Self-care self-efficacy, quality of life, and depression after stroke.
OBJECTIVE
To determine the relationship of self-care self-efficacy to functional independence, quality of life, and depression after stroke.


METHODS
Longitudinal, descriptive correlational design.


METHODS
Inpatient rehabilitation facility at 1 month after stroke and home at 6 months after stroke.


METHODS
Sixty-three stroke survivors.


METHODS
Four instruments: Strategies Used by People to Promote Health, Quality of Life Index--Stroke Version, Center for Epidemiologic Studies Depression Scale, and Functional Independence Measure.


RESULTS
Self-care self-efficacy increased after stroke and was strongly correlated with quality of life measures and depression at both 1 and 6 months after stroke. Functional independence and quality of life increased over time, while depression decreased. Functional independence was modestly correlated with quality of life at 6 months after stroke, but not at 1 month after stroke.


CONCLUSIONS
Self-care self-efficacy is strongly related to quality of life and to depression. Clinicians and family may encourage stroke patients' self-confidence, expectations for self-care, and self-efficacy behaviors, thereby improving patients' quality of life.
Robinson-Smith
G
G
College of Nursing, Villanova University, PA 19085-1699, USA.
Johnston
M V
MV
Allen
J
J
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011788:Quality of Life; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D013997:Time Factors