Predicting the functional independence during the recovery phase for poststroke patients.
Sadeq Al-Fayyadh
PMID 31660161WHAT IT FOUND
The largest group of stroke survivors reported low confidence in their functional independence.
Confidence differed by age, rural versus urban living, recurrent stroke, and knowing their diagnosis.
Key findings
01The highest percentage of stroke survivors was classified as having low stroke self-efficacy.
02Residency showed a significant difference in self-efficacy mean ranks: rural 82.28, urban 115.83, p = 0.000.
03Knowledge about diagnosis showed a significant difference in self-efficacy mean ranks: knowledgeable 115.28, unknowledgeable 111.10, not sure 89.03, p = 0.020.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The study is cross-sectional and self-reported, so it cannot show that low self-efficacy caused low functional independence or that raising confidence would improve recovery. The supplied text does not give the exact percentage classified as low, moderate, or high self-efficacy. Participants had Glasgow Coma Scale scores of 14 to 15, so the findings may not apply to stroke patients with more impaired consciousness or severe deficits. The study used a modified stroke self-efficacy scale in Baghdad hospitals, so the results may not generalise to other settings or cultures.
Declared interests
No funding or conflict-of-interest statement is provided in the supplied text.
The easy way to misread this
Do not read this as proof that raising self-efficacy will improve functional independence. The study is cross-sectional and self-reported, so it only shows an association, not a treatment effect.