The Effect of Non-Pharmacological Intervention on Self-Efficacy in Stroke Patients

Ikha Nurjihan; Fitria Handayani; Meira Erawati

doi:10.26714/mki.5.2.2022.147-162

The Effect of Non-Pharmacological Intervention on Self-Efficacy in Stroke Patients

Ikha Nurjihan^(1*), Fitria Handayani⁽²⁾, Meira Erawati⁽³⁾

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

Abstract

Stroke sufferers are faced with limitations both in terms of physical, psychological, and social aspects which cause sufferers to experience difficulties in carrying out activities. The cause of these difficulties is low self-efficacy which will have a negative impact on the health conditions and behavior of stroke sufferers. The purpose of the review is to describe how interventions related to self-efficacy and their effect on self-efficacy in stroke patients. The method used is scoping review by looking for relevant articles using keywords. The inclusion criteria in this review were participants with a diagnosis of stroke, the results of the study measured self-efficacy, the study was a randomized controlled trial, the year of publication was in the 2011-2021 period, and the study was in English. The results in the review are five articles that have significant results on self-efficacy and six articles have insignificant results. Articles that have significant results apply interventions with several strategies including education, training, motivation, and self-management. The conclusion of this review is an article that has significant results in implementing a complex intervention (SESSMP intervention, MSE training intervention, and self-management empowerment intervention) and a single intervention (Health Empowerment Intervention for Stroke Self-management and SFBT).

Keywords

Intervention; self-efficacy; stroke

Full Text:

PDF

References

Lee D, Fischer H, Zera S, Robertson R, Hammel J, Lee D, et al. Topics in Stroke Rehabilitation Examining a participation-focused stroke self- management intervention in a day rehabilitation setting : a quasi-experimental pilot study. Top Stroke Rehabil 2017;9357:1–7. https://doi.org/10.1080/10749357.2017.1375222.

Harel-Katz H, Adar T, Milman U, Carmeli E. Examining the feasibility and effectiveness of a culturally adapted participation-focused stroke self-management program in a day-rehabilitation setting: A randomized pilot study. Top Stroke Rehabil 2020;27:577–89. https://doi.org/10.1080/10749357.2020.1738676.

Lindsay MP, Norrving B, Sacco RL, Brainin M, Hacke W, Martins S, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. Int J Stroke 2019;14:806–17. https://doi.org/10.1177/1747493019881353.

Riskesdas. Laporan Nasional Riskesdas 2018. Badan Penelit Dan Pengemb Kesehat 2018:198.

Korpershoek C, van der Bijl J, Hafsteinsdóttir TB. Self-efficacy and its influence on recovery of patients with stroke: A systematic review. J Adv Nurs 2011;67:1876–94. https://doi.org/10.1111/j.1365-2648.2011.05659.x.

Sit JW, Chair SY, Chan CWH, Lee DTF, Chan AWK, Cheung JLK, et al. Do empowered stroke patients perform better at self-management and functional recovery after a stroke ? A randomized controlled trial 2016:1441–50.

Storm V, Utesch T. The Effectiveness of Mental Practice Interventions on Psychological Health in Stroke Patients: A Systematic Review. J Imag Res Sport Phys Act 2019;14:1–11. https://doi.org/10.1515/jirspa-2019-0009.

Ramos-Lima MJM, Brasileiro I de C, de Lima TL, Braga-Neto P. Quality of life after stroke: Impact of clinical and sociodemographic factors. Clinics 2018;73:1–7. https://doi.org/10.6061/clinics/2017/e418.

Istiana F, Handayani F, Arifin MT. Factors Associated With Post-Stroke Self Efficacy. Media Keperawatan Indones 2021;4:226. https://doi.org/10.26714/mki.4.3.2021.226-233.

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.

Caetano LCG, Pacheco BD, Samora GAR, Teixeira-Salmela LF, Scianni AA. Self-Efficacy to Engage in Physical Exercise and Walking Ability Best Predicted Exercise Adherence after Stroke. Stroke Res Treat 2020;2020. https://doi.org/10.1155/2020/2957623.

