Analysis of the current status of rehabilitation motivation and its influencing factors in older adults with stroke: a cross-sectional study

Abstract

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.

The relationship between rehabilitation motivation and upper limb motor function in stroke patients

“…In terms of cognitive function ( Figure 1D ), MMSE assessment showed that 38.83% ( 22 ) of participants had mild cognitive impairments, while the rest were normal. Regarding emotional aspects, only 0.97% ( 14 ) of patients were likely to have depression ( Figure 1A ), and 27.18% ( 23 ) of patients were likely to have anxiety ( Figure 1B ), with no participants exhibiting severe depression (>35 points) or severe anxiety (>29 points). According to the AES-C, 42.72% ( 24 ) of participants had scores ≥35, indicating possible clinical signs of apathy ( Figure 1C ).…”

The influence of patient motivation on the motor function restoration during stroke recovery. Preliminary results of a clinical study

“…Например, в работе M. Tan и соавт. [28] показано, что снижение мотивации и функциональных функций у больных связано со страхом перед физическими нагрузками.…”

Effects of Diamond Steps Exercises on Balance Improvement in Healthy Young and Older Adults: A Protocol Proposal

“…Therapists need to devise training methods that are easy to continue, and the participants’ motivation and subjective evaluation of the training should also be considered. Motivation for rehabilitation has been shown to play a dominant role in the rehabilitation process and promotes a reduction in the rate of disability [ 28 ]. Therefore, a subjective evaluation was conducted to establish whether the DS exercises were easy to adhere to for healthy participants.…”