Spring 2020, Volume 6, Issue 3 DOI: 10.21859/ijrn-06301
Iranian Journal of Rehabilitation Research in Nursing (IJRN) Original Article
The Effect of Training Skills to Using the Mobility Assistive
Devices on Self-Esteem and Self-Efficacy of Hospitalized
Patients with Stroke
Bakhtiar Peak Falak
1
, Hamid Reza Khanke
2,3,*
, Asghar Dalvandi
4
, Nerges Arsalani
5
,
Asghar Bayati
6
1
MSc in Nursing, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran,
Iran
2
Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation
Sciences, Tehran, Iran
3
Department of Clinical Science and Education, Karolinska Instituted, Stockholm Sweden
4
Associate Professor, Department of Nursing, Islamic Azad University, Tehran Medical Branch, Islamic Azad
University, Tehran, Iran
5
Assistant Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran,
Iran
6
Neurologist, Ayatollah Kashani Hospital, Shahrekord University of Medical Science, Shahrekord, Iran
* Corresponding author: Hamid Reza Khanke, Health in Emergency and Disaster Research Center,
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. E-mail: hamid.khankeh@ki.se
Received: 12 Feb 2019 Accepted: 04 Jan 2020
© 2020 Iranian Nursing Scientific Association (INA)
Abstract
Introduction: Decreased self-efficacy and self-esteem are common complications after a stroke.
Rehabilitation for patients after stroke is inevitable. The training of the use of mobility assistive devices
helps to increase the level of activity and independence. This study aimed to determine the effect of
movement assistive devices skills training on the self-efficacy and self-esteem of stroke patients.
Methods: This study was a controlled clinical trial that was performed on 62 patients with stroke in Kashani
Hospital Shahrekord in 2018. Samples were selected by simple sampling, and based on the numbers
generated by random allocation software; they were assigned to the control and experimental groups.
Before Patients discharge, the intervention group was trained in the use of assistive mobility devices, and
the control group received conventional training and treatment. At the next visit to the doctor (at least two
weeks later), self-esteem and self-efficacy of patients were measured. Data were analyzed by SPSS software
version 18 using descriptive and inferential statistics. The significance level was considered (0.05).
Results: Patients in both intervention and control groups were matched in terms of demographic variables.
Self-efficacy and self-esteem before and after training were not significantly different in the control group
(self-efficacy P = 0.221, self-esteem P = 0.102). P ≥ 0.05 But in the intervention group, the difference was
significant and improved P ≤ 0.05. Self-efficacy and self-esteem in the intervention group compared to the
control group in the covariance test (self-efficacy F = 50.704 self-esteem F = 59.69) Therefore, self-efficacy
and self-esteem in the intervention group compared with the control group had a significant difference (sig
= 0.000).
Conclusions: The teaching of motor aid to stroke patients improves self-esteem and self-efficacy in
controlling the complications of the disease. Therefore, it is recommended to use these tools to increase
self-esteem and self-efficacy.
Keywords: Mobility Assistive Devices, Stroke, Self-efficacy, Self-esteem