Asmenų patyrusių insultą savirūpa ir savaveiksmiškumas ankstyvuoju reabilitacijos laikotarpiu /

Self-Efficacy and Self-Care of Individuals After Stroke at Early Rehabilitation Period The Author:Ingrida Andruškevičiūtė Work Leader:Lecturer dr. Sonata Varvuolytė Work size:49 pages. Keywords:stroke,risk factors,self-care,self-efficacy,anxiety,depression. The aim of the research work: The possibilities of individuals’ self-efficacy and self-care assessment in early rehabilitation period after stroke. Tasks of work: 1.To detect risk factors” and chronic diseases’frequency in patients after stroke. 2.To evaluate patients’ after stroke self-efficacy and self-care. 3.To assess psychoemotional disturbances in patients after stroke. 4.To investigate self-efficacy and self-care connections with signs of anxiety and depression in patients after stroke. Materials and methods:106 persons after stroke have participated in research investigation. Respondents’ survey was conducted from Febraury till April of 2016. There were used three instruments:the original questionnaire, the Stroke Self-Efficacy Questionnaire and the Hospital Anxiety and Depression scale. Statistical analysis of research data was performed by using „SPSS 17.0 for Windows“ and „Excel 2010“ programs. Results: Total interviewed amount 106(average age-66.9±11.3 years)individuals after stroke. They have agreed to participate in the study, have had no speech impairment and understand questions.The study included 58 female (average age - 67.1 ± 12.4 years) and 48 male (average age-66.7±10.0 years),54.7% and 45.3%, respectively. On average,study participants self-care and self-efficacy have rated 6.3 points. The averages of self-care and self-efficacy assessment were the same in female and male groups, respectively, 6.2 and 6.4 scores(p<0.05). 29 participants have been identified depressive symptoms, 21 female and 8 male, respectively 36.2% and 16.7%. On average,all study participants with depressive symptoms, self-care and self-efficacy have assessed 5 points, female 5.4 points and male 4.5 points (p>0.05). The same number, i.e. 29 participants have had signs of anxiety, 21 female and 8 male, 36.2% and 16.7 %.On average, study participants with anxiety symptoms, self-care and self-efficacy have rated 5.5 points, female 6.3 points and male 4.5 points (p> 0.05). 77 individuals have been without symptoms of depression, 15 have had borderline features and 14 undoubted signs of depression, accordingly, 72.6%, 14.2% and 13.2%. The study participants without depressive symptoms and self-care and self-efficacy have assessed in average with 7 points, with borderline features with 4.9 points and with undoubted signs 3.7 points (p>0.05). 77 study participants have been identified anxiety symptoms, 15 have had borderline features and 14 undoubted signs of anxiety, accordingly 72.6%, 14.2%, 13.2%. Individuals without symptoms of anxiety self-care and self-efficacy have rated 6.8 points, with doubted signs of anxiety – 3.9 points,with clear anxiety symptoms - 5.6 points (p>0.05). Conclusions: 1.The biggest majority of research participants had arterial hypertension and elevated cholesterol concentration in blood. Half of participants were multimorbidic: they have had three or more chronical diseases. 2.Survey participants have had self confidence in daily activities, which were required little physical strength, they have tried to stay optimistic, but have lacked confidence for continuation of unfinished work and the attempts to work faster. 3.Individuals after stroke have had the same expression frequency of depression and anxiety signs, i.e.covered one third of participants. 4.The study participants without depression signs have rated self-care and self-efficacy twice higher, than those who have had noticeable symptoms of depression. The study participants without anxiety signs or with vivid anxiety symptoms have had higher scores self-care and self-efficacy than those who have had slight signs of anxiety.

Grantor dc:publisher

Institutional Repository of Vilnius University

Year dc:date

2016

Author dc:creator

• Andruškevičiūtė, Ingrida,

Contributors dc:contributor

• Varvuolytė, Sonata

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

lit

Repository record dc:identifier

https://repository.vu.lt/VU:ELABAETD20255480&prefLang=en_US

OAI identifier oai:identifier

oai:vu.lt:elaba:20255480