J Korean Biol Nurs Sci.  2017 May;19(2):113-122. 10.7586/jkbns.2017.19.2.113.

Influences of Rehabilitation Motivation, Self-efficacy and Family Support on Rehabilitation Adherence in Stroke Patients

• Park AS
• Ko E

• KMID: 2382110
• DOI: http://doi.org/10.7586/jkbns.2017.19.2.113

Abstract

PURPOSE
The purpose of this study was to identify influencing factors on rehabilitation adherence in stroke patients.
METHODS
This study was a descriptive survey. A structured questionnaire was used for face-to-face interviews with a convenient sample of 192 subjects, who were admitted in 5 rehabilitation hospitals located in G metropolitan city.
RESULTS
The score of rehabilitation motivation in the subjects was a mean of 2.04±0.35, self-efficacy 6.22±2.32, family support 3.40±0.82 and rehabilitation adherence 3.08±0.41. The rehabilitation adherence was a statistically significant difference according to the education level (F=3.40, p=.035), marital status (F=4.04, p=.019), number of personal insurance policies (K=9.80, p=.020), location of paresis (F=2.72, p=.046), and status of current smoking (M=657.00, p=.001). There was significant correlation among degree of rehabilitation adherence, rehabilitation motivation (r=.30, p<.001), self-efficacy (r=.14, p=.046) and family support (r=.18, p=.011). Rehabilitation motivation (β=0.19, p=.007), self-efficacy (β=0.14, p=.035), marital status (β=0.14, p=.038), number of personal insurance policies (β=-0.15, p=.045) and location of paresis(β=-0.15, p=.028) were identified as significant predictors. This model explained 22.6% of variance in rehabilitation adherence (F=5.92, p<.001).
CONCLUSION
There is a need to develop an effective intervention for rehabilitation adherence improvement considering the identified variables in this study.

Keyword

Stroke Rehabilitation; Patient Compliance; Motivation; Self-efficacy

MeSH Terms

Education
Humans
Insurance
Marital Status
Motivation*
Paresis
Patient Compliance
Rehabilitation*
Smoke
Smoking
Stroke*
Smoke