Factors Associated With Post-Stroke Self Efficacy

Fuji Istiana(1), Fitria Handayani(2*), Muhamad Thohar Arifin(3)

(1) Fakultas Kedokteran, Universitas Diponegoro
(2) Fakultas Kedokteran, Universitas Diponegoro
(3) Fakultas Kedokteran, Universitas Diponegoro
(*) Corresponding Author


One of the psychological problems experienced by stroke patients is self-efficacy. Stroke patients on average lack confidence in themselves to do exercises or activities that will have an impact on the recovery process of stroke patients. Several factors that vary related to low self-efficacy in stroke patients are one of the causes. The scoping review aims to identify factors related to self-efficacy in a post-stroke patient. The methods use a systematic review through review articles relevant to the topic from CINAHL database, MEDLINE, Academic search ultimate, science direct, and Taylor & Francis with a publication year spanning 2015 to 2020 and with the keyword “self-efficacy” and “stroke” then analyzed using a synthesis matrix. The inclusion criteria in this study were articles in English with longitudinal study design or cross-sectional study and self-efficacy as the dependent variable. The results of a review of four journals that met the inclusion criteria found factors related to self-efficacy in a post-stroke patient including depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function. The study concludes that depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function are factors related to self-efficacy in post-stroke patients. The factor most strongly associated with post-stroke patients self-efficacy is depression.


Factors; post-stroke; self efficacy

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Vincent-Onabajo G, Lawan A, Oyeyemi A, Hamzat T. Functional Self-Efficacy And Its Determinants In Nigerian Stroke Survivors. Top Stroke Rehabil 2012:411–6.

Kementrian Kesehatan RI. Hasil Utama Riskesdas 2018. 2018. https://doi.org/10.1017/CBO9781107415324.004.

Wurtiningsih B. Dukungan Keluarga Pada Pasien Stroke Di Ruang Saraf Rsup Dr. Kariadi Semarang. Medica Hosp J Clin Med 2013;1:57–9. https://doi.org/10.36408/mhjcm.v1i1.42.

Bandura. The Explanatory And Predictive Scope Of Self-Efficacy Theory. J Soc Clin Psychol 1986:359–73.

Akbar M, Misbach J, Susatia F, Rasyid A, Alfa A, Syamsudin T. Clinical Features Of Transient Ischemic Attack Or Ischemic Stroke Patient At High Recurrence Risk In Indonesia. Neural Asia 2018.

Bandura A. Self-efficacy : Toward a Unifying Theory of Behavioral Change 1977;84:191–215.

Jumain, Hargono R, Bakar A. Self-efficacy of stroke patients at the inpatient installation room of surabaya haji general hospital. Int J Nurs Heal Serv 2019;2:243–8. https://doi.org/10.35654/ijnhs.v2i4.154.

Ismatika, Umdatus S. Hubungan Self Efficacy dengan Perilaku Self Care Pasien Pasca Stroke di Rumah Sakit Islam Surabaya. J Chem Inf Model 2017;10. https://doi.org/10.1017/CBO9781107415324.004.

Pongantung H, SAS J, Lanny M, Ndjaua M. Hubungan Dukungan Keluarga dengan Self Efficacy pada Pasien Stroke di RSUP Dr. Wahidin Sudirohusodo. Mirasehat 2018;VIII.

Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol Theory Pract 2005;8:19–32. https://doi.org/10.1080/1364557032000119616.

Levac D, Colquhoun H, O’Brien KK. Scoping studies: Advancing the methodology. Implement Sci 2010;5:1–9. https://doi.org/10.1186/1748-5908-5-69.

Brouwer-Goossensen D, van Genugten L, Lingsma HF, Dippel DWJ, Koudstaal PJ, den Hertog HM. Self-efficacy for health-related behaviour change in patients with TIA or minor ischemic stroke. Psychol Heal 2018;33:1490–501. https://doi.org/10.1080/08870446.2018.1508686.

Torrisi M, De Cola MC, Buda A, Carioti L, Scaltrito MV, Bramanti P, et al. Self-Efficacy, Poststroke Depression, and Rehabilitation Outcomes: Is There a Correlation? J Stroke Cerebrovasc Dis 2018;27:3208–11. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.07.021.

Tielemans NS, Schepers VP, Visser-Meily JM, Post MW, Van Heugten CM. Associations of Proactive Coping and Self-Efficacy with Psychosocial Outcomes in Individuals after Stroke. Arch Phys Med Rehabil 2015;96:1484–91. https://doi.org/10.1016/j.apmr.2015.04.009.

French MA, Moore MF, Pohlig R, Reisman D. Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke. Top Stroke Rehabil 2016;23:77–83. https://doi.org/10.1080/10749357.2015.1110306.

Sol BGM, Graaf Y van der, Bijl JJ va. der, Goessens NBG, Visseren FLJ. Self-efficacy in patients with clinical manifestations of vascular diseases. Patient Educ Couns 2006;61:443–8. https://doi.org/10.1016/j.pec.2005.05.011.

Peters GJY, Ruiter RAC, Kok G. Threatening communication: A critical re-analysis and a revised meta-analytic test of fear appeal theory. Health Psychol Rev 2013;7:37–41. https://doi.org/10.1080/17437199.2012.703527.

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DOI: https://doi.org/10.26714/mki.4.3.2021.226-233


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