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Fitria Handayani
Universitas Surabaya
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Journal : Belitung Nursing Journal

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The correlations between demographic factors, self-efficacy, and quality of life among Indonesian patients with ischemic stroke: A cross-sectional study Azzahra, Nabila; Handayani, Fitria; Hidayati, Wahyu
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3651

Abstract

Background: Ischemic stroke is the primary cause of neurological disability and can lead to psychological issues that affect self-efficacy. Changes in self-efficacy, in turn, influence the overall quality of life. Although many studies have examined factors that affect self-efficacy, quality of life, or both, few have specifically explored the role of demographic factors in shaping the quality of life in patients with ischemic stroke. Objective: This study aimed to identify the correlations between demographic factors, self-efficacy, and quality of life Indonesian in patients with ischemic stroke. Methods: This study employed a quantitative approach with a cross-sectional design. A total of 143 participants were recruited between February and April 2024 based on defined inclusion criteria. The research instruments included a demographic questionnaire, the Stroke Self-Efficacy Questionnaire, and the Specific Stroke Quality of Life Questionnaire. Data were analyzed using descriptive statistics, logistic regression, and Spearman rank test. Results: The findings revealed that females were 2.213 times more likely (95% CI = 1.128–4.341; p = 0.031) to achieve high self-efficacy compared to males. Occupational status significantly influenced self-efficacy, with employed individuals being 6.333 times more likely (95% CI = 3.134–16.599; p <0.001) to achieve high self-efficacy. The duration of stroke experienced by respondents also had a significant impact, with an odds ratio (OR) of 1.908 (95% CI = 0.980–3.715; p = 0.025). Additionally, occupational status significantly affected the quality of life, as employed respondents were 7.213 times more likely to achieve a good quality of life (OR = 7.213; 95% CI = 3.134–16.599; p <0.001). There was a significant positive correlation between self-efficacy and quality of life (r = 0.898, p <0.001). Conclusion: The results of this study provide valuable insights for nursing practice, emphasizing the importance of interventions to enhance patients’ self-efficacy. By increasing patients’ confidence in managing their condition, such interventions can lead to improved quality of life and better recovery outcomes. Strategies including health education, psychological support, and patient empowerment during rehabilitation are essential for strengthening self-efficacy and improving overall care outcomes. These findings highlight the need for healthcare professionals and families to address the psychological aspects of care in patients with stroke. Enhancing self-efficacy is critical in helping patients achieve a better quality of life and more successful recovery.
Co-Authors - Anggorowati Abadi, Prayogo Pangestu Afra, Hanifah Sahar Al AGUNG PRIYONO Agustin, Marlinda Alifiati Fitrikasari Allanas, Edith Amanah, Nimas Efa Aminuyati Ana Damayanti Andrew Johan Andria Pragholapati Anisa Aprilia Susanti, Aprilia Artha Nesa Chandra Asworo, Yuliana Dwi Ayu Wulansari, Destia Ayunita, Nirfaul Azahara, Dina Nadya Azzahra, Nabila Bagus R, Chandra Barkah, Eka Chandra Bagus Ropyanto Chikita Skavina, Ismi Darni Darni Dewanti, Farradilla Alenia Dhanang Efendi Dian Ratna Sawitri Dianto, Sri Rejeki Anugerahni Martono Djohan, Andrew Dwi Febryanto Dwi Pudjonarko Dwi Retnaningsih, Dwi Dwi Rini Kurnia Fitri Dwiantoro, Luky Dwiyanti , Yunita Eko Agus Prasetyo, Eko Agus Erawati, Meria Fieten, Marloes Frans Rizal Agustiyanto Gafar, Gazali Hadiyati Idrus Hasriana Hasriana, Hasriana Hatta, Candra Ichwan Madauna Ira Herawati, Ira Irwanto Irwanto Jerau, Emiliani Elsi Juniansyah, Ferry Kartika, Irma Ratna Kartikawati, Nindya Galuh Kurniadewi, Fera Latumanuwij, Romy Laurensia, Laurensia Lestari, Iin Widya Megah Andriany Mei Rachmawantari, Dhistianti Meira Erawati Mohammad Mahpur Muchlisin, Muchlisin Muharam Rizki, Abrar Mustikaningrum, Retno Endarwati Niken Safitri Dyan Kusumaningrum Noni Widiawatie Nopriandi, Nino Nugroho, Aidahaya Hanannisa Nur Annisa, Syifa Nur Setiawati Dewi Ose, Maria Imaculata Paramita, Yuaniko Purwasih, Anggraini Putri, Yupita Retnaningsih Retnaningsih Retnaningsih RIA ANGGRAINI Risma, Mutia Rustini, Yeyet Saputra, Irwan Setyowati Setyowati Sriwenda, Djudju Suhartini Suhartini Susilo, Ahmad Dwi Tri Indah Winarni Tri Nur Kristina Tyas, Nila Titis Untung Sujianto Upami, Prakerti Tri Usman Made Wahyu Hidayati widayanto, Doto Widiawan, Ages Kayla Shyfa Yamlean, Muliyani Yaya Sukarya, Yaya Yudiatma, Muh. Firman Yuni Dwi Hastuti Zulfikar Naftali, Zulfikar