Factors Influencing the Adherence to Rehabilitation in Stroke Patients
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Abstract
This predictive research aimed to assess the adherence to rehabilitation and its influencing factors in stroke patients, including perceived self-efficacy, modified Rankin scale (mRS), social support, fear of falling, and anxiety in COVID-19. The sample consisted of patients with ischemic or hemorrhagic stroke within the first three months after diagnosis, who came for follow-up at four selected hospitals. A total of 109 participants were selected through simple random sampling. Research instruments included demographic data, perceived self-efficacy, mRS, social support, fear of falling, anxiety in COVID-19, and adherence to rehabilitation. Data were analyzed using descriptive statistics and multiple regression analysis.
The results showed that the mean score for the adherence to rehabilitation was 83.78 (SD = 16.26). Perceived self-efficacy and social support together predicted 56% of the variance in the adherence to rehabilitation (adj. R2 = 0.56, p < .01). Perceived self-efficacy was the most predictive variable for the adherence to rehabilitation (β = 0.70, p < .01), followed by social support (β = 0.39, p < .01). Therefore, promoting the adherence to rehabilitation should focus on enhancing self-efficacy alongside providing social support.
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