Article

PURPOSE: To examine the associations between psychosocial factors and physical
functioning at admission, and functional recovery during an acute hospital
admission. METHOD: Included into this multi-centre cohort study were 642 patients
with cardiopulmonary, musculoskeletal and neurological conditions recruited from
32 Swiss hospitals. Functional status was measured at admission and discharge
using the Barthel Index (BI); BI change was used as an indicator for functional
recovery. Sense of coherence (SOC) and depression were assessed at admission
using the SOC questionnaire and the Hospital Anxiety and Depression Scale (HADS);
patient motivation was judged at discharge by physiotherapists on a Visual
Analogue Scale. Mixed effect regression was used to assess associations of SOC,
depression and motivation with functional status at admission and functional
recovery. Distinct models were built to control for sets of behavioural,
socio-economic and disease-related variables. RESULTS: Functional status at
admission was significantly associated with SOC, depression and motivation.
Functional recovery was significantly associated with motivation, but not with
SOC. Significant associations between functional recovery and depression were
found in some of the models. CONCLUSIONS: As motivation showed strong
associations with functional recovery, future studies should examine how
functional recovery is influenced by motivation and how motivation can be
improved.

Langue : ANGLAIS