Effect of nurse-led rehabilitation enhancement program on self-efficacy, functional ability, quality of life and perceived dependence among stroke survivors: A quasi-experimental study

BACKGROUND: Stroke is one of the world’s leading causes of long-term disability and leads to diminished sense of self-efficacy, compromised functional capacities, and reduced quality of life (QoL). The study aims to evaluate the effect of Nurse-Led Rehabilitation Enhancement Program (NLREP) on self-efficacy, functional ability, QoL and perceived dependence among stroke survivors. MATERIALS AND METHODS: A quasi-experimental pretest-posttest control group design was used to evaluate the effect of NLREP among 148 stroke survivors conveniently enrolled in a tertiary care hospital in South India from November 1, 2023, to October 31, 2024. The experimental group received initial orientation on stroke management, daily follow-ups and hotline service, followed by two empowerment sessions at the 2 nd and 6 th weeks, respectively. The control group received standard routine discharge instructions. Outcomes were assessed at baseline, 10 weeks, and 14 weeks using the Stroke Self-Efficacy Questionnaire, the Barthel Index, the Stroke-Specific Quality of Life Scale, and a Likert scale on perceived dependence. The two-way repeated measures ANOVA was performed to check the effectiveness of NLREP on outcome variables. The complete analysis was performed using SPSS 16, and P < 0.05 is considered statistically significant. RESULTS: The study shows significant improvement ( P < 0.001) in Self-efficacy, Functional ability, and QoL following NLREP among stroke survivors. A significant decrease ( P < 0.001) in Perceived dependence was observed across different time points in experimental and control group. CONCLUSION: NLREP featuring a hotline was effective in improving self-efficacy, functional ability, and QoL among stroke survivors.