Anterior cruciate ligament (ACL) injuries are one of the most common sports injury. There are many studies on various methods of rehabilitation exercise after surgery and mostly has been done on rehabilitation exercise programs tailored to physical changes according to each stage. However, there is little studies on the psychological counseling protocol according to stage of psychological change. The purpose of this study was to research the method of counseling according to psychological change in the patient after anterior cruciate ligament reconstruction (ACLR). The subject of this study were 60patients who underwent ACL surgery at department of orthopedic surgery, Guro hospital, Korea university. This study evaluated the emotion, confidence and risk of re-injury of patients by using ACL-RSI (ACL-Return to Sport after Injury)questionnaire. The study of result was investigate that a significant difference in all three domains in the group that could return to myself in comparison to the group who did not return to themselves(p<.05). The results of this study suggested that psychological stability was importance for a successful return after 6months, which is the time of returning from ACL surgery. Through these results, this study examined the psychological counseling methods for each recovery stage after ACL reconstruction. Also this study proposed that the psychological counseling methods by summarizing the views of various experts. The proposed contents are as follows. Phase 1, the psychological state of patients was anxiety, emotional state was fear, maladjustment and depression. Exports’s keyword of counseling method was rehabilitation cognition, effort, hope, recovery, hope. Phase 2, the psychological state of patients was slump, emotional state was maladjustment, patience and acception. Exports’s keyword of counseling method was encouragement, counsel, goal setting, effort, challenge, current representation. Phase 3, the psychological state of patients was Adaptation of physical function, emotional state was challenge, patience and acception. Exports’s keyword of counseling method was goal setting, vision, desire, effort, encouragement, counsel. Phase 4, the psychological state of patients was adaptation of Activity Daily Living(ADL), emotional state was patience, compromise and challenge. Exports’s keyword of counseling method was current situation cognition, caution recommendation, plan, vision, goal setting, effort. Phase 5, the psychological state of patients was stability, emotional state was challenge, acception and patience. Exports’s keyword of counseling method was return, counsel, solution, communication, caution recommendation, encouragement, patience.
저자
Se-Hyun Park [ Department of Exercise Rehabilitation & Welfare, Gachon University, Incheon, Korea ]
Chang-Sik Um [ Department of Exercise Rehabilitation & Welfare, Gachon University, Incheon, Korea ]
Eun-Surk Yi [ Department of Exercise Rehabilitation & Welfare, Gachon University, Incheon, Korea ]
Corresponding author