Self-care self-efficacy, quality of life, and depression after stroke

Arch Phys Med Rehabil. 2000 Apr;81(4):460-4. doi: 10.1053/mr.2000.3863.


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.

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

Participants: Sixty-three stroke survivors.

Main outcome measures: 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Aged
  • Aged, 80 and over
  • Depression / rehabilitation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Quality of Life*
  • Stroke / psychology*
  • Stroke Rehabilitation*
  • Time Factors