Department of Occupational Therapy, School of Health Sciences, Fukushima Medical University, Fukushima, Japan.
Department of Rehabilitation, Kita-Fukushima Medical Center, Date, Japan.
Neurol Res. 2024 Dec;46(12):1122-1129. doi: 10.1080/01616412.2024.2403859. Epub 2024 Sep 16.
This study aimed to evaluate the impact of motivation on independence in activities of daily living, such as eating, getting up, and rehabilitation, in subacute stroke patients.
We retrospectively assessed the data of 191 first-stroke patients in a rehabilitation hospital ward. Motivation was examined using the following five elements of the Vitality Index: waking pattern, communication, feeding, on and off toilet, and rehabilitation and other activities. As an outcome measure, independence in activities of daily living, such as eating and dressing, was assessed using the Barthel Index. Logistic regression analysis was performed using the independence of each activities of daily living, as determined by the Barthel Index at discharge, as a dependent variable and each of the Vitality Index item scores as the independent variable.
Motivation to get up item of the Vitality Index was significantly associated with independence in grooming and dressing, whereas motivation to communicate item was significantly associated with independence in transferring ( < 0.05). Furthermore, motivation to eat item was significantly associated with independence in feeding, grooming, dressing, and transferring, whereas motivation to engage in rehabilitation and activities was significantly associated with independence in dressing, transferring, and toileting ( < 0.05).
Our results suggest that the motivation to eat, get up, communicate, and participate in rehabilitation and activities is associated with independence in different activities of daily living. The present study provides useful insights into the significance and interpretation of assessing motivation on independence in activities of daily living.
本研究旨在评估动机对亚急性脑卒中患者日常生活活动（如进食、起床和康复）独立性的影响。
我们回顾性评估了康复医院病房 191 例首发脑卒中患者的数据。使用活力指数的以下 5 个要素评估动机：觉醒模式、沟通、进食、上下厕所和康复及其他活动。作为结局指标，使用 Barthel 指数评估日常生活活动（如进食和穿衣）的独立性。使用 Barthel 指数在出院时确定的日常生活活动独立性作为因变量，活力指数各项得分作为自变量，进行逻辑回归分析。
活力指数的起床动机项目与修饰和穿衣的独立性显著相关，而沟通动机项目与转移的独立性显著相关（<0.05）。此外，进食动机项目与进食、修饰、穿衣和转移的独立性显著相关，而康复和活动的动机与穿衣、转移和如厕的独立性显著相关（<0.05）。
我们的结果表明，进食、起床、沟通和参与康复及活动的动机与日常生活活动不同方面的独立性相关。本研究为评估动机对日常生活活动独立性的意义和解释提供了有用的见解。
