Browse > Article
http://dx.doi.org/10.7587/kjrehn.2016.138

Comparison of Motivation for Rehabilitation, Family Support and Adherence to Rehabilitation between Depressive and Non-depressive Stroke Patients  

Park, An Suk (Department of Nursing, Hyodream Hospital)
Ko, Eun (Department of Nursing, College of Life Science and Natural Resources, Sunchon National University)
Kang, Hee Sun (Department of Nursing, College of Life Science and Natural Resources, Sunchon National University)
Publication Information
The Korean Journal of Rehabilitation Nursing / v.19, no.2, 2016 , pp. 138-147 More about this Journal
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, $x^2$ 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.
Keywords
Stroke; Depression; Rehabilitation; Motivation; Adherence;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Cho, S. H., & Yun, K. S. (2016). Influence of uncertainty, physiologic risk factors, self-efficacy on self-management in stroke patients. Journal of Muscle and Joint Health, 23(2), 114-124. http://dx.doi.org/10.5953/JMJH.2016.23.2.114   DOI
2 Choi, E. S., Lee, E. N., & Cho, J. L. (2016). The mediating effect of resilience on depression and rehabilitation motivation in stroke patients. Journal of Muscle and Joint Health, 23(1), 19-27. http://dx.doi.org/10.5953/JMJH.2016.23.1.19   DOI
3 Chung, E. J., & Lee, B. H. (2012). A comparison of balance, activities of daily living and quality of life in stroke patients with depression and those without depression. Korean Journal of Exercise Rehabilitation, 8(3), 61-69.
4 Hafen, K., Jastrebow, J., Nubling, R., & Bengel, J. (2001). Development of a patient questionnaire for assessment of rehabilitation motivation (PAREMO). Rehabilitation, 40, 3-11.   DOI
5 Im, J. H., Lee, K. S., Kim, K. Y., Hong, N. S., Lee, S. W., & Bae, H. J. (2011). Follow-up study on mortality in Korean stroke patients. Journal of the Korean Medical Association, 54(11), 1199-1208. http://dx.doi.org/10.5124/jkma. 2011.54.11.1199   DOI
6 Intercollegiate Stroke Working Party. (2012). National clinical guideline for stroke. (4th ed). London, UK: Royal College of Physicians.
7 Ji, R., Liu, G., Shen, H., Wang, Y., Li, H., Peterson, E., et al. (2013). Persistence of secondary prevention medications after acute ischemic stroke or transient ischemic attack in Chinese population: Data from China National Stroke Registry. Neurological Esearch, 35(1), 29-36. http://dx.doi.org/10.1179/1743132812Y.0000000107   DOI
8 Kang, H. S. (1984). An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Unpublished doctoral dissertation, Yonsei University, Seoul.
9 Karahan, A. Y., Kucuksen, S., Yilmaz, H., Salli, A., Gungor, T., & Sahin, M. (2014). Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers. Journal of Faculty of Medicine in Hradec Kra love, 57(2), 68-72. http://dx.doi.org/10.14712/18059694.2014.42   DOI
10 Kim, A. L. (2010). An explanatory model for patient adherence of rehabilitation in patients with spinal cord injury. Korean Journal of Adult Nursing, 22(1), 90-102.
11 Kim, D. Y., & Jeong, H. (2009). Influencing factors of depression in stroke patients. Kosin Medical Journal, 24(2), 69-75.
12 Kim, E. J., Shin, Y. I., Kim, K. M., Park, M. S., Huh, S. C., Lee, H. I., et al. (2015). Longitudinal change and associated factors of poststroke depression-A prospective follow up study-. Journal of Rehabilitation Research, 19(4), 225-240. http://dx.doi.org/10.16884/JRR.2015.19.4.225   DOI
13 Kim, M. K., Lee, H. R., Kwon, J. Y., & Oh, H. S. (2013). Influencing and mediating factors in health behaviors among stroke patients. Korean Journal of Adult Nursing, 25(6),610-612. http://dx.doi.org/10.7475/kjan.2012.24.6.610   DOI
14 Kim, Y. T., Park, K. S., & Bae, S, G. (2015). Predictors of persistence and adherence with secondary preventive medication in stroke patients. Journal of Agricultural Medicine and Community Health, 40(1), 9-20. http://dx.doi.org/10.5393/JAMCH.2015.40.1.009   DOI
15 Kumar, S., Selim, M. H., & Caplan, L. R. (2010). Medical compliances after stroke. Lancet Neurology, 9(1), 105-118. http://dx.doi.org/10.1016/s1474-4422(09)70266-2.   DOI
16 Lee, Y., & Song, J. A. (1991). Study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychology, 10(1), 98-113.
17 National Evidence-based Healthcare Collaborating Agency. (2012). Stroke rehabilitation treatment status and medical user needs analysis. Seoul: Author.
18 Leyes, D. (2001). Atherothrombosis: A major health burden. Cerebrovascular Disease, 11(suppl 2), 1-4.
19 Moon, H. H. (2010). Relationship among depression, family support, and rehabilitation motive in patient with acute or subacute hemorrhagic stroke. Unpublished master's thesis, Yonsei University, Seoul.
20 Moon, J. Y., & Cho, B. H. (2011). Relationships among rehabilitation motivation, perceived stress and social support in stroke survivors. The Korean Journal of Rehabilitation Nursing, 14(1), 24-31.
21 Park, A. S. (2014). Influencing factors on rehabilitation treatment adherence in stroke patients. Unpublished master's thesis, Nambu University, Gwangju.
22 Park, E. Y., Shin, I. S., & Kim, J. H. (2012). A meta-analysis of the variables related to depression in Korean Patients with a stroke. Journal of Korean Academy Nursing, 42(4), 537-548. http://dx.doi.org/10.4040/jkan.2012.42.4.537   DOI
23 Park, M. G., & Ha, Y. (2014). Effectiveness of a self-management program using goal setting based on a G-AP for patients after a stroke. Journal of Korean Academy Nursing, 44(5), 581-591. http://dx.doi.org/10.4040/jkan.2014.44.5.481   DOI
24 Park, Y. S., & Kweon, S. S. (2002). Factors affecting stroke patients' rehabilitation-motivation. Korean Public Health Research, 28(1), 21-30.
25 Robinson, R. G., & Spalletta, G. (2010). Poststroke depression: A review. Canadian Journal Psychiatry, 55, 341-349.   DOI
26 Statistics Korea. (2016). Cause of death statistics, Retrieved November 8, 2016, from http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=M_01_01#SubCont
27 Whyte, E., & Mulsant, B. (2002). Post-stroke depression: Epidemiology, pathophysiology and biological treatment. Biological Psychiatry, 52(3), 253-264.   DOI
28 Carter, A. C. (2004). Post stroke depression. Journal of Psychosomatic Research, 56, 634.
29 Yeo, H. N., & Kim, Y. K. (2012). Effects of a group rehabilitation exercise program for stroke patients on their depression and motivation of rehabilitation. Journal of Korean Clinical Nursing Research, 18(3), 424-434.   DOI
30 Bushnell, C. D., Olson, D. M., Shao, X., Pan, W., Zimmer, L. O., Goldstein, L. B., et al. (2011). Secondary preventive medication persistence and adherence 1 year after stroke. Neurology, 77(12), 1182-1905.   DOI