社会心理的
路径分析(统计学)
应对(心理学)
自我效能感
冲程(发动机)
适应(眼睛)
观察研究
生活质量(医疗保健)
医学
心理学
结构方程建模
物理疗法
临床心理学
内科学
精神科
护理部
心理治疗师
机械工程
统计
数学
神经科学
工程类
作者
Kelana Kusuma Dharma,Nurbani Nurbani,Puspa Wardhani,Winnellia Fridina Rangkuti,Halina Rahayu,Raju Kapadia
标识
DOI:10.1016/j.enfcle.2022.06.003
摘要
The purpose of this study was to identify the determinant factors that influence the adaptation process and quality of life after a stroke.This study is an observational study using a cross-sectional design. Respondents were patients who were 6 months post-discharge after non-hemorrhagic strokae and their family caregivers. Information about respondents was taken from medical record data at two regional general hospitals in West Kalimantan Province, Indonesia. A total of 80 patients were selected using a consecutive sampling method. Theoretical models of patient and caregiver factors that influence adaptation responses and post-stroke quality of life were tested using path analysis.Caregiver coping, self-efficacy, and illness acceptance had a direct effect on the post-stroke psychosocial adaptation response by 58.1%, with self-efficacy contributing the most (β = 0.668, P < .0001). Self-efficacy, illness acceptance, and healthy behavior had a direct effect on the physiological adaptation response by 24.3%, where self-efficacy also contributed the most (β = 0.272, P < .014). Psychosocial adaptation and physiological adaptation had a direct effect on the quality of life by 54.6%, where psychosocial adaptation showed the largest contribution (β = 0.63, P < .0001).Self-efficacy contributes the most to both psychosocial and physiological adaptations 6 months after stroke. Psychosocial adaptation and self-efficacy have been proven to be the determinant factors that contribute the most to the quality of life of patients 6 months after stroke.
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