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

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  • Santo Imanuel Tonapa
  • Yi Liu
  • Mulyadi Mulyadi
  • Bih-O Lee

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.

Suggested Citation

  • Santo Imanuel Tonapa & Yi Liu & Mulyadi Mulyadi & Bih-O Lee, 2023. "Changes in Self-Regulation and the Predictors of Quality of Life 3 Months After Extremity Injury: A Prospective Study," Clinical Nursing Research, , vol. 32(3), pages 518-526, March.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:3:p:518-526
    DOI: 10.1177/10547738211058980
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    References listed on IDEAS

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    1. The Whoqol Group, 1998. "The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties," Social Science & Medicine, Elsevier, vol. 46(12), pages 1569-1585, June.
    2. Bih‐O Lee & Wendy Chaboyer & Marianne Wallis, 2010. "Illness representations in patients with traumatic injury: a longitudinal study," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 556-563, February.
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