Study On The Effect Of Nursing Intervention Based On Protection Motivation Theory On The Self-management Of First-episode Stroke Patients

Research Purpose:Based on the theory of protection motivation,the nursing intervention plan for first-onset stroke patients was formulated.To study the effects of this nursing intervention program on self-management behavior,stroke prevention knowledge,and activities of daily living in first-onset stroke patients,to provide a basis for clinical nursing intervention.Research Methods:Based on the theory of protective motivation,this study studied the self-management intervention plan for first-onset stroke patients,and formulated the final intervention plan through literature review,expert consultation and pre-experiment.The study was conducted in a tertiary A hospital in Zhejiang Province from July 2020 to December 2020.82 first-onset stroke patients who were hospitalized in the two wards of the neurology department of the hospital were used as the research objects.The intervention group and the control group were set up with 41 patients each.Ten wards were randomly selected as the control group by lottery,and nine wards were the intervention group.For patients in the control group,neurological nursing routines and health education were given;for patients in the intervention group,nursing interventions based on the theory of protective motivation were implemented.Before the intervention,one month after the intervention,and two months after the intervention,the stroke self-management behavior scale,the stroke prevention knowledge scale,and the activity of daily living scale were used to evaluate the patient’s condition.Using SPSS25.0 to statistically analyze the data,to evaluate the impact of nursing intervention based on the theory of protective motivation on the self-management behavior of first-onset stroke patients.Research Results:A total of 79 patients participated in the study,including 40 in the intervention group and 39 in the control group.Before the intervention,the general basic data of the two groups of patients were compared,and the differences were not statistically significant(p>0.05),and they were balanced and comparable.After 1 month and 2 months of intervention,the total scores of self-management behavior of stroke patients in the intervention group were(178.38±3.16)points and(196.85±7.81)points respectively;the total scores of self-management behavior of patients in the control group were respectively(168.67±3.67)points,(177.77±3.95)points.The total self-management scores of patients in the intervention group were higher than those of the control group(p<0.05),and the intervention group was 1 month and 2 months after the intervention,except that the safety medication management score was meaningless after the intervention(p>0.05).The scores of each dimension of self-management were higher than those of the control group(p<0.05);the scores of self-management behaviors of the two groups were improved,and the comparison of each time within the group was statistically significant(p<0.05).After 1 month and 2 months of intervention,the scores of stroke prevention knowledge in the intervention group were higher than those in the control group,and the difference was statistically significant(p<0.05);both groups of patients had improved knowledge in stroke prevention,compared with each time point in the group The differences were statistically significant(p<0.05).After 1 month and 2 months of intervention,the total scores of activities of daily living of patients in the intervention group were(69.63±7.28)points and(74.50±6.58)points,respectively,and the scores of activities of daily living in the control group were(64.87±7.02)points,respectively)Points,(70.00±7.07)points;1 month and 2 months after the intervention,the total scores of activities of daily living in the intervention group were higher than those in the intervention control group(p<0.05).The scores of the activities of daily living of the two groups of patients improved,and the comparison of each time within the group was statistically significant(p<0.05).Research Conclusion:Nursing intervention based on the theory of protective motivation can improve the self-management level and ability of first-onset stroke patients;strengthen the patient’s learning of stroke prevention knowledge;improve the patient’s ability of daily living activities,further improve the quality of life.