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

뇌졸중 환자의 우울 유무에 따른 재활동기, 가족지지 및 재활이행 간의 비교

  • 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)
  • 박안숙 (효드림 요양병원) ;
  • 고은 (국립순천대학교 생명산업과학대학 간호학과) ;
  • 강희순 (국립순천대학교 생명산업과학대학 간호학과)
  • Received : 2016.11.15
  • Accepted : 2016.12.14
  • Published : 2016.12.31

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

References

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