Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale (CIUSSS-CN), Institut de Réadaptation en Déficience Physique de Québec (IRDPQ), 525 Wilfrid-Hamel, Quebec City, QC G1M 2S8, Canada.
Centre Hospitalier Universitaire Départemental de l'Ouémé-Plateau, Porto-Novo 01 BP 52, Benin.
Int J Environ Res Public Health. 2023 Jan 27;20(3):2286. doi: 10.3390/ijerph20032286.
Stroke self-efficacy is under-investigated in sub-Saharan Africa. In particular, studies focusing on the relationship between self-efficacy and post-stroke functional outcomes are scarce. This cross-sectional study aimed to explore the association between self-efficacy and post-stroke activity limitations, locomotor ability, physical activity, and community reintegration in Benin, a sub-Saharan African country. To achieve this purpose, a selection of stroke patients was made from the admission registers of the physiotherapy clinics (rehabilitation units) of three reference hospitals in Benin from January to April 2018. Stroke patients who were still continuing their rehabilitation sessions were informed by direct contact. Those who had already finished their sessions were informed by telephone. Sixty stroke patients of those contacted gave their consent and were recruited for this study. The sample consisted of 44 men and 16 women with a mean age of 56.7 ± 10.4 years. Activity limitations, locomotor ability, physical activity, community reintegration, and self-efficacy were self-reported using ACTIVLIM-Stroke, Abiloco-Benin, the Africa francophone version of the International Physical Activity Questionnaire (IPAQ-AF), the Reintegration to Normal Living Index (RNLI), and a French version of the Stroke Self-efficacy Questionnaire (SSEQ-F), respectively. Spearman's rank correlation coefficients (ρ) were calculated to characterize the relationship between self-efficacy and activity limitations, locomotor ability, physical activity, and community reintegration. According to the results, self-efficacy showed a moderate correlation with physical activity (ρ = 0.65; < 0.001) and high correlations with activity limitations (ρ = 0.81; < 0.001), locomotor ability (ρ = 0.72; < 0.001), and community reintegration (ρ = -0.84; < 0.001). Thus, self-efficacy emerges as an important factor associated with the functional recovery of stroke patients in sub-Saharan Africa.
在撒哈拉以南非洲，中风自我效能感的研究相对较少。特别是，关注自我效能感与中风后功能结果之间关系的研究则更为稀缺。本横断面研究旨在探索贝宁（撒哈拉以南非洲国家）中风患者的自我效能感与中风后活动受限、运动能力、身体活动和社区融入之间的关系。为了实现这一目标，我们从 2018 年 1 月至 4 月，从贝宁的三家参考医院的物理治疗诊所（康复病房）的入院登记册中选择了一些中风患者。通过直接联系告知正在接受康复治疗的中风患者，已经结束治疗的患者则通过电话通知。在联系的患者中，有 60 名患者同意并参与了本研究。样本由 44 名男性和 16 名女性组成，平均年龄为 56.7 ± 10.4 岁。活动受限、运动能力、身体活动、社区融入和自我效能感分别通过 ACTIVLIM-Stroke、Abiloco-Benin、非洲法语版国际体力活动问卷（IPAQ-AF）、正常生活再融入指数（RNLI）和法语版中风自我效能感问卷（SSEQ-F）进行自我报告。采用斯皮尔曼等级相关系数（ρ）来描述自我效能感与活动受限、运动能力、身体活动和社区融入之间的关系。结果显示，自我效能感与身体活动呈中度相关（ρ=0.65；<0.001），与活动受限（ρ=0.81；<0.001）、运动能力（ρ=0.72；<0.001）和社区融入（ρ=-0.84；<0.001）呈高度相关。因此，自我效能感是与撒哈拉以南非洲中风患者功能恢复相关的重要因素。
