[A Structural Equation Model on Social Re-Adjustment of Stroke Patients: Based on Roy's Adaptation Model]
1Department of Nursing, Inha University, Incheon, Korea.
Journal of Korean Academy of Nursing
|September 6, 2023
Summary
This study models social re-adjustment in stroke survivors, finding age, social support, daily activities, and depression significantly impact it. Interventions should focus on these factors for better outcomes.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychology
Background:
- Stroke survivors face challenges in social re-adjustment.
- Roy's adaptation model provides a framework for understanding adaptation.
- A comprehensive literature review informed the model development.
Approach:
- Developed and tested a structural equation model for social re-adjustment in 321 stroke patients.
- The model integrated Roy's adaptation model with literature findings.
- Analyzed data using SPSS and AMOS, testing 28 hypotheses.
Key Points:
- The model explained approximately 64% of the variance in social re-adjustment.
- Direct predictors included age, social support, activities of daily living, and depression.
- Indirect predictors involved neurological impairment, gender, age, social support, and rehabilitation motivation.
Conclusions:
- Continuous support is crucial for stroke survivors' social re-adjustment.
- Interventions should target activities of daily living, depression, and social support, especially for older adults.
- Multidisciplinary care enhances adaptation and quality of life post-stroke.


