Mohd Zulkifly Mohd Faizal, Ghazali Shazli Ezzat, Che Din Normah, Desa Asmawati, Raymond Azman Ali
Health Psychology Program, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia; Center for Neuroscience Services & Research (P3Neuro), Health Campus, University of Science Malaysia (USM), 16150 Kubang Kerian, Kelantan, Malaysia.
Health Psychology Program, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia.
Malays J Med Sci. 2015 Sep;22(5):31-41.
The aim of this study was to address the ability of the recovery locus of control scale (RLOC) and post-traumatic stress symptoms (PTSS) to predict physical functioning among stroke patients. In addition, the best predictors within the subdomains of the RLOC and PTSS were also investigated.
A total of 147 stroke patients aged 33-85 years who had intact cognitive functioning were involved in the study. The Recovery Locus of Control Scale (RLOC), the Impact of Event Scale-Revised (IES-R), and the Barthel Index (ADL) were administered to respondents six weeks after stroke.
The results showed that the RLOC and PTSS were significant predictors and were capable of predicting 31% of the physical functioning of stroke patients (adjusted R = 0.31; 0.001). Furthermore, with respect to clinical factors, the affected lesion side contributed to predicting 7% of the physical functioning (R= 0.07; 0.001). A hierarchical regression analysis found that the internal recovery locus of control (IRLOC) was a predictor capable of explaining 18% of the predicted physical functioning (adjusted R= 0.18; 0.001). Meanwhile, avoidance was the most influential significant predictor among PTSS, contributing to 24% of the predicting physical functioning (adjusted R= 0.24; 0.001).
In conclusion, the RLOC and PTSS were capable of predicting physical functioning among stroke patients.
本研究旨在探讨康复控制点量表（RLOC）和创伤后应激症状（PTSS）对中风患者身体功能的预测能力。此外，还研究了RLOC和PTSS各子领域中的最佳预测因素。
共有147名年龄在33 - 85岁之间、认知功能完好的中风患者参与了本研究。在中风六周后，对受访者进行康复控制点量表（RLOC）、事件影响量表修订版（IES - R）和巴氏指数（ADL）评估。
结果显示，RLOC和PTSS是显著的预测因素，能够预测中风患者31%的身体功能（调整后R = 0.31；P < 0.001）。此外，就临床因素而言，患侧病变对身体功能预测的贡献率为7%（R = 0.07；P < 0.001）。分层回归分析发现，内控康复控制点（IRLOC）是一个能够解释18%预测身体功能的预测因素（调整后R = 0.18；P < 0.001）。同时，回避是PTSS中最具影响力的显著预测因素，对身体功能预测的贡献率为24%（调整后R = 0.24；P < 0.001）。
总之，RLOC和PTSS能够预测中风患者的身体功能。
