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Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective
OBJECTIVES: This study aims to investigate (1) motives, motivations and expectations regarding the choice for a specific rehabilitation setting after herniated disc surgery and (2) how rehabilitation-related motivations and expectations are associated with rehabilitation outcome (ability to work, he...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567662/ https://www.ncbi.nlm.nih.gov/pubmed/28829828 http://dx.doi.org/10.1371/journal.pone.0183698 |
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author | Löbner, Margrit Stein, Janine Luppa, Melanie Konnopka, Alexander Meisel, Hans Jörg Günther, Lutz Meixensberger, Jürgen Stengler, Katarina Angermeyer, Matthias C. König, Hans-Helmut Riedel-Heller, Steffi G. |
author_facet | Löbner, Margrit Stein, Janine Luppa, Melanie Konnopka, Alexander Meisel, Hans Jörg Günther, Lutz Meixensberger, Jürgen Stengler, Katarina Angermeyer, Matthias C. König, Hans-Helmut Riedel-Heller, Steffi G. |
author_sort | Löbner, Margrit |
collection | PubMed |
description | OBJECTIVES: This study aims to investigate (1) motives, motivations and expectations regarding the choice for a specific rehabilitation setting after herniated disc surgery and (2) how rehabilitation-related motivations and expectations are associated with rehabilitation outcome (ability to work, health-related quality of life and satisfaction with rehabilitation) three months after disc surgery. METHODS: The longitudinal cohort study refers to 452 disc surgery patients participating in a subsequent rehabilitation. Baseline interviews took part during acute hospital stay (pre-rehabilitation), follow-up interviews three months later (post-rehabilitation). Binary logistic regression and multiple linear regression analyses were applied. RESULTS: (1) Motives, motivations and expectations: Inpatient rehabilitation (IPR) patients stated “less effort/stress” (40.9%), more “relaxation and recreation” (39.1%) and greater “intensity of care and treatment” (37.0%) regarding their setting preference, whereas outpatient rehabilitation (OPR) patients indicated “family reasons” (45.3%), the wish for “staying in familiar environment” (35.9%) as well as “job-related reasons” (11.7%) as most relevant. IPR patients showed significantly higher motivation/expectation scores regarding regeneration (p < .001), health (p < .05), coping (p < .001), retirement/job (p < .01), psychological burden (p < .05) and physical burden (p < .001) compared to OPR patients. (2) Associations with rehabilitation outcome: Besides other factors (e.g. age, gender and educational level) rehabilitation-related motivations/expectations were significantly associated with rehabilitation outcome measures. For example, patients with less motivations/expectations to achieve improvements regarding “physical burden” showed a better health-related quality of life (p < .01) three months after disc surgery. Less motivations/expectations to achieve improvements regarding “psychological burden” was linked to a better mental health status (p < .001) and a greater satisfaction with rehabilitation (OR = .806; p < .05). CONCLUSION: Rehabilitation-related motivations and expectations differed substantially between IPR and OPR patients before rehabilitation and were significantly associated with rehabilitation outcome. Taking motivational and expectation-related aspects into account may help to improve allocation procedures for different rehabilitation settings and may improve rehabilitation success. |
format | Online Article Text |
id | pubmed-5567662 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-55676622017-09-09 Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective Löbner, Margrit Stein, Janine Luppa, Melanie Konnopka, Alexander Meisel, Hans Jörg Günther, Lutz Meixensberger, Jürgen Stengler, Katarina Angermeyer, Matthias C. König, Hans-Helmut Riedel-Heller, Steffi G. PLoS One Research Article OBJECTIVES: This study aims to investigate (1) motives, motivations and expectations regarding the choice for a specific rehabilitation setting after herniated disc surgery and (2) how rehabilitation-related motivations and expectations are associated with rehabilitation outcome (ability to work, health-related quality of life and satisfaction with rehabilitation) three months after disc surgery. METHODS: The longitudinal cohort study refers to 452 disc surgery patients participating in a subsequent rehabilitation. Baseline interviews took part during acute hospital stay (pre-rehabilitation), follow-up interviews three months later (post-rehabilitation). Binary logistic regression and multiple linear regression analyses were applied. RESULTS: (1) Motives, motivations and expectations: Inpatient rehabilitation (IPR) patients stated “less effort/stress” (40.9%), more “relaxation and recreation” (39.1%) and greater “intensity of care and treatment” (37.0%) regarding their setting preference, whereas outpatient rehabilitation (OPR) patients indicated “family reasons” (45.3%), the wish for “staying in familiar environment” (35.9%) as well as “job-related reasons” (11.7%) as most relevant. IPR patients showed significantly higher motivation/expectation scores regarding regeneration (p < .001), health (p < .05), coping (p < .001), retirement/job (p < .01), psychological burden (p < .05) and physical burden (p < .001) compared to OPR patients. (2) Associations with rehabilitation outcome: Besides other factors (e.g. age, gender and educational level) rehabilitation-related motivations/expectations were significantly associated with rehabilitation outcome measures. For example, patients with less motivations/expectations to achieve improvements regarding “physical burden” showed a better health-related quality of life (p < .01) three months after disc surgery. Less motivations/expectations to achieve improvements regarding “psychological burden” was linked to a better mental health status (p < .001) and a greater satisfaction with rehabilitation (OR = .806; p < .05). CONCLUSION: Rehabilitation-related motivations and expectations differed substantially between IPR and OPR patients before rehabilitation and were significantly associated with rehabilitation outcome. Taking motivational and expectation-related aspects into account may help to improve allocation procedures for different rehabilitation settings and may improve rehabilitation success. Public Library of Science 2017-08-22 /pmc/articles/PMC5567662/ /pubmed/28829828 http://dx.doi.org/10.1371/journal.pone.0183698 Text en © 2017 Löbner et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Löbner, Margrit Stein, Janine Luppa, Melanie Konnopka, Alexander Meisel, Hans Jörg Günther, Lutz Meixensberger, Jürgen Stengler, Katarina Angermeyer, Matthias C. König, Hans-Helmut Riedel-Heller, Steffi G. Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title | Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title_full | Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title_fullStr | Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title_full_unstemmed | Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title_short | Choosing the right rehabilitation setting after herniated disc surgery: Motives, motivations and expectations from the patients’ perspective |
title_sort | choosing the right rehabilitation setting after herniated disc surgery: motives, motivations and expectations from the patients’ perspective |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567662/ https://www.ncbi.nlm.nih.gov/pubmed/28829828 http://dx.doi.org/10.1371/journal.pone.0183698 |
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