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Perceived self-efficacy gained from, and health effects of, a rehabilitation program after hip joint replacement
Birte Dohnke1, Bärbel Knäuper, Werner Müller-Fahrnow
1Charité-Universitätsmedizin Berlin, Berlin, Germany. birte.dohnke@charite.de
Objective:
To examine whether a routine multidisciplinary inpatient rehabilitation program can increase patient self-efficacy, and to investigate the effects of high self-efficacy at admission, and increases in self-efficacy, on health changes in patients who undergo such rehabilitation after hip joint replacement.
Methods:
Participants in this longitudinal study were 1,065 patients who underwent inpatient rehabilitation after hip joint replacement. Questionnaires were administered at admission, discharge, and 6-month followup. The main outcome variables were disability, pain, depressive symptomatology, and self-efficacy to cope with disability and pain.
Results:
Significant improvements from admission to discharge from the inpatient rehabilitation program in disability, pain, depressive symptoms, and self-efficacy were found. In addition, higher levels of self-efficacy at admission and larger increases in self-efficacy over the course of the program predicted larger health changes (i.e., greater decreases in disability, pain, and depressive symptoms). Results were generally similar for health changes from discharge to 6-month followup.
Conclusion:
A routine multidisciplinary inpatient rehabilitation program after hip joint replacement can result in enhanced self-efficacy.
