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최혜지 ( Choi Hye-Ji ) - Changwon Gyeongsang National University Hospital Department of Nursing
장희경 ( Chang Hee-Kyung ) - Gyeongsang National University College of Nursing
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Abstract
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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, Scheffe? 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.
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KeyWords
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뇌졸중, 불확실성, 사회적지지, 재활이행, 회복탄력성
Rehabilitation, Resilience, Social support, Stroke, Uncertainty
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원문 및 링크아웃 정보
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등재저널 정보
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