The effect of training skills to using the mobility assistive devices on self- esteem and self-efficacy of hospitalized patients with stroke

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.