Archive 10057150

Volume 10, Issue 3, June 2021, Page: 173-178
The Effects of Self-Efficacy on Cognitive Function in Patients with Acute Stroke: Verification of the Medicating Effect of Family Support
Sanghee Kim, College of Nursing, Keimyung University, Daegu, South Korea
Received: May 4, 2021;       Accepted: May 18, 2021;       Published: May 26, 2021
DOI: 10.11648/j.ajns.20211003.15       View        Downloads  
Background: Post–stroke cognitive impairment (PSCI) is a common consequence of stroke. Many factors that affect cognitive function are known, but the effects of self-efficacy and family support have not been identified. Objectives: This study was a descriptive correlation investigation to determine the mediating effects of family support on the relationship between self-efficacy and cognitive function in stroke patients. Methods: This descriptive cross-sectional study recruited 339 adult patients with acute stroke. Data were collected using structured questionnaires between January and June 2020 and analyzed by multiple regression analysis using SPSS 25.0. The mediating effect of resilience on the relationship between emotional labor and job satisfaction was analyzed using multiple regression analysis according to Baron and Kenny’s procedure. Results: In this study, self-efficacy in patients with acute stroke showed a positive relationship with cognitive function (r=.467, p<.05) and family support (r=.341, p<.001), and family support and cognitive function also showed a positive relationship (r=.356, p<.05). In addition, family support was shown to have a partial mediating effect on the relationship between self-efficacy and cognitive function in patients with acute stroke (β=.26, p<.001). Conclusions: To improve the cognitive function of acute stroke patients, their self-efficacy and family support must be evaluated, and interventions are necessary to enhance self-efficacy and improve family support.
Acute Stroke, Self-Efficacy, Cognitive Function, Family Support
To cite this article
Sanghee Kim, The Effects of Self-Efficacy on Cognitive Function in Patients with Acute Stroke: Verification of the Medicating Effect of Family Support, American Journal of Nursing Science. Vol. 10, No. 3, 2021, pp. 173-178. doi: 10.11648/j.ajns.20211003.15
Copyright © 2021 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020; 21 (20): 7609. doi: 10.3390/ijms21207609.
Chugh C. Acute Ischemic Stroke: Management Approach. Indian J Crit Care Med. 2019; 23 (2): S140–S146. doi: 10.5005/jp-journals-10071-23192.
Ojaghihaghighi S, Vahdati SS, Mikaeilpour A, Ramouz A. Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke. World J Emerg Med. 2017; 8 (1): 34–38. doi: 10.5847/wjem.j.1920-8642.2017.01.006.
Kim JY, Kang K, Kang J, Koo J, Kim DH, Kim BJ, et al. Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society. J Stroke. 2019 Jan; 21 (1): 42–59. doi: 10.5853/jos.2018.03125.
Sun JH, Tan L, Yu JT. Post-stroke cognitive impairment: epidemiology, mechanisms and management. Ann Transl Med. 2014; 2 (8): 80. doi: 10.3978/j.issn.2305-5839.2014.08.05.
Obaid M, Flach C, Marshall I, D A Wolfe C, Douiri A. Long-Term Outcomes in Stroke Patients with Cognitive Impairment: A Population-Based Study. Geriatrics (Basel). 2020; 5 (2): 32. doi: 10.3390/geriatrics5020032.
Szczepańska-Gieracha J, Mazurek J. The Role of Self-Efficacy in the Recovery Process of Stroke Survivors. Psychol Res Behav Manag. 2020; 13: 897–906. doi: 10.2147/PRBM.S273009.
Dallolio L, Messina R, Calugi S, Fugazzaro S, Bardelli R, Rucci P, Fantini MP, Cavalli E, Taricco M. Self-management and self-efficacy in stroke survivors: validation of the Italian version of the Stroke Self-Efficacy Questionnaire. Eur J Phys Rehabil Med. 2018; 54 (1): 68-74. doi: 10.23736/S1973-9087.16.04451-8.
Tsai PC, Yip PK, Tai JJ, Lou MF. Needs of family caregivers of stroke patients: a longitudinal study of caregivers’ perspectives. Patient Prefer Adherence. 2015; 9: 449–457. doi: 10.2147/PPA.S77713.
Creasy KR, Lutz BJ, Young ME, Stacciarini JM. Clinical Implications of Family-Centered Care in Stroke Rehabilitation. Rehabil Nurs. 2015; 40 (6): 349–359. doi: 10.1002/rnj.188.
Creasy KR, Lutz BJ, Young ME, Stacciarini JM. Change of cognitive functions after stroke with rehabilitation systems. Transl Neurosci. 2019; 10: 118–124. doi: 10.1515/tnsci-2019-0020.
Ma HI, Hung PH, Lin SH, Chuang IC, Wu CY. The role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data. Arch Phys Med Rehabil. 2021; S0003-9993 (21) 00295-1. doi: 10.1016/j.apmr.2021.03.017.
Kim BR, Chun MH, Kim LS, Park JY. Effect of Virtual Reality on Cognition in Stroke Patients. Ann Rehabil Med. 2011; 3 (4): 450–459. doi: 10.5535/arm.2011.35.4.450.
Cobb S. Presidential Address-1976. Social support as a moderator of life stress. Psychosom Med 1976; 38: 300–14. doi: 10.1097/00006842-197609000-00003.
Han J, Lee HI, Shin YI, Son JH, Kim SY, Kim DY. Factors influencing return to work after stroke: the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study. BMJ Open. 2019; 9 (7): e028673. doi: 10.1136/bmjopen-2018-028673.
Al-Qazzaz NK, Ali SH, Ahmad SA, Islam S, Mohamad K. Cognitive impairment and memory dysfunction after a stroke diagnosis: a post-stroke memory assessment. Neuropsychiatr Dis Treat. 2014; 10: 1677–1691. doi: 10.2147/NDT.S67184.
Stewart JC, Lewthwaite R, Rocktashel J, Winstein CJ. Self-efficacy and Reach Performance in Individuals with Mild Motor Impairment Due to Stroke. Neurorehabil Neural Repair. 2019; 33 (4): 319-328. doi: 10.1177/1545968319836231.
Lutz BJ, Young ME, Creasy KR, Martz C, Eisenbrandt L, Brunny JN, et al. Improving Stroke Caregiver Readiness for Transition From Inpatient Rehabilitation to Home. Gerontologist. 2017; 57 (5): 880-889. doi: 10.1093/geront/gnw135.
Lo Coco D, Lopez G, Corrao S. Cognitive impairment and stroke in elderly patients. Vasc Health Risk Manag. 2016; 12: 105–116. doi: 10.2147/VHRM.S75306.
Tang EYH, Price C, Stephan BCM, Robinson L, Exley C. Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study. Front Med (Lausanne). 2020; 7: 267. doi: 10.3389/fmed.2020.00267.
Browse journals by subject