Comparison of Motivation for Rehabilitation, Family Support and Adherence to Rehabilitation between Depressive and Non-depressive Stroke Patients.
10.7587/kjrehn.2016.19.2.138
- Author:
An Suk PARK
1
;
Eun KO
;
Hee Sun KANG
Author Information
1. Department of Nursing, Hyodream Hospital, Gwangju, Korea.
- Publication Type:Original Article
- Keywords:
Stroke;
Depression;
Rehabilitation;
Motivation;
Adherence
- MeSH:
Depression;
Health Occupations;
Humans;
Logistic Models;
Motivation*;
Nursing;
Rehabilitation*;
Stroke*
- From:Korean Journal of Rehabilitation Nursing
2016;19(2):138-147
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare motivation for rehabilitation, family support and adherence to rehabilitation and identify factors predicting adherence to rehabilitation between depressive and non-depressive stroke patients. METHODS: Stroke patients admitted to rehabilitation hospitals (n=159) participated in the study. Data were collected through self-reported questionnaires including general characteristics, depression, motivation for rehabilitation, family support and adherence to rehabilitation. The data were analyzed by descriptive statistics, t-test, χ² test, Pearson correlation coefficients and logistic regression using the SPSS/WIN 21.0 program. RESULTS: 62.9% of the subjects were identified as depressive patients. Motivation for rehabilitation (F=48.18, p=.020) and adherence to rehabilitation (F=9.68, p=.002) in depressive stroke patients were significantly lower than non-depressive stroke patients. Family support also in depressive group was lower than non-depressive group but there was no statistical significance (F=2.35, p=.127). Motivation for rehabilitation (OR=11.46), family support (OR=1.05) and onset period (less than 2 year)(OR=3.61) predicted the good adherence to rehabilitation in depressive stroke patients. CONCLUSION: The results of this study indicate that health professionals need to identify factors affecting adherence to rehabilitation and provide a nursing intervention considering the depression especially when caring for stroke patients.
