Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Concept Analysis of Rehabilitation Motivation in Patients with Rheumatoid Arthritis

류마티스 관절염 환자의 재활동기에 대한 개념분석

  • Received : 2018.07.27
  • Accepted : 2018.12.05
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to identify the attributes, antecedents, their consequences, and empirical indicators of rehabilitation motivation in rheumatoid arthritis patients. Methods: Walker and Avant's method was used to analyze the concept. Articles published after 1990 were searched in Medline, CINAHL, NSDL, and RISS databases using "rehabilitation", "motivation" and their combination as keywords. Results: The attributes of rehabilitation motivation are: 1) certitude and trust toward rehabilitation treatment; 2) confidence in the rehabilitation process; 3) efforts and commitments to achieve health goals; 4) psychological needs to act toward health recovery. Its antecedents include: 1) rights of self-determination; 2) goal setting and goal-oriented attitude; 3) personal needs; 4) getting rewards; 5) social and family support; 6) professional behavior of healthcare providers; and 7) least risks or costs for actions taken. Conclusion: The study results could be used as a conceptual framework for developing tools to measure the motivation of rheumatoid arthritis patients.

Keywords

DGGJBW_2018_v25n3_240_f0001.png 이미지

Figure 1. Literature search and selection algorithm.

DGGJBW_2018_v25n3_240_f0002.png 이미지

Figure 2. Conceptual structure of rehabilitation motivation.

