Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study

Santo Imanuel Tonapa, Yi Liu, Mulyadi Mulyadi and Bih-O Lee

Clinical Nursing Research, 2023, vol. 32, issue 3, 518-526

Abstract: This prospective study aimed to examine self-regulation’ changes (illness representations and coping strategies) and predictors of quality of life 3 months after hospital discharge. A total of 157 patients with extremity injuries from two hospitals in Indonesia completed the survey 3 months post-discharge. The results showed that patients demonstrated more positive illness representations, better coping strategies, and better quality of life 3 months post-discharge than prior discharge. Hierarchical multiple regression analysis revealed that patients’ symptom identity, personal control, and treatment control were significant predictors of quality of life 3 months after extremity injury. Patients with negative perceptions of their injury-related symptoms, personal control, and treatment control at hospital discharge were at higher risk of impaired quality of life 3 months post-discharge than those with positive perceptions. Therefore, clinicians should assess and modify patients’ illness representations before discharge from the hospital to achieve a better prognosis for post-injury quality of life.

Keywords: illness representation; coping; extremity injury; quality of life; traffic accident (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:32:y:2023:i:3:p:518-526

DOI: 10.1177/10547738211058980

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