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Illness Representation and Self-Efficacy: An Exploration of Fatigue Factors in Middle-Aged Stroke Survivors

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Listed:
  • Su-Ju Tsai
  • Chia-Chi Li
  • Shu-Mei Tsai
  • Shu-Chuan Kao
  • Hsiao-Mei Chen
  • Hsiang-Chu Pai

Abstract

The purpose of this study is twofold: to examine the relationship between illness representation and self-efficacy and to test the determinants and the effect of self-efficacy, resilience, and stroke impact on fatigue in middle-aged stroke survivors. This study used a cross-sectional and quantitative approach. The instruments included the Chronic Disease Self-Efficacy Scale, Stroke Impact Scale, Resilience Scale, and Fatigue Impact Scale. Structural equation modeling (SEM) was performed to analyze the data. A total of 63 patients with stroke (39 male and 24 female) were recruited form a medical university hospital. The results showed that patients’ illness representation had a significantly effect on self-efficacy for managing disease. In addition, SEM analysis demonstrated that self-efficacy, resilience and stroke impact influenced fatigue, explaining 20.6% of the variance in fatigue. It was concluded that to improve patient fatigue, we believe it is imperative to design interventions that improve patients’ self-efficacy, promote patients’ resilience, and better function.

Suggested Citation

  • Su-Ju Tsai & Chia-Chi Li & Shu-Mei Tsai & Shu-Chuan Kao & Hsiao-Mei Chen & Hsiang-Chu Pai, 2021. "Illness Representation and Self-Efficacy: An Exploration of Fatigue Factors in Middle-Aged Stroke Survivors," Clinical Nursing Research, , vol. 30(7), pages 1030-1037, September.
    • Handle: RePEc:sae:clnure:v:30:y:2021:i:7:p:1030-1037
    DOI: 10.1177/1054773821997134
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    References listed on IDEAS

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    1. Ming‐Hsiu Wu & Sheuan Lee & Hui‐Yi Su & Hsiang‐Chu Pai, 2015. "The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3155-3164, November.
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