Impact of Stroke on Life Satisfaction and Psychological Adjustment among Stroke patients during Rehabilitation

Damned hard to have life satisfaction when only 10% of stroke patients get to almost full recovery.

http://www.lifesciencesite.com/lsj/life130316/002_30070lsj130316_7_17.pdf
1. Introduction
Stroke is the most significant global cause of
mortality and disability; however in developed
countries the primary and secondary prevention of
stroke has decreased mortality. The global prevalence
of stroke survivors was estimated to be 62 million in
2005 and to project from 67 million to 77 million in
year 2015 and 2030 respectively, which increases the
demand for rehabilitation Strong et al. (2007). The
number of new strokes in Egypt per year may be
around 150 000 to 210 000. Allah, & Moustafa
(2014). A National Stroke Association survey of longterm
stroke survivors found that 87% had ongoing
motor problems, 54% had trouble walking, 52% had
trouble with hand movements, and 58%experienced
spasticity These continuing disabilities significantly
decrease their life satisfaction. Carlsson et al. (2007).
Persons with a stroke often perceive challenges and
limitations in everyday life and this in turn has been
shown to be related to lower levels of perceived global
life satisfaction. Hartman et al. (2007). Considering
that stroke has not treatment, it is necessary for patients
that adjusted with self-chronic illness in order to take
action their duties and responsibilities These patients
are looking for strategies to adjust with the inability to
maintain or rebuild sense of coherence and consistency
in their life after stroke, Mouziraji et al. (2014).
Stroke rehabilitation aims to minimize residual
impairments and disability thereby improving the
patient’s ability to function in daily tasks. In addition
rehabilitation supports the patient in adapting to their
resulting disability, maximizing their ability to
participate in daily activities and social roles. Hu et al.
(2010). Enhanced patient motivation towards their
rehabilitation when clear goals are established prior to
treatment, Marklund et al. (2010).
The provision of feedback is thought to positively
influence an individual’s motivation to engage within
their rehabilitation. Patients felt that this feedback
motivated them to achieve their personal best by
beating their previous scores, Ewen et al. (2010),
Making an appropriate strategy is an important step in
improving life for so many stroke survivors and may
affect the success of rehabilitation and minimize the
negative effects of recurrent stroke to the
strokesufferers, developing strategies to maintain or reestablish
a sense of continuity after the disruptive life
event that stroke represents using strategies to foster
hope during the process of adjusting to life after stroke,
Oswald (2008).
Significant of the study
It is understandable that a stroke will have a major
impact on perceived health and satisfaction with life.
Stroke onset is often sudden and traumatic and hit
without warning, leaving the person with long-lasting,
and for some person’s life-lasting difficulties. For
persons experiencing stroke, almost every aspect of life
changes. Stroke is a major cause of disability, about
one third of stroke survivors make a complete
recovery, another third totally dependent and the
remaining third are left with some residual disability.
physical and cognitive impairments, lack of ability to
communicate, and/or lack of ability to function socially
or sexually, after stroke interfere with an adjustment to
the stroke, and interfere with life satisfaction. There is
a clear psychological impact for the stroke survivor,
with an estimated 20% to 40% of survivors suffering
from depression. This has a major impact on
motivation for rehabilitation, recovery and life
satisfaction in both the short and long term. For stroke
patients in order to achieve independence in daily
living activities, stroke survivors need extensive
rehabilitation work, having to attend long sessions of
physiotherapy. The compliance with treatments and
therapies is crucial and requires high motivation of the
patient. Stroke rehabilitation is a very important part of
recovery for many people who have suffered a stroke.
The primary goal of rehabilitation is thus to enable the
patient to reintegrate into the home and community
environment with the highest possible level of
functional independence and a good quality of life.
It is assumed that the physiological causes and
squeals of stroke are similar with stroke patients all
over the world; however the way that stroke patients
interpret their disability and appraise life post- stroke
could be influenced by their individual culture. In order
to provide stroke patients with the best possible care,
issues. Psychosocial issues need to be assessed
specifically and strategies put in place for both patient
and significant others to help prevent deterioration of
mood and functional status, isolation from their
community and feelings of hopelessness. Therapists
also need to be aware of the impact these issues have
on physical recovery. It is hoped that an increased
awareness of these psychosocial issues will lead to a
more holistic management of stroke patients with more
attention given to aiding psychosocial adaptation which
might lead to higher reported quality of life and life
satisfaction. So that this study aiming to study the
impact of stroke on the life satisfaction and
psychological adjustment of stroke patients during
rehabilitation.
Aim of the study
This study is aim to assess impact of stroke on life
satisfaction and psychological adjustment of stroke
patients during rehabilitation.