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

      Archives of physical medicine and rehabilitation
      Activities of Daily Living, Adult, Aged, Aged, 80 and over, Depression, rehabilitation, Female, Humans, Male, Middle Aged, Prognosis, Quality of Life, Stroke, psychology, Time Factors

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          Abstract

          To determine the relationship of self-care self-efficacy to functional independence, quality of life, and depression after stroke. Longitudinal, descriptive correlational design. Inpatient rehabilitation facility at 1 month after stroke and home at 6 months after stroke. Sixty-three stroke survivors. 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. 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. 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.

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