Effectiveness of self-intervention on self-efficiency and activity daily living among patients with stroke

Background: A stroke is initiated by an disturbance in the blood supply to portions of the brain causing in injury of it that affects people’s lives and alterations their capability to live dependently and with quality. It has been proposed that special training, called ’a self-management, teaches people about reasons and controlling of stroke, helps them progress the skills to work with their complications and challenges. Aim: This study aimed to examine self-intervention on self-efficiency and activity daily living among patients with stroke. Design: Quasi experimental research design was used to reach the purpose of this research. Setting: This research was accompanied in neurological care unit of Menoufia University hospital, Egypt.  Sample: purposeful sample of 100 patients who were admitted the neurological units at Menoufia, University. Tools: The data gathering instruments were Instrument (I) Structure interview questionnaire: that contain two parts Part I: Sociodemographic and clinical data, Part II: - Medical data, Instrument (2) Knowledge questionnaires sheet:- that contains four parts, Instrument (3) (SSQE) Stroke Self‐ Efficacy Questionnaire and Instrument (4) Barthel Index for Activities of Daily Living (ADL). Results: The chief outcomes of the research there was a statistically significant progress of total information score about stroke in the study group compared to the control group post and follow up of intervention (P=.000). There was statistically significant difference between the study group about the total score of evaluation of patients’ awareness about secondary stroke prevention pre, post and follow up intervention, There was statistically significant difference between the study group regarding the total score of  SSQE Stroke Self‐ Efficacy  pre , post and follow up intervention((P=.000)). Also, the total levels of Barthel Index for activities of everyday living score in the research had improved post and follow up intervention than control group. Conclusion: The study concluded that nursing intervention which include educational information, rehabilitation and awareness knowledge that increase self-efficiency, daily living activity that increase self-care abilities, decrease complication as well as improve stroke patients in the rehabilitation phase. Recommendation: Nursing intervention and education should be directed toward who are at danger of stroke and instruct about management and uppermost of followups, rehabilitation facilities in agreement with their level of education, in a language that is easily understandable. Apply updated protocol of different methods of nursing intervention that help stroke patients to control stress, hypertension, high risk factors through booklet and different methods of education and rehabilitation service.