A Proposed self-efficacy program in home-based rehabilitation for post stroke patients

Abstract

To proposed and test the effect of a home-based rehabilitation program on perceived self-efficacy, outcome expectation and physical functional status in post stroke patients. The program was developed by literature review, observation and interview post stroke patients in real setting. A home-based rehabilitation program based on self-efficacy concept of Bandura (1986). The sample included 60 post stroke patients with caregivers at Banphaeo Hospital, Samutsakorn province, were randomly assigned to an experimental group and a control group. The experimental group received a home-based rehabilitation program together with routine care, while the control group received only routine care. The physical functional status measured by Barthel Index and Chula ADL before and twelve weeks after intervention. The SPSS/PC for window program was used to analyze the data.The findings revealed that the mean score on perceived self-efficacy of the experimental group at posttest phase was significantly higher than at the pretest phase (p-value, is less than 05) and the mean score on outcome expectation at the posttest phase was not different than at the pretest phase (p-value, is more than 05). While the mean score on perceived self-efficacy of the control group at the posttest phase was significantly different from the pretest phase (p-value, is less than 05), the mean score on outcome expectation at the posttest and the pretest phase was not different. The posttest mean score on perceived self-efficacy and outcome expectation of the experimental group was significantly higher than the control group (p-value, is less than 05). This study suggests that a home-based rehabilitation program could increase perceived self-efficacy in post stroke patients.This program can be implemented within the nursing practice specifically at home by convince patients and their caregivers to get the most perceived self-efficacy.