Fan X, Xing C, Yang L, Wang J, Feng L. Fatigue, self-efficacy and psychiatric symptoms influence the quality of life in patients with myasthenia gravis in Tianjin, China. J Clin Neurosci 2020;79:84–9. https://doi.org/10.1016/j.jocn.2020.06.023.

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.

Penelope Davis AM. The Relationship between Self-Efficacy and Well-Being in Stroke Survivors. Int J Phys Med Rehabil 2013;04:1–10. https://doi.org/10.4172/2329-9096.1000159.

Al-mehsin SA. Self-Efficacy and Its Relationship with Social Skills and the Quality of Decision-Making among the Students of Prince Sattam Bin Abdul-Aziz University. Int Educ Stud 2017;10:108. https://doi.org/10.5539/ies.v10n7p108.

Kalav S, Bektas H. Effects of Chronic Care Model-based interventions on self-management , quality of life and patient satisfaction in patients with ischemic stroke : A single-blinded randomized controlled trial 2021:1–18. https://doi.org/10.1111/jjns.12441.

Wichowicz HM, Puchalska L, Rybak-Korneluk AM, Gąsecki D, Wiśniewska A. Application of Solution-Focused Brief Therapy (SFBT) in individuals after stroke. Brain Inj 2017;31:1507–12. https://doi.org/10.1080/02699052.2017.1341997.

Wahyuni S, Prasetyowati CD. Improving The Self-Efficacy of Post-Stroke Patients Using The Application of Life Review Therapy. J Keperawatan Soedirman 2020;15. https://doi.org/10.20884/1.jks.2020.15.2.1202.

Eames S, Hoffmann T, Worrall L, Read S, Wong A. Randomised controlled trial of an education and support package for stroke patients and their carers. BMJ Open 2013;3:1–9. https://doi.org/10.1136/bmjopen-2012-002538.

Sitio R, Elvin SD, Nirwan. The effect of health education on self-efficacy of post stroke patients. J Mutiara Ners 2020;3:48–54.

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.

Lo SHS, Chang AM, Chau JPC. Stroke self-management support improves survivors’ self-efficacy and outcome expectation of self-management behaviors. Stroke 2018;49:758–60. https://doi.org/10.1161/STROKEAHA.117.019437.

Aben L, Heijenbrok-kal MH, Loon EMP Van, Groet E, Ponds RWHM, Busschbach JJ V, et al. Training Memory Self-efficacy in the Chronic Stage After Stroke : A Randomized Controlled Trial 2015. https://doi.org/10.1177/1545968312455222.

Chen L, Chen Y, Chen X, Shen X, Wang Q, Sun C, et al. Longitudinal Study of Effectiveness of a Patient-Centered Self-Management Empowerment Intervention During Predischarge Planning on Stroke Survivors. Worldviews Evidence-Based Nurs 2018;15:197–205. https://doi.org/10.1111/wvn.12295.

Minshall C, Castle DJ, Thompson DR, Pascoe M, Cameron J, McCabe M, et al. A psychosocial intervention for stroke survivors and carers: 12–month outcomes of a randomized controlled trial. Top Stroke Rehabil 2020;27:563–76. https://doi.org/10.1080/10749357.2020.1738677.

Shaughnessy M, Michael K, Resnick B. Impact of treadmill exercise on efficacy expectations, physical activity, and stroke recovery. J Neurosci Nurs 2012;44:27–35. https://doi.org/10.1097/JNN.0b013e31823ae4b5.

Wolf TJ, Spiers MJ, Doherty M, Leary E V, Wolf TJ, Spiers MJ, et al. The effect of self-management education following mild stroke : an exploratory randomized controlled trial. Top Stroke Rehabil 2017;9357:0. https://doi.org/10.1080/10749357.2017.1289687.

Wentink MM, Berger MAM, de Kloet AJ, Meesters J, Band GPH, Wolterbeek R, et al. The effects of an 8-week computer-based brain training programme on cognitive functioning, QoL and self-efficacy after stroke. Neuropsychol Rehabil 2016;26:847–65. https://doi.org/10.1080/09602011.2016.1162175.

