Korean J Rehabil Nurs.  2022 Dec;25(2):49-60. 10.7587/kjrehn.2022.49.

Psychosocial Factors Affecting Post-acute Stroke Patients’ Rehabilitation Adherence

• Choi HJ
• Chang HK

• KMID: 2538147
• DOI: http://doi.org/10.7587/kjrehn.2022.49

Abstract

Purpose
This study aimed to investigate the psychosocial factors that affect resilience, social support, uncertainty, and depression on rehabilitation adherence in post-acute stroke patients.
Methods
Data were collected from 2019 September 2 to 2020 February 4 using structured questionnaires. Participants were 124 patients who visited a university-affiliated hospital in C city. Using SPSS/WIN 21.0 program, the data were analyzed with independent t-test, one-way ANOVA, Scheffé ́ test, Pearson’s correlation coefficient, and stepwise multiple regression.
Results
Rehabilitation adherence among stroke patients was positively correlated with resilience (r=.38, p<.001), social support (r=.43, p<.001), and negatively correlated with uncertainty (r=-.28, p=.002). The most influencing factor of rehabilitation adherence among stroke patients was inconvenience in daily life (β=.29, p=.001), resilience (β=.25, p=.012), social support (β=.23, p=.021), activities of daily living (β=.17, p=.038), and uncertainty (β=-.22, p=.017). The relevant variables have a 30.6% influence (F=11.85, p<.001) on the rehabilitation adherence of stroke patients.
Conclusion
Nursing professionals should pay attention to providing personalized and targeted approaches to maximize stroke patients’ resilience and social support and reduce their uncertainty. There is a need to provide and activate integrated programs that identify and link family and community support systems.

Keyword

Rehabilitation; Resilience; Social support; Stroke; Uncertainty