Uncovering the Determinants of Rehabilitation Motivation in Older Adults with Stroke

Published on April 27, 2023

Imagine you’re on a journey and come across a steep hill. At first, you may feel a little discouraged and unmotivated to climb it. However, as you receive support from your friends and family, diligently train your muscles, and overcome any fear or hesitation, your motivation starts to soar! This is similar to the experience of older adults with stroke when it comes to rehabilitation. In this study, researchers investigated the factors that influence their motivation to recover. They found that perceived social support, exercise adherence, and stroke motivation were positively related to rehabilitation motivation, while kinesiophobia (fear of movement) had a negative impact. Additionally, factors like the time of stroke, location of the brain lesion, and individual perceptions of social support and exercise adherence also played a role in determining motivation levels. These findings suggest that healthcare providers should tailor rehabilitation strategies based on each patient’s unique circumstances to maximize their recovery potential. Dive into the full article for a deeper understanding of this fascinating research and its implications!

ObjectiveAmong stroke patients, exercise adherence is an important factor in reducing the rate of physical disability and mortality. Rehabilitation exercise after stroke is a safe and effective measure to restore normal body functions, but the analysis of factors influencing patients’ motivation for rehabilitation is not well established. Therefore, this study will explore the influencing factors of rehabilitation motivation in older adults with stroke so as to reduce the disability rate of stroke.MethodA convenience sampling method was used to study 350 patients in a stroke ward of a tertiary care hospital in Jinzhou, Liaoning Province. Patients’ general demographic data, Multidimensional Scale of Perceived Social Support (PSSS), Questionnaire of Exercise Adherence (EAQ), Tampa scale of kinesiophobia (TSK-11), and Motivation in stroke patients for rehabilitation scale (MORE) were assessed. ANOVA or t-test analysis, correlation analysis, and linear regression analysis were used to explore the factors influencing the motivation for rehabilitation in older adults with stroke.ResultsThe results showed that stroke patients’ motivation for rehabilitation was at a moderate level. Perceived social support, exercise adherence, and stroke motivation were positively correlated (r = 0.619, p < 0.01; r = 0.569, p < 0.01), and kinesiophobia was negatively correlated with stroke motivation (r = −0.677, p < 0.01). Time of stroke, location of the lesion, perceived social support, exercise adherence, and kinesiophobia are influential factors affecting patients’ motivation to recover.ConclusionIn the rehabilitation program for older adult patients with stroke, healthcare providers should specify targeted rehabilitation measures according to the different degrees of the patient’s condition, so as to improve the effectiveness of rehabilitation medical implementation.

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