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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 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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Metadata
- 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 › Nursing › Research and Theory › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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