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Background <p>The impact of recovery self-efficacy on health-related quality of life in haemorrhagic stroke survivors remains unclear. This longitudinal study examined this association through a one-year follow-up after discharge.</p> Methods <p>A prospective, longitudinal design was conducted. A total of 184 haemorrhagic stroke survivors in a tertiary hospital in western China from January 2020 to December 2021 were recruited by the convenience sampling method. The three-level EuroQol five-dimension questionnaire (EQ-5D-3&#xa0;L) and Stoke Self-efficacy Questionnaire (SSEQ) were assessed at four post-discharge time points: 1 month (T1), 3 months (T2), 6 months (T3), and 12 months (T4). The generalized estimating equation analysis was used to evaluate the associations between recovery self-efficacy and health-related quality of life.</p> Results <p>The mean age of included participants were 54.0, with 65.2% of female. Generalized estimating equation analysis revealed significant interactions between time and SSEQ on EQ-5D-3&#xa0;L (<i>p</i> &lt; 0.001). The simple effects of time showed significant increases in EQ-5D-3&#xa0;L scores from T3 to T4 in the low SSEQ group (β = 0.113–0.203, <i>p</i> &lt; 0.001) and from T2 to T4 in the high SSEQ group (β = 0.038–0.054, <i>p</i> &lt; 0.05). The simple effects of SSEQ showed that patients with higher SSEQ scores had significantly higher EQ-5D-3&#xa0;L scores at T1 (β = 0.187, 95%CI: 0.132–0.242, <i>p</i> &lt; 0.001), T2 (β = 0.154, 95%CI: 0.111–0.196, <i>p</i> &lt; 0.001), and T3 (β = 0.084, 95%CI: 0.054–0.113, <i>p</i> &lt; 0.001), but not at T4 (<i>p</i> = 0.803).</p> Conclusion <p>Recovery self-efficacy significantly interacted with time in shaping haemorrhagic stroke survivors’ health-related quality of life recovery. Higher self-efficacy was associated with earlier improvements, while lower self-efficacy was associated with delayed but larger improvements of health-related quality of life levels, with effects diminishing by one year after stroke.</p>

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Associations between self-efficacy and health-related quality of life in haemorrhagic stroke survivors: a longitudinal study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月9日

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  • Wei Zhu,
  • Qiaoyu Yang,
  • Baoyue Zhang,
  • Cong Wang,
  • Chaofeng Fan

摘要

Background

The impact of recovery self-efficacy on health-related quality of life in haemorrhagic stroke survivors remains unclear. This longitudinal study examined this association through a one-year follow-up after discharge.

Methods

A prospective, longitudinal design was conducted. A total of 184 haemorrhagic stroke survivors in a tertiary hospital in western China from January 2020 to December 2021 were recruited by the convenience sampling method. The three-level EuroQol five-dimension questionnaire (EQ-5D-3 L) and Stoke Self-efficacy Questionnaire (SSEQ) were assessed at four post-discharge time points: 1 month (T1), 3 months (T2), 6 months (T3), and 12 months (T4). The generalized estimating equation analysis was used to evaluate the associations between recovery self-efficacy and health-related quality of life.

Results

The mean age of included participants were 54.0, with 65.2% of female. Generalized estimating equation analysis revealed significant interactions between time and SSEQ on EQ-5D-3 L (p < 0.001). The simple effects of time showed significant increases in EQ-5D-3 L scores from T3 to T4 in the low SSEQ group (β = 0.113–0.203, p < 0.001) and from T2 to T4 in the high SSEQ group (β = 0.038–0.054, p < 0.05). The simple effects of SSEQ showed that patients with higher SSEQ scores had significantly higher EQ-5D-3 L scores at T1 (β = 0.187, 95%CI: 0.132–0.242, p < 0.001), T2 (β = 0.154, 95%CI: 0.111–0.196, p < 0.001), and T3 (β = 0.084, 95%CI: 0.054–0.113, p < 0.001), but not at T4 (p = 0.803).

Conclusion

Recovery self-efficacy significantly interacted with time in shaping haemorrhagic stroke survivors’ health-related quality of life recovery. Higher self-efficacy was associated with earlier improvements, while lower self-efficacy was associated with delayed but larger improvements of health-related quality of life levels, with effects diminishing by one year after stroke.