I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
After a stroke, many people may experience anxiety and loss of confidence during their recovery.
Of course, there are also some people who have not completely lost their anxiety and self-confidence. From the onset of the disease to the present, their anxiety has not changed at all.
In this state of mind, people around you say "do your best," and the rehab staff ask you, "What's your goal?"
In order to understand the physical state of the recovery process, we do tests such as physical activity and standing, but some people feel frustrated by the test itself.
Even if the patient knows that his paralyzed limb cannot move, even if the rehabilitation staff says, "This is a check, please move, we will check your movement." This is not transferable to
A combination of factors can not only make you feel depressed when you're sick, but it can make you even more depressed when you're encouraged by those around you with repeated reminders of what you can't do.
I recommend rehab to people who have just had a stroke or been transferred from an acute care hospital to see if they feel depressed or unable to keep up with their lives.
Self-efficacy is something I realize at times like this.
Self-efficacy is also known as self-efficacy.
Self-efficacy is defined as "the degree of confidence in an individual's ability to perform actions," but in simple terms, confidence in "I can do it myself ◯◯."
In this state of low self-efficacy, feelings of "I'm going to fail no matter what" and "I can't do it" become stronger, and I'm less motivated to do something.
A lack of motivation to do something can be called a decline in motivation.
After a stroke, people go into rehabilitation to achieve a variety of goals, but when self-efficacy is low, it can be difficult to change their behavior.
From this perspective, when I do rehab, I have a sense of self-efficacy and face the support of those in charge.
In order to improve self-efficacy, it is important to accumulate small successful experiences.
◆ You can sit without holding on to things.
◆It became easier to stand up when I realized ◯◯
◆ Able to roll over and get up
After a stroke, when there were more things I couldn't do, I had more success saying, "I can do it myself!"
Proper goal setting is important to guide this successful experience.
Goal setting will be visualized specifically with the rehabilitation staff.
Setting goals too high or too low will not lead to success.
In order to improve self-efficacy, we will set small goals and increase success experience.
In terms of recovery, I support so that I can have a small success and a good one.
Not everything will go smoothly, but I want to face my daily clinical practice with a feeling of moving forward together, even if just a little bit.
Citations/references
1) Ministry of Health, Labour and Welfare: e-Healthnet
Essentials for Improving Self-Efficacy
Self-efficacy is the confidence that you can do an action well. If a person has a strong sense of self-efficacy about a behavior, the likelihood of performing that behavior is thought to increase. you can
association
www.e-healthnet.mhlw.go.jp
☆*:.｡. Thank you for reading to the end.｡.:*☆
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This article was reprinted on September 23 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .