Korean J Rehabil Nurs.  2016 Dec;19(2):138-147. 10.7587/kjrehn.2016.19.2.138.

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

• Park AS
• Ko E
• Kang HS

• KMID: 2369019
• DOI: http://doi.org/10.7587/kjrehn.2016.19.2.138

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.

Keyword

Stroke; Depression; Rehabilitation; Motivation; Adherence

MeSH Terms

Depression
Health Occupations
Humans
Logistic Models
Motivation*
Nursing
Rehabilitation*
Stroke*