effect of a Complex Intervention Program for Unilateral Neglect in Patients with Acute-Phase Stroke: A Randomized Controlled Trial
Hyun-Se Choi, Deok-Ju Kim, Yeong-Ae Yang
Osong Public Health Res Perspect. 2019;10(5):265-273.   Published online October 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.5.02
  • 3,171 View
  • 183 Download
  • 1 Citations
AbstractAbstract PDF
Objectives

The purpose of this study was to examine the combined effects of Prism Adaptation (PA) plus functional electrical stimulation (FES) on stroke patients with unilateral neglect, and suggest a new intervention method for acute-phase stroke patients.

Methods

There were 30 patients included in this study from April to October 2016 that had unilateral neglect whilst hospitalized following a stroke (diagnosed by a professional). The participants, who were patients receiving occupational therapy, understood the purpose of the study and agreed to participate. The patients were randomly divided into 3 groups: PA plus FES group (Group A), PA group (Group B), and FES group (Group C). Treatments lasted for 50 minutes per day, 5 times per week, for 3 weeks in total. Reevaluation was conducted after 3 weeks of intervention.

Results

All 3 groups showed unilateral neglect reduction after the intervention, but PA plus FES (complex intervention method) was more effective than PA or FES alone [effect size: Motor-free Visual Perception Test (0.80), Albert test (0.98), CBS (0.92)].

Conclusion

The results of this study support further studies to examine complex intervention for the treatment of unilateral neglect.

Dual Task Training Effects on Upper Extremity Functions and Performance of Daily Activities of Chronic Stroke Patients
JuHyung Park
Osong Public Health Res Perspect. 2019;10(1):2-5.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.02
  • 2,802 View
  • 74 Download
  • 1 Citations
AbstractAbstract PDF
Objectives

The purpose of this research was to study the influences of dual task training on upper extremity function and performance of daily activities of chronic stroke patients.

Methods

Dual task training was performed on 21 patients who had suffered a chronic stroke with hemiplegia. The dual task training was performed for 30 minutes per session, for 5 days a week, for 3 weeks. There were 5 evaluations carried out over 3 weeks before and after the intervention. Changes in upper extremity function were measured by using the Box and block test. Changes in the performance of daily activities were measured using the Korea-Modified Barthel Index.

Results

The mean upper limb function score of the chronic stroke patients increased significantly from 21.88 ± 19.99 before the intervention, to 26.22 ± 15.65 after the intervention (p < 0.05), and the mean daily activities score increased significantly from 65.82 ± 12.04, to 67.29 ± 12.90 (p < 0.05).

Conclusion

Dual task training effectively improved upper extremity function, and the performance of daily activities in chronic stroke patients.

The Effects of Task-Oriented Circuit Training Using Rehabilitation Tools on the Upper-Extremity Functions and Daily Activities of Patients with Acute Stroke: A Randomized Controlled Pilot Trial
Jong-Hoon Moon, Kyoung-Young Park, Hee-Jin Kim, Chang-Ho Na
Osong Public Health Res Perspect. 2018;9(5):225-230.   Published online October 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.5.03
  • 3,476 View
  • 92 Download
  • 2 Citations
AbstractAbstract PDF
Objectives

The purpose of this study was to investigate the effect of task-oriented circuit training (TOCT) using the rehabilitation tools for upper extremity function upon the daily life of patients with acute stroke.

Methods

Eighteen patients with acute stroke were randomly allocated into either the experimental group or the control group. The experimental group performed the TOCT program using rehabilitation tools, whilst the control group had neuro-developmental treatment. Both groups received 30 minutes of treatment per session, 5~6 times per week, for 4 weeks. The assessments conducted were the Fugl-Meyer assessment, motor activity log and stroke impact scale to compare the upper extremity function and activities of daily living.

Results

The results showed a significant improvement in the TOCT group compared with the neuro-developmental treatment group in the amount of motor activity use and high stroke impact score, indicating recovery (p < 0.05).

Conclusion

The TOCT program using rehabilitation tools could have a positive impact on acute stroke patients use of their upper extremity.