Table 1. Definition of Rehabilitation Motivation in Various Disciplines

DGGJBW_2018_v25n3_240_t0001.png 이미지

References

  1. An, E. S., & Seo, J. M. (2015). Concept analysis of motivation for vocational rehabilitation in persons with mental disabilities. Korean Academy of Psychiatric and Mental Health Nursing, 24 (4), 279-289. https://doi.org/10.12934/jkpmhn.2015.24.4.279
  2. Bae, S. C. (2010). The current status of surveys on prevalence of rheumatic disease in Korea. Journal of the Korean Rheumatism Association, 17(1), 1-3. https://doi.org/10.4078/jkra.2010.17.1.1
  3. Brilhart, B., & Johson, K. (1997). Motivation and coping process of adult with disabilities: A qualitative study. Rehabilitation Nursing, 22(5), 249-256. https://doi.org/10.1002/j.2048-7940.1997.tb02111.x
  4. Buffart, L. M., Westendor, T., van den Berg-Emons, R. J., Stam, H. J., & Roebroeck, M. E. (2009). Perceived barriers to and facilitators of physical activity in young adults with childhoodonset physical disabilities. Journal of Rehabilitation Medicine, 41(11), 881-885. https://doi.org/10.2340/16501977-0420
  5. Cambridge Dictionary. (2018). Retrieved May 16, 2018, from http://dictionary.cambridge.org/dictionary/english/rehabilitation
  6. Chaleshgar-Kordasiabi, M., Enjezab, B., Akhlaghi, M., & Sabzmakan, I. (2017). Barriers and reinforcing factors to self-management behaviour in rheumatoid arthritis patients: A qualitative study. Musculoskeletal Care, 16, 241-250. https://doi.org/10.1002/msc.1221
  7. Chervinsky, A. B., Ommaya, A. K., deJonge, M., Spector, J., Karen, S., & Salazar, A. M. (1998). Motivation for traumatic brain injury rehabilitation questionnaire (MOT-Q): Reliability, factor analysis, and relationship to MMPI-2 variables. Archives of Clinical Neuropsychology, 13(5), 433-446. https://doi.org/10.1016/S0887-6177(97)00016-4
  8. Deci, E. L., & Ryan, R. M. (2008). Self-determination theory; A macrotheory of human motivation, development, and health. Canadian Psychology Psychologie Canadienne, 49(3), 182-185. https://doi.org/10.1037/a0012801
  9. Ehrlich-Jones, L., Lee, J., Semanik, P., Cox, C., Dunlop, D., & Chang, R. W. (2011). Relationship between beliefs, motivation, and worries about physical activity and physical activity participation in persons with rheumatoid arthritis. Arthritis Care & Research, 63(12), 1700-1705. https://doi.org/10.1002/acr.20616
  10. Geelen, R. J. G. M., & Soons, P. H. G. M. (1996). Rehabilitation: An 'everyday' motivation model. Patient Education and Counseling, 28, 69-77. https://doi.org/10.1016/0738-3991(96)00871-3
  11. Guthrie, S., & Harvey, A. (1994). Motivation and its influence on outcome in rehabilitation. Reviews in Clinical Gerontology, 4 (3), 235-243. https://doi.org/10.1017/S0959259800003865
  12. Han, H. S., & Lim, N. Y. (2002). Development of an instrument to measure the motivation for rehabilitation in the disabled. Korean Journal of Adult Nursing, 14(4), 554-563.
  13. Hurkmans, E. J., Maes, S., de Gucht, V., Knittle, K., Peeters, A. J., Ronday, H. K., et al. (2010). Motivation as a determinant of physical activity in patients with rheumatoid arthritis. Arthritis Care & Research, 62(3), 371-377. https://doi.org/10.1002/acr.20106
  14. Iversen, M. D., Scanlon, L., Sharby, N., Frits, M., & Shadick, N. A. (2015). Perceptions of physical activity engagement among adults with rheumatoid arthritis and rheumatologists. International Journal of Clinical Rheumatology, 10(2), 67-77. https://doi.org/10.2217/ijr.15.3
  15. Kemp, B. J. (1988). Motivation, rehabilitation and ageing: A conceptual model. Topics in Geriatric Rehabilitation, 3, 41-51. https://doi.org/10.1097/00013614-198804000-00008
  16. Kim, S. O., & Lim, N. Y. (2009). The rehabilitation motive and social support perceived by spinal cord injury patients. Journal of Muscle and Joint Health, 16(1), 66-79.
  17. Kong, H. K., & Lee, H. J. (2008). Effect of empowerment program on rehabilitation motivation, depression, activities of daily living among the patients with stroke. Korean Journal of Adult Nursing, 20(3), 406-417.
  18. Koo, S. S. (1993). A study on factors influencing rehabilitation motivation of the spinal cord injured. Unpublished master's thesis, Ewha Womans University, Seoul.
  19. Kwon, E. H. (2003). A study on the rehabilitation motive of stroke patients: Focused on individual and family support factors. Unpublished master's thesis, Ewha Women's University, Seoul.
  20. Maclean, N., Pound, P., Wolfe, C., & Rudd, A. (2000). Qualitative analysis of stroke patients' motivation for rehabilitation. British Medical Journal, 321(7268), 1051-1054. https://doi.org/10.1136/bmj.321.7268.1051
  21. Maclean, N., Pound, P., Wolfe, C., & Rudd, A. (2002). The concept of patient motivation: A qualitative analysis of stroke professionals' attitudes. Stroke, 33(2), 444-448. https://doi.org/10.1161/hs0202.102367
  22. Park, Y. S., & Kim, J. H. (2003). Factors influencing the motivation for rehabilitation in patients with spinal cord injury. Journal of Korean Academy of Public Health Nursing, 17(1), 83-95.
  23. Resnick, B. M. (1996). Self-efficacy in geriatric rehabilitation. Unpublished doctoral Dissertation, University of Maryland, Baltimore.
  24. Seo, M. J., Kang, H. S., Lim, N. Y., Kim, K. S., & No, K. H. (2000). Integrative Rehabilitation Nursing. Seoul: Sinkwang.
  25. Standard Korean Language Dictionary. (2018). Retrieved May 16, 2018, from http://stdweb2.korean.go.kr/search/View.jsp
  26. Vlieland T. P. M. V. (2003). Rehabilitation of people with rheumatoid arthritis. Best Practice & Research Clinical Rheumatology, 17(5), 847-861. https://doi.org/10.1016/S1521-6942(03)00043-3
  27. Walker, L. O., & Avant, K. C. (2010). Strategies for theory construction in nursing (5th ed.). Upper Saddle River, NJ: Prentice Hall.
  28. Yang, J. B. (2011). Structural equation modeling on rehabilitative motivation of individuals with acquired disabilities. Journal of Rehabilitation Psychology, 18(2), 61-86.
  29. Yang, L. S., Sok, S. H., & Kim, K. B. (2005). The effect of stretching exercise upon depression and motivation for rehabilitation of stroke patients. Clinical Nursing Research, 11(1), 47-56.
  30. Young, A., Dixey, J., Cox, N., Davies, P., Devlin, J., Emery, P., et al. (2000). How does functional disability in early rheumatoid arthritis (RA) affect patients and their lives? Results of 5 years of follow-up in 732 patients from the Early RA Study (ERAS). Rheumatology, 39(6), 603-611. https://doi.org/10.1093/rheumatology/39.6.603