Cheong Moon Joo, Kang Yeonseok, Kang Hyung Won
Rare Diseases Integrative Treatment Research Institute, Wonkwang University, Jangheung Integrative Medical Hospital, 121 Lohas-ro, Anyang-myeon 59338, Korea.
Department of Medical History, College of Korean Medicine, Wonkwang University, Iksan 54538, Korea.
Healthcare (Basel). 2021 Sep 14;9(9):1211. doi: 10.3390/healthcare9091211.
The incidence of strokes in individuals in their 30-40 s-who have responsibilities towards their families-has increased. Additionally, many stroke patients suffer from post-stroke disabilities and require rehabilitation. However, especially in younger stroke patients, factors such as financial burden and the inability to be productive lead to depression and thereby, the lack of rehabilitation motivation-which affects their therapeutic outcomes. Therefore, medical interventions alone are not sufficient. This study aimed to identify the psychosocial factors that affect stroke patients' rehabilitation motivation. Hence, a scoping review was conducted to analyze the research trends across South Korean academic papers and theses, followed by a comprehensive meta-analysis to identify the correlations among the variables. Eighteen factors related to rehabilitation motivation were identified. The internal factors were depression, cognition, self-efficacy, self-esteem, disability acceptance, volition, communication, resilience, empowerment, and uncertainty. The external factors included sleep pattern, quality of life, activities of daily living, physical function, social support, financial burden, disease-related characteristics, and rehabilitation environment. Based on these findings, an intervention model should be developed to provide social support to stroke patients. Moreover, psychological interventions should be developed to enhance the self-efficacy of stroke patients who are undergoing rehabilitation.
三四十岁承担着家庭责任的人群中中风发病率有所上升。此外，许多中风患者患有中风后残疾，需要康复治疗。然而，尤其是年轻的中风患者，经济负担和无法恢复正常生活能力等因素会导致抑郁，进而缺乏康复动力，这会影响他们的治疗效果。因此，仅靠医学干预是不够的。本研究旨在确定影响中风患者康复动力的社会心理因素。因此，我们进行了一项范围综述，以分析韩国学术论文和学位论文的研究趋势，随后进行了全面的荟萃分析，以确定变量之间的相关性。我们确定了18个与康复动力相关的因素。内部因素包括抑郁、认知、自我效能感、自尊、残疾接受度、意志力、沟通、心理韧性、赋权和不确定性。外部因素包括睡眠模式、生活质量、日常生活活动、身体功能、社会支持、经济负担、疾病相关特征和康复环境。基于这些发现，应开发一种干预模式，为中风患者提供社会支持。此外，应开展心理干预，以提高正在接受康复治疗的中风患者的自我效能感。
