Korean J Adult Nurs.  2017 Jun;29(3):323-331. 10.7475/kjan.2017.29.3.323.

Mediating Effect of Uncertainty on the Relationship between Social Support and Rehabilitation Motivation in Patients with Stroke

Affiliations
  • 1Dongkang Hospital, Ulsan, Korea.
  • 2Department of Nursing, University of Ulsan, Ulsan, Korea. smoon@ulsan.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine whether the uncertainty mediates relationship between rehabilitation motivation and social support.
METHODS
Participants were 123 adults patients diagnosed as stroke in a hospital located in a Metropolitan City. Data were collected by self-administered questionnaires measuring uncertainty, family support and medical team support as social support, rehabilitation motivation. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. The significance of mediating effect was analyzed by Sobel test.
RESULTS
Family support and uncertainty, respectively, were influential on rehabilitation motivation (β=.39, p < .001, β=-.18, p=.011). Uncertainty showed partial mediating effect on relationship between family support and rehabilitation motivation, however, the effect was not significant (Z=1.63, p=.103).
CONCLUSION
Interventions improving family support and decreasing uncertainty may be helpful in enhancing rehabilitation motivation.


MeSH Terms

Adult
Humans
Motivation*
Negotiating*
Rehabilitation*
Stroke*
Uncertainty*

Figure

  • Figure 1 Mediating effect of uncertainty in the relationship between social support and rehabilitation motivation.


Reference

1. Mackay J, Mensah G. The Atlas of Heart Disease and Stroke. Geneva: World Health Organization;2004. p. 50–53.
2. Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke. 2005; 36(9):e100–e143. DOI: 10.1161/01.str.0000180861.54180.ff.
3. Bindawas SM, Vennu V, Moftah E. Improved functions and reduced length of stay after inpatient rehabilitation programs in older adults with stroke: a systematic review and meta-analysis of randomized controlled trials. NeuroRehabilitation. 2017; 40(3):369–390. DOI: 10.3233/nre-161425.
Article
4. Han HS, Lim NY. Development of an instrument to measure the motivation for rehabilitation in the disabled. J Korean Acad Adult Nurs. 2002; 14(4):554–563.
5. Park AS, Ko E, Kang HS. Comparison of motivation for rehabilitation, family support and adherence to rehabilitation between depressive and non-depressive stroke patients. Korean J Rehabil Nurs. 2016; 19(2):138–147. DOI: 10.7587/kjrehn.2016.138.
Article
6. Moon JY, Cho BH. Relationships among rehabilitation motivation, perceived stress and social support in stroke survivors. Korean J Rehabil Nurs. 2011; 14(1):24–31.
7. Kim Y. The Impact of acceptance of disability, depression and social support on rehabilitative motivation in hemiplegic patients after stroke [master's thesis]. Jinju: Gyeongsang National University;2016.
8. Kruithof WJ, van Mierlo ML, Visser-Meily JM, van Heugten CM, Post MWM. Associations between social support and stroke survivors' health-related quality of life-a systematic review. Patient Educ Couns. 2013; 93(2):169–176. DOI: 10.1016/j.pec.2013.06.003.
Article
9. Kang YJ. A study of the correlation between uncertainty, depression, and quality of life in stroke patients [master's thesis]. Seoul: Seoul National University;2015.
10. Mishel MH, Braden CJ. Finding meaning: antecedents of uncertainty in illness. Nurs Res. 1988; 37(2):98–103. DOI: 10.1097/00006199-198803000-00009.
11. Mishel MH. Uncertainty in illness. J Nurs Scholarsh. 1988; 20(4):225–232.
Article
12. White CL, Barrientos R, Dunn K. Dimensions of uncertainty after stroke: perspectives of the stroke survivor and family caregiver. J Neurosci Nurs. 2014; 46(4):233–240. DOI: 10.1097/jnn.0000000000000066.
13. Mishel MH, Braden CJ. Uncertainty: a mediator between support and adjustment. West J Nurs Res. 1987; 9(1):43–57. DOI: 10.1177/019394598700900106.
14. Kim YJ, Choi H. The Influence of uncertainty and social support on general well-being among hemodialysis patients. Korean J Rehabil Nurs. 2012; 15(1):20–29. DOI: 10.7587/kjrehn.2012.20.
Article
15. Lien CY, Lin HR, Kuo IT, Chen ML. Perceived uncertainty, social support and psychological adjustment in older patients with cancer being treated with surgery. J Clin Nurs. 2009; 18(16):2311–2319. DOI: 10.1111/j.1365-2702.2008.02549.x.
Article
16. Somjaivong B, Thanasilp S, Preechawong S, Sloan R. The influence of symptoms, social support, uncertainty, and coping on health-related quality of life among cholangiocarcinoma patients in northeast Thailand. Cancer Nurs. 2011; 34(6):434–442. DOI: 10.1097/ncc.0b013e31820d0c3f.
Article
17. Chung C, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean J Women Health Nurs. 2005; 11(1):58–66.
Article
18. Tae YS. The relationship between hope and quality of life of cancer patients. J Korean Acad Adult Nurs. 1996; 8(1):80–92.
19. Kim HM. A study on the effects of stroke patients' activities of daily living, depression and social support for them on their life quality [master's thesis]. Seoul: Hanyang University;2005.
20. Kim HS, Hwang YO, Yu JH, Jung JH, Woo HS, Jung HS. The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. J Korean Acad Occup Ther. 2009; 17(3):41–53.
21. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51(6):1173–1182. DOI: 10.1037/0022-3514.51.6.1173.
Article
22. Carlsson GE, Möller A, Blomstrand C. Managing an everyday life of uncertainty - a qualitative study of coping in persons with mild stroke. Disabil Rehabil. 2009; 31(10):773–782. DOI: 10.1080/09638280802638857.
Article
23. Greenwood N, Mackenzie A, Wilson N, Cloud G. Managing uncertainty in life after stroke: a qualitative study of the experiences of established and new informal carers in the first 3 months after discharge. Int J Nurs Stud. 2009; 46(8):1122–1133. DOI: 10.1016/j.ijnurstu.2009.02.011.
Article
24. Cho SH, Yoon KS. Influence of uncertainty, physiologic risk factors, self-efficacy on self-management in stroke patients. J Muscle Joint Health. 2016; 23(2):114–124. DOI: 10.5953/JMJH.2016.23.2.114.
Article
25. Mishel MH, Germino BB, Lin L, Pruthi RS, Wallen EM, Crandell J, et al. Managing uncertainty about treatment decision making in early stage prostate cancer: a randomized clinical trial. Patient Educ Couns. 2009; 77(3):349–359. DOI: 10.1016/j.pec.2009.09.009.
Article
26. Villain M, Sibon I, Renou P, Poli M, Swendsen J. Very early social support following mild stroke is associated with emotional and behavioral outcomes three months later. Clin Rehabil. 2017; 31(1):135–141. DOI: 10.1177/0269215515623600.
Article
27. Kim MK, Lee HR, Kwon JY, Oh HS. Influencing and mediating factors in health behaviors among stroke patients. Korean J Adult Nurs. 2013; 25(6):610–621. DOI: 10.7475/kjan.2012.24.6.610.
Article
28. Maclean N, Pound P, Wolfe C, Rudd A. Qualitative analysis of stroke patients' motivation for rehabilitation. BMJ. 2000; 321(7268):1051–1054. DOI: 10.1136/bmj.321.7268.1051.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr