Iannello Paola, Biassoni Federica, Bertola Laura, Antonietti Alessandro, Caserta Valerio Antonello, Panella Lorenzo
Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.
Department of Physical and Rehabilitation Medicine, Orthopedic Institute "Gaetano Pini", Milan, Italy.
Eur J Psychol. 2018 Jun 19;14(2):424-443. doi: 10.5964/ejop.v14i2.1559. eCollection 2018 Jun.
Hip fracture is one of the most common health care problems among elderly people. Literature shows that high self-efficacy expectations and positive affect are some of the key issues in functional recovery after hip fracture. The present investigation tested whether self-narration of such life-breaking event influences self-efficacy and depression during the process of rehabilitation. We designed a Self-Narration Journey (SNJ) to be administered during the in-hospital rehabilitation. In Study 1, we investigated the influence of SNJ on depression and perceived self-efficacy. Study 2 aimed to explore the effect of SNJ, depression, and self-efficacy on functional recovery of independence to perform daily activities during the rehabilitation process. The data showed that the Self-Narration Journey proved effective in increasing the perceived self-efficacy and in lowering the level of depression. The present work highlights a significant effect of the SNJ on the functional recovery process.
髋部骨折是老年人中最常见的医疗保健问题之一。文献表明，高自我效能期望和积极情绪是髋部骨折后功能恢复的一些关键因素。本研究测试了对这种改变生活事件的自我叙述是否会在康复过程中影响自我效能和抑郁。我们设计了一个自我叙述之旅（SNJ），在住院康复期间进行。在研究1中，我们调查了SNJ对抑郁和感知自我效能的影响。研究2旨在探讨SNJ、抑郁和自我效能对康复过程中独立进行日常活动功能恢复的影响。数据表明，自我叙述之旅被证明在提高感知自我效能和降低抑郁水平方面是有效的。目前的工作突出了SNJ对功能恢复过程的显著影响。
