The motivation for rehabilitation in patients with stroke.

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K23271
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0909:Sports sciences, physical education, health sciences, and related fields
• Research Institution: Fujita Health University
• Principal Investigator: Yoshida Taiki 藤田医科大学, 保健衛生学部, 助教 (90880823)
• Project Period (FY): 2020-09-11 – 2023-03-31
• Keywords: 脳卒中 / モチベーション / リハビリテーション / 尺度開発 / 質的研究

Outline of Final Research Achievements

It has been revealed that the motivation of stroke patients undergoing rehabilitation on a convalescent rehabilitation ward is influenced by seven external factors: patient goals, success/failure experiences, physical condition/cognitive function, resilience, relationship with rehabilitation professionals, patient relationships, and patient supporters. In addition, it was suggested that the evaluation of motivation by observation may be difficult for elderly patients.

Regarding the temporal changes in motivation, a tendency for motivation to decrease during long-term hospitalization was confirmed. Furthermore, the relationship between motivation and outcome was investigated, and it was found that motivation for rehabilitation does not directly affect FIM.

Free Research Field

リハビリテーション医学

Academic Significance and Societal Importance of the Research Achievements

患者自身の活動を治療的手段として用いているリハビリテーション医学において，活動量を左右するモチベーションに対する影響要因を明らかにできたことは，モチベーションが下がっている患者への支援方法を計画する際に有益な情報となる．本研究結果は，脳卒中患者の活動を促し，リハビリテーションの効果を高めるための知見を明らかにした，リハビリテーション医学の発展に寄与する成果であるといえる．