급성기 이후 뇌졸중 환자의 재활이행에 미치는 심리사회적 영향요인

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.