| 【Objective】This study aimed to investigate the effect of structured education on the intervention of convalescent ischemic stroke and provide a basis for improving patients’self-management behavior.【Methods】This study will be conducted in two parts.(1)The first part is a descriptive study that uses the cluster sampling survey method to screen 240 patients with convalescent ischemic stroke who met the inclusion and exclusion criteria who were treated by the Department of Neurology and Community Hospital of a general hospital in Kunming during November2021 to January 2022.Collecting patient data by on-site investigation to explain the purpose and significance of the study to patients.After obtaining informed consent,the stroke self-management behavior scale and stroke specific disease knowledge scale will be completed to study the status quo and influencing factors of self-management in patients with ischemic stroke in the convalescent period.(2)The second part is a quasi-experimental research,selects 74 patients who were hospitalized in the Department of Neurology of a general hospital in Kunming from February 2022 to September 2022.They all meet the inclusion and exclusion criteria of the study,then using the random number table method to divide them into intervention group and control group.Both groups implement routine admission,discharge guidance and ischemic stroke secondary prevention health education.On the basis of the control group,the intervention group uses the structured education model,the structured education educator program and the patient manual to explain the disease-related knowledge and the key points of self-management to the patients.After the end of the intervention,the evaluation scores of the stroke self-management Behavior Scale,stroke health knowledge questionnaire and medication compliance scale are collected and recorded respectively at the time of discharge,one month after discharge and three months after discharge.The readmission times of patients within three months after discharge are counted.Finally,the scores of the questionnaire and scale are statistically analyzed.【Results】In the first part of this study,a total of 240 questionnaires were distributed,222effective scales were recovered.In the second part,a total of 74 study subjects were included,and no dropout occurred during the study.Finally,74 data were collected,and the results showed that:(1)The average score of self-management behavior of patients with convalescent ischemic stroke was 141.01±15.03;the influence of different ages on the score of self-management behavior was statistically significant(B=-4.71,t=3.845,P<0.001);the influence of different occupations on the score of self-management behavior was statistically significant(B=3.72,t=3.753,P<0.001);the effect of recurrent experience on the score of self-management behavior was statistically significant(B=4.26,t=2.223,P<0.05);stroke knowledge and stroke self-management behavior were positively correlated,except for the correlation between health information application and emotion management dimension(P>0.05)was not statistically significant,the correlation between the other dimensions and between the two total scores was positively correlated(P<0.001),and the correlation coefficient between stroke-specific knowledge and the total score of self-management behavior was r=0.921.(2)The self-management behavior scores of the two groups after the intervention were statistically significant in the self-management behavior scores of 1 day before discharge(t=6.612,P<0.001),1 month after discharge(t=11.4,P<0.001),and 3 months after discharge(t=7.836,P<0.001),and the behavioral scores of the intervention group were higher than those in the control group at three time points after the intervention.The stroke health knowledge scores of the two groups after the intervention were 1 day before discharge(z=6.730,P<0.001),The differences between1 month(z=6.792,P<0.001)and 3 months(z=6.618,P<0.001)were statistically significant,and the knowledge scores of the intervention group were higher than those in the control group at three time points after the intervention.The difference in medication compliance between the two groups was statistically significant(P<0.05)after 3 months of discharge,and the patients who followed in the intervention group(54.1%)were significantly higher than those in the control group(29.7%).One month after discharge,there was a significant difference in the number of readmission between the two groups(x~2=15.938,P=0.002<0.05),and three months after discharge,the difference in the number of readmission between the two groups was statistically significant(x~2=32.735,P<0.001).【Conclusion】Structured education is an effective intervention for self-management behavior of patients with convalescent ischemic stroke,which can improve patients’treatment compliance,reduce the frequency of readmission,improve quality of life,and save medical resources,which is worthy of application and promotion. |
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