THE MEDIATING EFFECT OF SELF-EFFICACY ON THE RELATIONSHIP BETWEEN HOPE LEVEL AND REHABILITATION EXERCISE ADHERENCE AMONG STROKE PATIENTS WITH HEMIPLEGIA

Tong-yao Xu, La-mei Liu^*

School of Nursing and Health, Zhengzhou University, 100 Science Avenue, High-tech district, Zhengzhou City, Henan province

Introduction: This study aimed to explore the mediating role of self-efficacy between the level of hope and rehabilitation exercise compliance in stroke patients with hemiplegia.

Materials and methods: The general information questionnaire, Questionnaire of Exercise Adherence, Herth Hope Inder, and Stroke Self-Efficacy Questionnaire were administered to 172 patients with hemiplegia who were admitted to the neurology and rehabilitation departments of an affiliated hospital in Zhengzhou.

Results: Stroke hemiplegic patients had a total self-efficacy score of (60.10±34.82), a level of hope score of (28.65±8.05), and a functional exercise compliance score of (34.71±8.45). The total scores of self-efficacy, hope level, and rehabilitation exercise compliance and each dimension were positively correlated (p<0.01). The model-fitting results showed that self-efficacy partially mediated the effect between hope level and rehabilitation exercise compliance in patients with stroke hemiplegia, with a practical value of 0.471.

Conclusion: The level of hope of stroke patients with hemiplegia is a direct predictor of rehabilitation exercise compliance, but is moderated by the mediating effect of self-efficacy, which can be strengthened to increase rehabilitation exercise compliance and promote disease recovery.