주관적 건강상태, 정신건강 문제 및 걷기가 뇌졸중 환자의 삶의 질에 미치는 영향 : 조절된 매개 모형 (The Effect of Subjective Health Status, Mental Health Issues, and Walking on Quality of Life in Patients with Stroke: A moderated mediation model)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 12권 / 4호 / 335 ~ 347페이지
· 저자명 : 김소현, 문병현, 조성현

초록

Purpose : To examine a moderated mediation model to explain quality of life (QOL) in patients with stroke. The mediating effect of mental health issues on the relationship between subjective health status and QOL, and the moderating effect of walking on QOL were investigated using a moderated mediation model.
Methods : This study used data from the second Korean healthcare panel survey conducted between 2019 and 2020. Data from 375 patients with stroke were analyzed using the SPSS PROCESS macro, version 4.2. The mediating effect was analyzed using Model 4, the moderating effect was assessed using Model 1, and the moderated mediation effect was evaluated using Model 14.
Results : First, subjective health status and QOL were directly related. Second, the relationship between subjective health status and QOL was mediated by mental health issues within the past year. Third, low and moderate walking days per week had a moderating effect on the relationship between mental health issues and QOL within one year. However, there was no moderating effect in the group with a high number of walking days per week. Fourth, in the overall path, walking days per week had a moderated mediating effect on the relationship among subjective health status, mental health issues within one year, and QOL.
Conclusion : Improving subjective health status, mental health, and walking frequency in patients with stroke can improve their QOL. In particular, the relationship between mental health issues and QOL suggests that aerobic exercise such as frequent walking, may assist in preventing or mitigating the decline in QOL caused by mental health issues. Therefore, the rehabilitation of patients with stroke should include improving subjective health status, mental health, and aerobic training such as walking, to improve QOL.

영어초록

Purpose : To examine a moderated mediation model to explain quality of life (QOL) in patients with stroke. The mediating effect of mental health issues on the relationship between subjective health status and QOL, and the moderating effect of walking on QOL were investigated using a moderated mediation model.
Methods : This study used data from the second Korean healthcare panel survey conducted between 2019 and 2020. Data from 375 patients with stroke were analyzed using the SPSS PROCESS macro, version 4.2. The mediating effect was analyzed using Model 4, the moderating effect was assessed using Model 1, and the moderated mediation effect was evaluated using Model 14.
Results : First, subjective health status and QOL were directly related. Second, the relationship between subjective health status and QOL was mediated by mental health issues within the past year. Third, low and moderate walking days per week had a moderating effect on the relationship between mental health issues and QOL within one year. However, there was no moderating effect in the group with a high number of walking days per week. Fourth, in the overall path, walking days per week had a moderated mediating effect on the relationship among subjective health status, mental health issues within one year, and QOL.
Conclusion : Improving subjective health status, mental health, and walking frequency in patients with stroke can improve their QOL. In particular, the relationship between mental health issues and QOL suggests that aerobic exercise such as frequent walking, may assist in preventing or mitigating the decline in QOL caused by mental health issues. Therefore, the rehabilitation of patients with stroke should include improving subjective health status, mental health, and aerobic training such as walking, to improve QOL.

참고자료

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