Abstract
Role of disease perception and treatment confidence in the compliance of self-efficacy rehabilitation of stroke patients
  
DOI:
EN KeyWords: stroke  disease perception  belief in tak-ing medicine  self-efficacy  rehabilitation compliance  mediating effect
Fund Project:国家自然科学基金(72274179)
作者单位
齐晶晶 郑州大学第一附属医院康复医学科郑州 450052 
刘腊梅 郑州大学第一附属医院临床教研室郑州 450052 
李文婷 郑州大学第一附属医院康复医学科郑州 450052 
刘延锦 郑州大学第一附属医院护理部,郑州 450052 
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EN Abstract:
  Objective: To analyze the role of disease perception and medication belief in self-efficacy and rehabilitation compliance of stroke patients. Methods: Totally, 321 stroke patients admitted to our hospital from May 2022 to April 2023 served as the research objects. The general information questionnaire and the functional exercise compliance scale for stroke (SFEAS), beliefs about medical questionnaire (BMQ), disease perception questionnaire (B-IPQ) and self-efficacy scale (SSEQ) were used to analyze the relationship between disease perception, medication belief, self-efficacy and rehabilitation compliance. Results: In total, 21 invalid questionnaires were excluded, and 300 valid questionnaires were finally obtained. The scores of B-IPQ scale, BMQ scale, SFEAS scale and SSEQ scale were (45.33±8.31),(30.10±3.32),(34.89±8.90) and (74.09±11.80), respectively, and the total scores of each scale and each dimension were at the lower-middle level. There was no significant difference in the scores of B-IPQ, BMQ, SFEAS and SSEQ among patients with different gender, age, body mass index, education background and residence. Pearson correlation analysis showed that disease perception was negatively correlated with medication belief, self-efficacy and rehabilitation compliance (r=-0.754,-0.741,-0.785;P<0.001).There was a positive correlation between medication belief and self-efficacy (r=0.864;P<0.001); There was a positive correlation between medication belief and rehabilitation compliance (r=0.780;P<0.001).There was a positive correlation between self-efficacy and rehabilitation compliance (r=0.753;P<0.001).The mediating effect of self-perception and medication belief between self-efficacy and rehabilitation compliance of stroke patients showed that the path coefficient of self-efficacy to rehabilitation compliance was 0.409, and self-efficacy had a partial indirect effect on rehabilitation compliance through mediating variables of disease perception and belief intaking medicine. Conclusion: The oc-currence of stroke can affect patients’ disease perception, medication belief, self-efficacy and rehabilitation compliance, and disease perception and medication belief can affect patients’ self-efficacy and rehabilitation compliance.
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