The Effect of Motivation Program on Stroke Rehabilitation Motivation in Older Patients with Stroke
Objective: To study the effects of a rehabilitation motivation program on older stroke patients.
Design: Two-group experimental research with one pre-test and two post-tests (in the frst and second weeks after the experiment).
Methodology: The sample was 44 older stroke patients selected based on the inclusion criteria from two tertiary hospitals. The patients were paired by age and then divided into a control group and an experimental group, so that both groups had as similar conditions as possible. The experimental group was given a two-week motivation-building programme in addition to standard care, whilst the control group received only standard care. Data were collected consecutively from the control group and then from the experimental group, using personal information interviews and a stroke rehabilitation motivation scale. The patients’ rehabilitation motivation was measured three times: before the experiment, one week after the experiment and two weeks after the experiment. The data were analysed using descriptive statistics, Chi Square, Mann-Whitney U Test, and Repeated Measure one-way ANOVA.
Results: A signifcant difference in rehabilitation motivation levels between the experimental group and the control group at week two after the experiment was evident (p < .05). Within the experimental group, the patients’ rehabilitation motivation levels differed signifcantly (p < .05) between before the experiment and one week after the experiment, whilst no signifcant difference was found between the frst-week and second-week post-experimental measures.
Recommendations: This programme had a positive impact on older stroke patients’ rehabilitation motivation. It is recommended that nurses apply it to older stroke patients in the process of rehabilitation.
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