From Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong (S.H.S.L., J.P.C.C.); and School of Nursing, Faculty of Health, Queensland University of Technology, Australia (A.M.C.).
Stroke. 2018 Mar;49(3):758-760. doi: 10.1161/STROKEAHA.117.019437. Epub 2018 Feb 2.
Evidence shows self-management programs are associated with improved recovery outcomes. This article reports on the effectiveness of a new nurse-led self-efficacy-based stroke self-management program.
A randomized controlled trial of participants recruited from 3 acute stroke units was conducted. The intervention group received the 4-week stroke self-management program. The control group received usual care. All participants were assessed at baseline and 8 weeks after randomization. Data were analyzed using generalized estimating equations. Outcomes included self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors.
One hundred twenty-eight participants were randomized with mean age, 67.46 years (SD, 11.95); 59% men; and mean duration poststroke, 45 days (SD, 26.16). At 8 weeks of follow-up in the intention-to-treat population, the intervention group improved significantly in self-efficacy (95% confidence interval, 2.55-12.45; <0.01), outcome expectation (95% confidence interval, 5.47-14.01; <0.01), and satisfaction with performance of self-management behaviors (95% confidence interval, 3.38-13.87; <0.01) compared with the control. Similar results were obtained at 8 weeks of follow-up in the per-protocol population.
The stroke self-management program improved survivors' self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors.
URL: http://www.clinicaltrials.gov. Unique identifier: NCT02112955.
有证据表明，自我管理项目与改善康复结果相关。本文报告了一种新的基于护士主导的自我效能的中风自我管理计划的有效性。
一项针对从 3 个急性中风病房招募的参与者的随机对照试验。干预组接受为期 4 周的中风自我管理计划。对照组接受常规护理。所有参与者在基线和随机分组后 8 周进行评估。使用广义估计方程分析数据。结果包括自我效能、结果预期和对自我管理行为表现的满意度。
128 名参与者被随机分为两组，平均年龄 67.46 岁（标准差 11.95）；59%为男性；中风后平均时间为 45 天（标准差 26.16）。在意向治疗人群中，8 周随访时，干预组的自我效能（95%置信区间：2.55-12.45；<0.01）、结果预期（95%置信区间：5.47-14.01；<0.01）和对自我管理行为表现的满意度（95%置信区间：3.38-13.87；<0.01）均显著提高，与对照组相比。在方案人群中，8 周随访时也得到了类似的结果。
中风自我管理计划提高了幸存者的自我效能、结果预期和对自我管理行为表现的满意度。