Assessment of Weight Shift Direction in Chronic Stroke Patients
So Hyun Park
Osong Public Health Res Perspect. 2018;9(3):118-121.   Published online June 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.3.06
  • 2,391 View
  • 34 Download
  • 1 Citations
AbstractAbstract PDF
Background

In patients who have suffered a stroke, the measurement of center of pressure excursion in all directions including oblique direction, anterior-medial, anterior-lateral, posterior-medial, and posterior-lateral side is important for determining balance instability but no research has been reported.

Objectives

This study investigated weight shift in all directions to determine balance instability in stroke patients, including the oblique direction, using the multi-directional functional reach test.

Methods

Eleven subjects participated. Multi-directional functional reach test consisted of moving the unaffected arm as far as possible in 8 directions. The directions were as follows; anterior, middle of anterior and lateral in unaffected side, lateral in unaffected side, and middle of the posterior and lateral in unaffected side, posterior, middle of posterior and lateral in affected side, lateral in affected side, middle of anterior and lateral in affected side.

Results

Movement was the lowest in the affected posterior-lateral side, followed by affected posterior, affected anterior-lateral, non-affected posterior lateral, affected lateral, non-affected lateral, non-affected anterior-lateral and anterior side (p < 0.05).

Conclusion

Center of pressure excursion of the affected posterior-lateral side was the most challenging for stroke patients and their reach was lowest from posterior, to lateral, and anterior directions, whilst patients could move less on the affected side compared with the non-affected side.

Therapeutic Intervention for Visuo-Spatial Neglect after Stroke: A Meta-Analysis of Randomized Controlled Trials
Jae-Sung Kwon
Osong Public Health Res Perspect. 2018;9(2):59-65.   Published online April 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.2.04
  • 2,979 View
  • 63 Download
  • 5 Citations
AbstractAbstract PDF
Objectives

The aims of this meta-analysis were to examine intervention methods of qualitatively, well-designed studies from the past 10 years for treating visuo-spatial neglect (VSN) in patients who had suffered a stroke, and to evaluate the combined effects of intervention.

Methods

Studies published between 2008 and 2017 on the theme of VSN were collected from PubMed, CINAHL, and MEDLINE, representative academic databases and search engines. The PEDro scale was used for evaluating the quality of methodology. The sample size, mean, and standard deviation of identified studies were used for meta-analysis.

Results

Eight studies were selected for analysis. The PEDro scores of the selected studies were ≥ 7, with 237 subjects analyzed. The results of intervention were classified into “mental function” and “activity and participation” based on the International Classification of Functioning, Disability and Health. The analyzed effect sizes for combined outcomes, mental function and, activity and participation, were 0.728 (medium effect size), 0.850 (large effect size), and 0.536 (medium effect size), respectively.

Conclusion

Intervention methods for treating VSN had a short-term effect on cognitive function (visual perception). In particular, non-invasive brain stimulation therapy showed a large effect size for VSN treatment.

Determinants of the Length of Stay in Stroke Patients
Sang Mi Kim, Sung Wan Hwang, Eun-Hwan Oh, Jung-Kyu Kang
Osong Public Health Res Perspect. 2013;4(6):329-341.   Published online December 31, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.10.008
  • 1,653 View
  • 12 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
The study objective was to identify the factors that influence the length of stay (LOS) in hospital for stroke patients and to provide data for managing hospital costs by managing the LOS.
Methods
This study used data from the Discharge Injury Survey of the Korea Centers for Disease Control and Prevention, which included 17,364 cases from 2005 to 2008.
Result
The LOS for stroke, cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage was 18.6, 15.0, 28.9, and 25.3 days, respectively. Patients who underwent surgery had longer LOS. When patients were divided based on whether they had surgery, there was a 2.4-time difference in the LOS for patients with subarachnoid hemorrhage, 2.0-time difference for patients with cerebral infarction, and 1.4-time difference for patients with intracerebral hemorrhage. The emergency route of admission and other diagnosis increased LOS, whereas hypertension and diabetic mellitus reduced LOS.
Conclusion
In the present rapidly changing hospital environments, hospitals approach an efficient policy for LOS, to maintain their revenues and quality of assessment. If LOS is used as the indicator of treatment expenses, there is a need to tackle factors that influence the LOS of stroke patients for each disease group who are divided based on whether surgery is performed or not for the proper management of the LOS.

PHRP : Osong Public Health and Research Perspectives