《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2008, Vol. 14 ›› Issue (11): 1045-1047.

• 临床研究 • Previous Articles     Next Articles

Application of Self-Efficacy Theory in Rehabilitation for Hemiplegics with Psychological Disorder after Stroke

YANG Wen-qing, GUO Ke-feng, WANG Zhi-jiang, et al   

  1. Department of Rehabilitation Medicine, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi, China
  • Received:2228-08-19 Published:2008-11-01 Online:2008-11-01

Abstract: Objective To investigate the effect of self-efficacy theory in rehabilitation on stroke patients with hemiplegia complicated psychological disorder. Methods 26 cases were divided into the combined therapy group (13 cases, accepted physical therapy with self-efficacy) and the routine physical therapy group (13 cases). They were assessed with General self-efficacy scale (GSES), Fugl-Meyer Assessment before and 1, 3 months after treatment, as well as symptom checklist (SCL-90) before and 1 month after treatment. Results The scores of GSES raise 63% in the combined therapy group 1 month after treatment, obviously different from that of routine physical therapy (P<0.01).The score of Fugl-Meyer Assessment of the combined therapy group were increased from (53.08±13.04) to (90.07±6.54 ) and from (56.46±12.95) to (81.77±8.51)in the routine physical therapy group (F= 85.53,P<0.05). All the scores of depression, anxiety, compulsion, hostility in SCL-90 were markedly lower in the combined therapy group than in the routine physical therapy group(P<0.01). Conclusion Utilization of self-efficacy theory in rehabilitation can improve the emotion and effect of rehabilitation.

Key words: stroke, hemiplegia, psychological disorder, self-efficacy, rehabilitation