Sabariego C, Barrera AE, Neubert S, Stier-Jarmer M, Bostan C, Cieza A. Evaluation of an ICF-based patient education programme for stroke patients: A randomized, single-blinded, controlled, multicentre trial of the effects on self-efficacy, life satisfaction and functioning. Br J Health Psychol 2013;18:707–28. https://doi.org/10.1111/bjhp.12013.

Brady MC, Stott DJ, Norrie J, Chalmers C, St George B, Sweeney PM, et al. Developing and evaluating the implementation of a complex intervention: Using mixed methods to inform the design of a randomised controlled trial of an oral healthcare intervention after stroke. Trials 2011;12:1–15. https://doi.org/10.1186/1745-6215-12-168.

Handayani F, Setyowati S, Pudjonarko D, Sawitri DR. The effect of “self-help packages” on post stroke depression among ischemic stroke survivors. Nurse Media J Nurs 2021;10:361–75. https://doi.org/10.14710/NMJN.V10I3.31014.

Peterson SJ, Bredow TS. Middle range theories: Application to nursing research: Third edition. 2011.

Ghisi GL de M, Abdallah F, Grace SL, Thomas S, Oh P. A systematic review of patient education in cardiac patients: Do they increase knowledge and promote health behavior change? Patient Educ Couns 2014;95:160–74. https://doi.org/10.1016/j.pec.2014.01.012.

García-Ríos MC, Navarro-Ledesma S, Tapia-Haro RM, Toledano-Moreno S, Casas-Barragán A, Correa-Rodríguez M, et al. Effectiveness of health education in patients with fibromyalgia: A systematic review. Eur J Phys Rehabil Med 2019;55:301–13. https://doi.org/10.23736/S1973-9087.19.05524-2.

Boden-Albala B, Quarles LW. Education strategies for stroke prevention. Stroke 2013;44:48–51. https://doi.org/10.1161/STROKEAHA.111.000396.

Rumiati R-, Kariasa IM, Waluyo A. The Effectiveness of Post-Stroke Patient Care Education Intervention in Stroke Caregivers: A Literature Review. IJNP (Indonesian J Nurs Pract 2021;5:67–75. https://doi.org/10.18196/ijnp.v5i2.11437.

Oyake K, Suzuki M, Otaka Y, Momose K, Tanaka S. Motivational Strategies for Stroke Rehabilitation: A Delphi Study. Arch Phys Med Rehabil 2020;101:1929–36. https://doi.org/10.1016/j.apmr.2020.06.007.

Oyake K, Suzuki M, Otaka Y, Tanaka S. Motivational Strategies for Stroke Rehabilitation: A Descriptive Cross-Sectional Study. Front Neurol 2020;11:1–11. https://doi.org/10.3389/fneur.2020.00553.

Van Duijnhoven HJR, Heeren A, Peters MAM, Veerbeek JM, Kwakkel G, Geurts ACH, et al. Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis. Stroke 2016;47:2603–10. https://doi.org/10.1161/STROKEAHA.116.013839.

Clark E, MacCrosain A, Ward NS, Jones F. The key features and role of peer support within group self-management interventions for stroke? A systematic review. Disabil Rehabil 2020;42:307–16. https://doi.org/10.1080/09638288.2018.1498544.

Denny MC, Vahidy F, Vu KYT, Sharrief AZ, Savitz SI. Video-based educational intervention associated with improved stroke literacy, selfefficacy, and patient satisfaction. PLoS One 2017;12:1–12. https://doi.org/10.1371/journal.pone.0171952.

Appalasamy JR, Joseph JP, Ramaiah SS, Zain AZM, Quek KF, Tha KK. Video narratives intervention among stroke survivors: Feasibility and acceptability study of a randomized controlled trial. JMIR Aging 2020;3:1–15. https://doi.org/10.2196/17182.

Mohamed NA, Ridzuwan MHM, Ungah NAE, Jamaluddin TZMT. Effects of “bacterfree hand intervention” on the knowledge, attitude of handwashing and its technique, among pre-schoolers in Wilayah Persekutuan, Malaysia. Bangladesh J Med Sci 2018;17:67–70. https://doi.org/10.3329/bjms.v17i1.35283.