The Research On The Relation Between Self-efficacy And Quality Of Life Of Recovery Phase Of Apoplectics

Objectives:1. To describe the level of self-efficacy and quality of life of recovery phase of apoplectics.2. To explore the predicted factors of self-efficacy and quality of life of recovery phase of apoplectics.3. To examine the relationship between self-efficacy and quality of life of patients in restoration stage of stroke.4. To explore the countermeasure of enhancing the level of self-efficacy of the patients in restoration stage of stroke.Methods:A descriptive, correlative research was used. Convenient sampling method was used.324 restoration stage of stroke survivors from three hospitals in Chengdu were selected as subjects from Nov,2009 to Dec,2010. Basic document survey form was used to measure the social demography and the illness material. Self-efficacy for managing chronic disease was used to investigate the self-efficacy of stroke survivors in restoration stage. Stroke Impact Scale(SIS)was used to measure the levels of the QOL in restoration stage of stroke. SPSS 13.0 was used to analyze the data.Results:1. The mean score of overall self-efficacy was 5.85±2.51. The highest score was 6.02±2.59, it in the domain of controlling fatigue, and the lowest score was 5.66±2.54, it in the domain of controlling every health problems.2. In a multiple stepwise regression analysis, depression, Barthel index, the evaluation of rehabilitation efficacy to other stroke and occupation included in the regression equation of self-efficacy and quality of life in restoration stage of stroke. Barthel index, the evaluation of rehabilitation efficacy to other stroke were positively regressive with self-efficacy in restoration stage of stroke, depression was negatively regressive with self-efficacy in restoration stage of stroke, and self-efficacy of professional staff was higher than others.3. The score of SIS was 187.34±41.86. The highest score was in the domain of communication, followed by memory and thinking, and the lowest was participation followed by chair-function.4. In a multiple stepwise regression analysis, Barthel index, the level of self-efficacy, depression and the time of visit were included in the regression equation of QOL in restoration stage of stroke. These factors were positively regressive with QOL in restoration stage of stroke except depression.5. Self-efficacy was positively correlated with QOL among restoration stage of stroke survivors (r=0.788,P<0.01).Those with a higher level of self-efficacy had better QOL. Conclusions:1. The level of self-efficacy in restoration stage of stroke was in lower level.2. Depression, Barthel index, cultural level and the occupation were the major effect factors of the self-efficacy. The patients in the restoration stage of stroke with lower depression, those with higher Barthel index, those with higher evaluation of rehabilitation efficacy to other stroke and professional staff had higher level of self-efficacy.3. In SIS, the domain of communication and the domain of memory and thinking were in higher level, and the domain of chair-function and the domain of participation were in lower level.4. Barthel index, the level of self-efficacy, depression and the time of visit were the major effect factors of the QOL. The patients in the restoration stage of stroke with the higher Barthel index, those with higher self-efficacy those with lower depression and visit doctor timely had better QOL.