Selected factors related to resilience among older persons with stroke
Keywords:
Resilience, Older persons, StrokeAbstract
Purpose: This study aimed to examine the relationships between selected factors and resilience among older persons with stroke.
Design: Descriptive research.
Methods: The sample consisted of 93 older persons who had experienced a first stroke and were outpatients at the medicine and surgery neurology departments of King Chulalongkorn Memorial Hospital, Police General Hospital, and the Neurological Institute of Thailand. Instruments used for data collection included a demographic questionnaire, the MMSE-Thai 2002, the Barthel ADL Index, the Thai Geriatric Depression Scale (TGDS), the Mishel Uncertainty in Illness Scale-Community Form, the Culture-Free Self-Esteem Inventory (CFSEI-2), and the Thai Elderly Resilience Scale. The reliability coefficients of these instruments were .84, .85, .87, .80, and .93, respectively. Data were analyzed using descriptive statistics, Eta coefficient, Spearman's rank-order correlation coefficient, and Pearson’s product-moment correlation coefficient.
Results: 1) Resilience among older persons with stroke was at a moderate level ( = 72.83, SD = 0.64). 2) Factors positively associated with resilience included education level, self-esteem, and activities of daily living (r = .659, r = .620, and r = .265, respectively). 3) Factors negatively associated with resilience were depression and uncertainty in illness (r = –.310 and r = –.603, respectively). All correlations were statistically significant at the .05 level. 4) No significant correlations were found between gender or marital status and resilience.
Conclusion: Promoting resilience among older persons with stroke may benefit from addressing the identified associated factors. These findings can inform the development of interventions aimed at enhancing resilience in this population.
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