SELF-EFFICACY-DRIVEN RECOVERY IN ICU SURVIVORS: A LITERATURE REVIEW

Abstrak

Patients who survive critical illness develop long-term physical and psychological and functional disabilities which doctors call post-intensive care syndrome (PICS) after they leave the intensive care unit (ICU). The implementation of rehabilitation services and follow-up care has grown but patients achieve different levels of recovery because their self-efficacy levels affect their results. The research study combined existing data to understand how self-efficacy affects physical rehabilitation and psychological adjustment and post-ICU care participation in adult ICU survivors. The research team performed a literature review which included studies from PubMed and Scopus and Web of Science and CINAHL databases for papers published between 2020 and 2024. Research studies using quantitative and qualitative and mixed-methods approaches investigated self-efficacy and its associated behavioral factors which affect recovery results through thematic analysis. The research included twelve studies which fulfilled all necessary criteria. The research produced three main findings which showed self-efficacy determines physical recovery and helps people adjust psychologically and affects their participation in post-treatment appointments. The research showed that people with higher self-efficacy levels participated more in their rehabilitation program and handled their situation better while maintaining their medical treatment. People who had lower self-efficacy levels tended to stop participating in their care and their recovery process became longer. Self-efficacy stands as a primary behavioral element which determines how patients recover from their critical illness. The implementation of self-efficacy assessment and support programs during post-ICU nursing care could lead to better recovery results for patients.