Chen Xiaoxiao, Samartkit Niphawan, Masingboon Khemaradee
Master of Nursing Science Program Adult Nursing (International Program), Faculty of Nursing, Burapha University, Chonburi, Thailand.
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Belitung Nurs J. 2024 Jun 28;10(3):285-293. doi: 10.33546/bnj.3267. eCollection 2024.
In China, adults with ischemic stroke are getting younger. Additionally, following a stroke, they often neglect self-management (SM), which significantly impacts the rehabilitation process and treatment outcomes.
This study aimed to describe SM behavior and examine the relationship between stroke prevention knowledge, life stress, family relationships, and SM behavior among adults with ischemic stroke.
A total of 125 participants were recruited between October 2022 and March 2023 based on defined inclusion criteria. Research instruments included a demographic questionnaire, the Stroke Self-management Behavior Scale for Young Adults, the Stroke Prevention Knowledge Questionnaire, the Perceived Stress Scale, and the Brief Family Relationship Scale. Data were analyzed using descriptive statistics and Pearson's product-moment correlation.
The mean score of SM behavior was 88.1 out of 130 (SD = 16.5). Stroke prevention knowledge and family relationships showed a moderate positive significant relationship with SM behavior ( = 0.39, = 0.34, <0.001, respectively). Life stress had a significant negative relationship with SM behavior ( = -0.33, <0.001).
The findings offer insights for nurses to develop nursing interventions to promote SM behavior among adults with stroke. Furthermore, they can assist hospitals in transitioning care to the community by emphasizing holistic nursing practices that educate about stroke prevention knowledge, encourage family support, and provide stress management strategies to enhance the SM abilities of adults with stroke.
在中国，缺血性中风的成年患者正趋于年轻化。此外，中风后他们常常忽视自我管理，这对康复进程和治疗效果产生了重大影响。
本研究旨在描述缺血性中风成年患者的自我管理行为，并探讨中风预防知识、生活压力、家庭关系与自我管理行为之间的关系。
根据既定的纳入标准，于2022年10月至2023年3月共招募了125名参与者。研究工具包括一份人口统计学调查问卷、《青年成人中风自我管理行为量表》、《中风预防知识问卷》、《感知压力量表》和《简短家庭关系量表》。采用描述性统计和Pearson积差相关分析数据。
自我管理行为的平均得分为88.1分（满分130分，标准差 = 16.5）。中风预防知识和家庭关系与自我管理行为呈中度正相关（分别为r = 0.39，r = 0.34，P <0.001）。生活压力与自我管理行为呈显著负相关（r = -0.33，P <0.001）。
这些研究结果为护士制定护理干预措施以促进中风成年患者的自我管理行为提供了见解。此外，通过强调整体护理实践，即传授中风预防知识、鼓励家庭支持并提供压力管理策略以提高中风成年患者的自我管理能力，这些结果可以帮助医院将护理服务过渡到社区。
