The effect of self-management on the knowledge beliefs behavior and subjective well-being in stroke patients during the rehabilitation phase

摘要

Objective: To investigate the effects of self-management on the knowledge, beliefs, behavior, and subjective well-being in stroke patients during the rehabilitation phase. Methods: the data from 60 first-episode stroke patients in the rehabilitation phase who were discharged from the Department of Neurology were analyzed in this retrospective study. The patients were assigned to an observational group or a control group, with 30 patients in each group. The routine intervention mode was used in the control group, and the self-management intervention mode was used in the observation group. Subsequently, the muscle strength of the upper and lower extremities, the self-care ability scores, the ADL, NIHSS, and FMA scores, the subjective well-being levels, and the patients’ complication rates were compared between two groups. Results: After the intervention, the muscle strength of the upper and lower extremities, the self-care ability scores, and the ADL, NIHSS, and FMA scores of the patients in the observational group were all better than they were in the control group, with statistically significant differences (all P<0.05). The subjective well-being levels of the patients in the observation group were also significantly better than they were in the control group (P<0.05). The incidence of complications in the observation group was lower than it was in the control group (P<0.05). Conclusion: Self-management intervention measures effectively improve the self-care abilities, enhance patient confidence in self-management, and help to improve the quality of life in stroke patients during the rehabilitation phase.