Self-efficacy and its influence on recovery of patients with stroke: a systematic review: The role of self efficacy in patients with stroke
Abstract
AIMS: To provide an overview of the literature focusing on the influence of self-efficacy and self-efficacy enhancing interventions on mobility, activities of daily living, depression and quality of life of patients with stroke. BACKGROUND: There is growing evidence for the importance of self-efficacy in the care of people with enduring illness. Therefore, it is important to describe the association of self-efficacy and patient outcomes and the evidence for the effects of self-efficacy interventions for stroke patients. DATA SOURCES: Studies were retrieved from a systematic search of published studies over the period of 1996-2009, indexed in the Cumulative Index to Nursing and Allied Health Literature, Medline, Psychinfo and Embase and focusing on stroke, the influence of self-efficacy and self-efficacy enhancing interventions. METHODS: A systematic review was carried out. Studies were critically appraised and important characteristics and outcomes were extracted and summarized. RESULTS: Seventeen articles were included in the review. Self-efficacy was positively associated with mobility, activities of daily living and quality of life and negatively associated with depression. Four self-efficacy interventions were identified. The evidence for the effects of these interventions was inconclusive. CONCLUSIONS: Patients with high self-efficacy are functioning better in daily activities than patients with low self-efficacy. The evidence concerning the determinants influencing self-efficacy and the self-efficacy interventions makes clear how nurses can develop and tailor self-efficacy interventions for the clinical practice of people with stroke. Therefore, it is necessary to further emphasize the role of self-efficacy in the care for stroke patients in the nursing curriculum.
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The level of self-efficacy may influence recovery results, depression occurrence, professional performance, quality of life, PA, daily activities, and mobility after stroke.
“The level of self-efficacy may influence the results of recovery [18], the occurrence of depression [19,20,21], improvement of professional performance [22], quality of life, PA, daily activities [23] and mobility [20] after a stroke.”
From Physical Activity, Psychological and Functional Outcomes in Non-Ambulatory Stroke Patients during Rehabilitation—A Pilot Study (2022) · cites this paper as [20]
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- Authors
- Korpershoek, C., van der Bijl, J., & Hafsteinsdóttir, T. B.
- Affiliations
- University Medical Center Utrecht (NL)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2011-06-07
- Volume
- 67
- Issue
- 9
- Pages
- 1876-1894
- ISSN
- 0309-2402 (ISSN-L)
- OpenAlex
- W2170503679
- Cited by
- 228
- References
- 52
- Citations by year
- 2026: 14 · 2025: 10 · 2024: 13 · 2023: 28 · 2022: 23 · 2021: 13 · 2020: 23 · 2019: 16 · 2018: 14 · 2017: 14 · 2016: 16 · 2015: 15 · 2014: 8 · 2013: 9 · 2012: 9
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Keywords
- self-efficacy, stroke, self-efficacy intervention, mobility (physical function), activities of daily living, depression, quality of life, stroke rehabilitation, nursing care, nursing curriculum
- MeSH terms
- Stroke Rehabilitation, Activities of Daily Living, Adaptation, Psychological, Adult, Depression, Humans, Quality of Life, Research Design, Nursing Research, Treatment Outcome, Rehabilitation Nursing, Self Efficacy, Stroke, Nurse's Role
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