Isn't it blindingly obvious that the first and foremost of these basic psychological needs is 100% recovery protocols. Survivors want to get back to normal as soon as possible.
Basic psychological needs satisfaction of stroke patients: a qualitative study
BMC Psychology volume 11, Article number: 64 (2023)
Abstract
Background
Previous studies have shown that the satisfaction of basic psychological needs is related to psychological well-being. Improving satisfaction will increase personal well-being, promote positive health outcomes, and improve disease recovery. However, no research has focused on the basic psychological needs of stroke patients. Therefore, this study aims to determine the basic psychological needs experience, satisfaction, and its influencing factors of stroke patients.
Methods
12 males and 6 females in the non-acute phase with stroke were recruited in the Department of Neurology, Nanfang Hospital. The individual, semi-structured interviews were conducted in a separate room. The data were imported to Nvivo 12 and analyzed using the directed content analysis approach.
Results
Three main themes consisting of 9 sub-themes were derived from the analysis. These three main themes focused on the needs for autonomy, competence, and relatedness of stroke patients.
Conclusion
Participants have different degrees of satisfaction of their basic psychological needs, which may be related to their family environment, work environment, stroke symptoms, or other factors. Stroke symptoms can significantly reduce the patients’ needs for autonomy and competence. However, the stroke seems to increase the patients’ satisfaction of the need for relatedness.
Background
Stroke is the second leading cause of death and disability worldwide, especially in low- and middle-income countries [1], with the characteristics of high morbidity, mortality, disability rate, and many complications. With the highest disability-adjusted life-years (DALYs) of any other disease in China [2], the disability of stroke mainly manifests in the changes of appearance caused by facial paralysis, dyskinesia, dysphagia, speech disorder, and visual and hearing impairment. Disability and dysfunction seriously affect the ability of patients to take care of themselves and social interaction, which increases the burden on their families, and leads patients to negative emotions. Due to the psychological burden and pathophysiological factors of stroke, approximately one-third of patients suffer from depression after stroke [3]. And patients with post-stroke depression (PSD) have poor treatment adherence, prognosis, and low quality of life, compared to patients without PSD. Therefore, it’s necessary to carry out psychological interventions according to patients’ psychological burdens and needs.
Basic psychological needs theory (BPNT), developed by American psychologists Deci and Ryan, is the core theory of self-determination theory (SDT), including three parts: the need for autonomy, competence, and relatedness. Deci and Ryan point out that there are specifiable psychological and social nutrients that, when satisfied within the interpersonal and cultural contexts of an individual’s development, can facilitate one’s growth, integrity, and well-being. And they refer to these necessary satisfactions for personality and cognitive growth as basic psychological needs (BPN) [4]. Autonomy refers to feeling willingness and volition for one’s behaviors. Competence refers to feeling effective in one’s interactions with the social environment—that is, experiencing opportunities and supports for the exercise, expansion, and expression of one’s capacities and talents. Relatedness refers to both experiencing others as responsive and sensitive and being able to be responsive and sensitive to them—that is, feeling connected and involved with others and having a sense of belonging [5].
Based on empirical studies, the satisfaction of basic psychological needs will increase an individual’s well-being, promote positive health outcomes and facilitate the rehabilitation of diseases. Research on the smoker’s health project has shown that the satisfaction of BPN could facilitate long-term tobacco abstinence [6]. A diabetes management plan based on BPNT was proven effective in lowering the patient’s glucose level [7]. However, few studies focused on the BPN of stroke patients, so there is a gap in knowledge about what they need and how to satisfy their needs. Therefore, the current study aimed to determine the performance, satisfaction, and influencing factors of BPN in stroke patients.
More at link.
No comments:
Post a Comment