Introduction: Belief in one’s personal capabilities are conducive to achieving success and provides additional energy for action. The stronger the conviction of one’s self-efficacy, the higher the self-goals and the stronger the commitment to achieving them, despite any adversities. Our knowledge regarding the role of self-efficacy in post-stroke rehabilitation is still scarce.
Aim of the Study: The study aimed to analyze characteristics related to high self-efficacy levels before and after rehabilitation and to determine the role of self-efficacy in this process.
Materials and Methods: The study involved 99 stroke survivors. Participants’ mental and functional state were assessed using Generalized Self-Efficacy Scale (GSES), Barthel Index (BI), Acceptance of Illness Scale (AIS), Geriatric Depression Scale (GDS), Visual Analogue Scale for Pain (VAS), Instrumental Activities of Daily Living (IADL) and Rivermead Mobility Index (RMI). Patients were evaluated twice: on admission (T₁) and 3 weeks into rehabilitation (T₂).
Results: Patients without self-efficacy improvement after 3 weeks of rehabilitation, on discharge from the ward demonstrated poorer well-being (p = 0.002, Hedges’ g = 0.63, 95% CI [0.24– 1.08]), lower illness acceptance levels (p < 0.001, Hedges’ g = − 0.78, 95% CI [− 1.25 – − 0.41]), poorer functional status in basic activities of daily living (p = 0.003, Hedges’ g = − 0.62, 95% CI [− 1 – − 0.25]), locomotive abilities (p = 0.004, Hedges’ g = − 0.58, 95% CI [− 1.12 – − 0.15]) and instrumental activities of daily living (p = 0.001, Hedges’ g = − 0.71, 95% CI [− 1.15 – − 0.34]).
Conclusion: Self-efficacy level is significantly related to rehabilitation outcomes. A routine self-efficacy assessment during the rehabilitation process seems very important. Patients whose initial self-efficacy is low or remains unchanged despite rehabilitation require special attention. Close cooperation between all members of the therapeutic team is essential to strengthen, at each stage, the sense of self-efficacy in stroke survivors.

Keywords: self-efficacy, rehabilitation outcomes, depression, acceptance of illness, behavior management


中文翻译：

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自我效能在中风幸存者康复过程中的作用

简介：相信自己的个人能力，有利于取得成功，并为行动提供额外的能量。一个人对自我效能的信念越强，自我目标就越高，实现这些目标的决心就越大，尽管有任何逆境。我们关于自我效能在中风后康复中的作用的知识仍然很少。
研究目的：本研究旨在分析与康复前后高自我效能水平相关的特征，并确定自我效能在此过程中的作用。
材料和方法：该研究涉及 99 名中风幸存者。参与者的精神和功能状态使用广义自我效能量表 (GSES)、巴塞尔指数 (BI)、疾病接受量表 (AIS)、老年抑郁量表 (GDS)、视觉模拟疼痛量表 (VAS)、工具活动进行评估日常生活 (IADL) 和 Rivermead 流动性指数 (RMI)。对患者进行了两次评估：入院时（T ₁）和康复后 3 周（T ₂）。
结果：康复 3 周后自我效能没有改善的患者在出院时表现出较差的健康状况（p = 0.002，Hedges' g = 0.63，95% CI [0.24–1.08]），疾病接受水平较低（p < 0.001，对冲'g = - 0.78, 95% CI [- 1.25 - - 0.41]），日常生活基本活动的功能状态较差（p = 0.003，Hedges' g = - 0.62, 95% CI [- 1 - - 0.25]），机车能力 ( p = 0.004, Hedges' g = - 0.58, 95% CI [- 1.12 - - 0.15]) 和日常生活的工具性活动 ( p = 0.001, Hedges' g = - 0.71, 95% CI [- 1.15 - − 0.34]）。
结论：自我效能水平与康复结果显着相关。在康复过程中进行常规的自我效能评估似乎非常重要。初始自我效能感低或尽管康复仍保持不变的患者需要特别注意。治疗团队所有成员之间的密切合作对于在每个阶段加强中风幸存者的自我效能感至关重要。

关键词：自我效能感，康复结果，抑郁症，接受疾病，行为管理