Application Of Health Coaching Technology In Self-Management Of First-Stroke Patients

ObjectiveTo understand the influence of health coaching technology intervention program on stroke knowledge,self-efficacy,self-management behavior and blood pressure compliance rate of first-stroke patients,and to provide reference for the self-management intervention of first-stroke patients in China.MethodsThis design mainly adopts the convenience sampling method.Firstly,the first stroke patients hospitalized in a class III hospital in Shaoyang from December 2020 to January 2021 were selected as the main experimental subjects,and they were randomly divided into experimental group(n = 35)and control group(n = 35).The control group adopted routine inpatient education,and the experimental group implemented health coaching technology.Through "coaching" :that is 8 links: Contact(C),Observe(O),Affirm(A),Clarify(C),Help(H),Inspire(I),Nurture(N)and Guide(G),six months of intensive education and one-to-one health intervention were carried out.Before the intervention,after the intervention and one month after the intervention,the stroke knowledge,self-efficacy,self-management behavior scores and blood pressure compliance rate of the two groups were compared.Using Excel2003 to build a standardized database,and then using SPSS 20.0 to analyze the collected information,focusing on descriptive analysis,Chi-square test,Fisher’s exact test,two independent samples t test,two independent samples rank sum test and repeated measures Analysis of variance,the test level is α = 0.05.Results(1)Before the intervention,there was no significant difference in the scores of general information,stroke knowledge,self-efficacy,self-management behavior and blood presure between the two groups of patients(P>0.05).(2)After the intervention,the total score of stroke knowledge in the experience group was(32.00±3.07),which was significantly higher than that of the control group(25.91±4.74).One month after the intervention,the total score of stroke knowledge in the experience group was 33(32,35),which was significantly higher than that in the control group 26(23,29).Repeated measures analysis of variance showed that the total score of stroke knowledge in the time effect and interaction effect of each dimension score of the two groups of patients were statistically significant(P<0.05),the between-group effect of the dimension of medication and blood pressure monitoring was not statistically significant(P>0.05),and the between-group effects corresponding to other dimension scores and total scores were statistically significant(P<0.05).(3)After the intervention,the total score of self-efficacy of the experience group was(49.94±6.91),which was significantly higher than that of the control group(41.77±16.76).One month after the intervention,the total score of self-efficacy of the experience group was(50.31±6.41),which was significantly higher than that of the control group(43.63±14.56).The repeated measurement analysis of variance showed that the total score and each dimension score of self-efficacy in the time effect of the two groups of patients were statistically significant(P<0.05).The inter group effects of controlling symptoms and doing other things were statistically significant(P<0.05),the other dimensions and the total score of the scale were not statistically significant(P>0.05).In addition,the interaction effect of controlling fatigue dimension was not statistically significant(P>0.05),and the scores of other dimensions and the total score of the scale were statistically significant(P<0.05).(4)After the intervention,the total score of self-management behavior of the experience group was(172.9±14.5),which was significantly higher than that of the control group(154.9±19.1).One month after the intervention,the self-management behavior of the experience group was(178.40±11.98),which was significantly higher than that of the other group(158.21±15.86).The repeated measurement analysis of variance showed that the total score and each dimension scoreof self-management behavior in the time effect of the two groups of patients were statistically significant(P<0.05).There was no significant difference in the group effects of emotion management,social function management and rehabilitation exercise management(P>0.05),the intergroup effects of the scores of other dimensions and the total score of the scale were statistically significant(P<0.05).The interaction effect of social function management dimension was not statistically significant(P>0.05),but the interaction effect of the scores of other dimensions and the total score of the scale were statistically significant(P<0.05).(5)One month after the intervention,the standard rate of systolic blood pressure in the experimental group was 75%,which was significantly higher than 33% before the intervention(P < 0.05).One month after the intervention,the standard rate of diastolic blood pressure in the experimental group was 83%,which was higher than 71% before the intervention,the difference was not statistically significant(P > 0.05).ConclusionsHealth coaching technology can effectively improve the level of stroke knowledge,self-efficacy,self-management behavior and blood pressure compliance rate of first-stroke patients.