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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...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
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.
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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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