Effect of nurse-led rehabilitation enhancement program on self-efficacy, functional ability, quality of life and perceived dependence among stroke survivors: A quasi-experimental study

Abstract

BACKGROUND: Stroke is one of the world’s leading causes of long-term disability and leads to diminished sense of self-efficacy, compromised functional capacities, and reduced quality of life (QoL). The study aims to evaluate the effect of Nurse-Led Rehabilitation Enhancement Program (NLREP) on self-efficacy, functional ability, QoL and perceived dependence among stroke survivors. MATERIALS AND METHODS: A quasi-experimental pretest-posttest control group design was used to evaluate the effect of NLREP among 148 stroke survivors conveniently enrolled in a tertiary care hospital in South India from November 1, 2023, to October 31, 2024. The experimental group received initial orientation on stroke management, daily follow-ups and hotline service, followed by two empowerment sessions at the 2nd and 6th weeks, respectively. The control group received standard routine discharge instructions. Outcomes were assessed at baseline, 10 weeks, and 14 weeks using the Stroke Self-Efficacy Questionnaire, the Barthel Index, the Stroke-Specific Quality of Life Scale, and a Likert scale on perceived dependence. The two-way repeated measures ANOVA was performed to check the effectiveness of NLREP on outcome variables. The complete analysis was performed using SPSS 16, and P < 0.05 is considered statistically significant. RESULTS: The study shows significant improvement (P < 0.001) in Self-efficacy, Functional ability, and QoL following NLREP among stroke survivors. A significant decrease (P < 0.001) in Perceived dependence was observed across different time points in experimental and control group. CONCLUSION: NLREP featuring a hotline was effective in improving self-efficacy, functional ability, and QoL among stroke survivors.