Abstract

• The purpose of this study was to test the effects of health contract on the performance level for activity of daily living(ADL) in the hemiplegic patients. A quasi-experimental research for health contract, which was approved as an effective method of nursing intervention, was attempted to increase the performance of the hemiplegic patients' ADL. As a purpose sample, 69 hemiplegic patients hospitalized at Oriental medicine hospital of K university were taken and divided into the experimental group and the control group by means of random assignment. After Contracting with the experimental group, they were reinforced everyday for 20 minutes. The experimental group and the control group were observed and interviewed for five times at the in interval of 3~4 days by the trained nurses for this research. The data Collected through above mentioned methods were compute analyzed by t-test and ANOVA according to the purpose of this study. The data collected trough above mentioned methods were computer analyzed by t-test and ANOVA according to the purpose of this study. Strate increased the performance level for ADL than the Control group" was supported(t=2.96, df=52.76, p=.004). Sub Hypothesis 1,2,4,5, : "The hypothesis that the experimental group with health contract will demonstrate increased the performance level for eating(t=2.29, df=42.70, p=.027), personal hygiene and grooming(t=4.04, df=43.10, p=.000), dressing(t=3.32, df=67, p=.001) and undressing(t=3.47, df=48.44, p=.001) than the control group" was supported. Sub Hypothesis 3.6 : "The hypothesis that the experimental group with health contract will demonstrate increased the performance level for toiletting(t=.19, df=67, p=.849) and mobilization(t=.30, df=67, p=.765) than the control group" was not supported. The conclusion can be that the positive relationship between the nurses and the patient results in the desired performance level for ADL in the hemiplegic patients.

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