Article

OBJECTIVE: To investigate the role of self-efficacy in functional recovery and
well-being outcomes in osteoarthritis patients, undergoing hip or knee
replacement surgery. DATA SOURCES: Studies were identified using MEDLINE via PUB
med, PsycINFO and CINAHL from inception to July 2013.
METHODS: Three search
strategies that combined key terms of 'self-efficacy', 'functional recovery',
'well-being' and 'joint replacement' were applied.
Titles and abstracts were
screened for eligibility and, accordingly, potentially eligible studies were
retrieved for review. Included studies were assessed in terms of their quality,
and data were extracted by two independent reviewers. A narrative synthesis of
results was conducted. RESULTS: In total, 836 articles were identified and after
electronic de-duplication, 708 articles remained. After screening 15 articles
were retrieved as potentially eligible and eight articles were included in the
review. Of the eight studies (n = 967 patients), seven had a prospective design
and all studies were considered of good quality. No fully conclusive evidence for
the influence of self-efficacy upon functional recovery outcomes was found. When
the timing of self-efficacy measurement was examined, post-operative
self-efficacy was found to be related to functional recovery outcomes.
CONCLUSION: Presurgical self-efficacy was the least consistent predictor of
functional outcomes while postoperative self-efficacy was more consistently
associated with recovery outcomes such as longer distance ambulation, exercise
repetition and frequency, walking speed and disability.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS