SU-JU TSAIHSIAO MEI CHENHSIANG-CHU PAI2026-10-162026-10-162021-09-01Pure ID: 15103990Pure UUID: 1e85ae03-717d-46e9-8688-4114101b47fa10.1177/1054773821997134https://www.scopus.com/pages/publications/85101679134https://scholars.csmu.edu.tw/handle/123456789/34131The purpose of this study is twofold: to examine the relationship between illness representation and self-efficacy and to test the determinants and the effect of self-efficacy, resilience, and stroke impact on fatigue in middle-aged stroke survivors. This study used a cross-sectional and quantitative approach. The instruments included the Chronic Disease Self-Efficacy Scale, Stroke Impact Scale, Resilience Scale, and Fatigue Impact Scale. Structural equation modeling (SEM) was performed to analyze the data. A total of 63 patients with stroke (39 male and 24 female) were recruited form a medical university hospital. The results showed that patients’ illness representation had a significantly effect on self-efficacy for managing disease. In addition, SEM analysis demonstrated that self-efficacy, resilience and stroke impact influenced fatigue, explaining 20.6% of the variance in fatigue. It was concluded that to improve patient fatigue, we believe it is imperative to design interventions that improve patients’ self-efficacy, promote patients’ resilience, and better function.8enjournal article