Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea

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Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea

by

Moon Joo Cheong

¹,

Yeonseok Kang

² and

Hyung Won Kang

^2,3,*

¹

Rare Diseases Integrative Treatment Research Institute, Wonkwang University, Jangheung Integrative Medical Hospital, 121 Lohas-ro, Anyang-myeon 59338, Korea

²

Department of Medical History, College of Korean Medicine, Wonkwang University, Iksan 54538, Korea

³

Neuroscience Research Center, Department of Neuropsychiatry of Korean Medicine & Inam Neuroscience Research Center, Wonkwang University Sanbon Hospital, Iksan 15865, Korea

^*

Author to whom correspondence should be addressed.

Academic Editor: Tadashi Ito

Healthcare 2021, 9(9), 1211; https://doi.org/10.3390/healthcare9091211

Received: 26 July 2021 / Revised: 2 September 2021 / Accepted: 9 September 2021 / Published: 14 September 2021

(This article belongs to the Special Issue Comprehensive Clinical Physiotherapy and Rehabilitation: Version II)

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Abstract

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.  . The internal factors were depression, cognition, self-efficacy, self-esteem, disability acceptance, volition, communication, resilience, empowerment, and uncertainty.(You got this all wrong, the reason for lack of motivation is no 100% recovery protocols, your last word only; uncertainty.) The external factors included sleep pattern, quality of life, activities of daily living, physical function, social support, financial burden, disease-related characteristi,cs, 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. View Full-Text

Keywords: stroke; rehabilitation motivation; psychosocial factors; meta-analysis; scoping review

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