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Coping behaviors of stroke survivors...
~
Gillen, Glen.
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Coping behaviors of stroke survivors undergoing inpatient rehabilitation: An exploratory study.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Coping behaviors of stroke survivors undergoing inpatient rehabilitation: An exploratory study./
作者:
Gillen, Glen.
面頁冊數:
148 p.
附註:
Source: Dissertation Abstracts International, Volume: 65-06, Section: A, page: 2104.
Contained By:
Dissertation Abstracts International65-06A.
標題:
Education, Health. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3135338
ISBN:
0496825625
Coping behaviors of stroke survivors undergoing inpatient rehabilitation: An exploratory study.
Gillen, Glen.
Coping behaviors of stroke survivors undergoing inpatient rehabilitation: An exploratory study.
- 148 p.
Source: Dissertation Abstracts International, Volume: 65-06, Section: A, page: 2104.
Thesis (Ed.D.)--Columbia University Teachers College, 2004.
Stroke is a leading cause of serious long term disability. While the physical manifestations of stroke are well documented, the emotional aspects have not received the same attention. This literature gap is particularly true regarding how stroke survivors cope during inpatient stroke rehabilitation. This study examined the coping strategies used by stroke survivors undergoing inpatient rehabilitation, the relationships between dispositional coping style and coping strategies used, and the ability of stroke survivors to identify positive consequences of their stroke.
ISBN: 0496825625Subjects--Topical Terms:
1017668
Education, Health.
Coping behaviors of stroke survivors undergoing inpatient rehabilitation: An exploratory study.
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Source: Dissertation Abstracts International, Volume: 65-06, Section: A, page: 2104.
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Stroke is a leading cause of serious long term disability. While the physical manifestations of stroke are well documented, the emotional aspects have not received the same attention. This literature gap is particularly true regarding how stroke survivors cope during inpatient stroke rehabilitation. This study examined the coping strategies used by stroke survivors undergoing inpatient rehabilitation, the relationships between dispositional coping style and coping strategies used, and the ability of stroke survivors to identify positive consequences of their stroke.
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This case series included quantitative and qualitative components. Data were collected on 16 acute stroke cases via standardized assessments, semi-structured interviews, and a medical records review completed during the first week of inpatient rehabilitation.
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It was found that the cases used combinations of 8 to 13 strategies out of 14 possible coping strategies on the Brief Cope. All cases used a higher number and frequency of adaptive rather than maladaptive strategies. Women utilized a higher number of adaptive strategies. Cases with depression utilized maladaptive coping strategies more frequently, while those presenting with a greater number and severity of co-morbidities utilized adaptive coping strategies more frequently. Cases with higher levels of coping self-efficacy utilized the strategies active coping and positive refraining more frequently.
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The coping strategies used by the surveyed cases during stroke rehabilitation were most often not consistent with self-reports of dispositional coping style. Thirty-eight percent reported a change in the number of adaptive strategies used, 56 percent reported a change in the number of maladaptive strategies used, and 100 percent reported a change in the frequency of use of adaptive and maladaptive strategies.
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Finally, 63 percent of the cases were able to identify positive consequences of their stroke. Themes included: increased social relationships, increased health awareness, change in religious life, personal growth, and altruism.
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Based on these results, it is recommended direct care providers place greater emphasis on objectifying the emotional consequences of stroke and incorporate the use of a standardized coping measure. Further research is recommended regarding understanding the relationship between coping and outcomes.
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