Application and effect evaluation of multidisciplinary self-management model for patients with stroke based on knowledge transformation theoretical domain framework
Objective To construct a multidisciplinary self-management model for stroke based on knowledge transformation theoretical domain framework(TDF),and to explore its application effect.Methods From September 2020 to February 2021,convenience sampling method was used to select 150 stroke patients in the Rehabilitation Medical Center of our hospital.The patients were divided into a control group and an experimental group by using random number table method,75 in each group.The experimental group received nursing intervention based on the knowledge transformation TDF of multidisciplinary stroke self-management model.The control group received routine nursing intervention.The scores of Self-Management Behavior Scale(SMBs)and Barthel Index(BI)were compared between the two groups.Results After 6 months of intervention,the SMBs scores in the exper-imental group were(181.20±9.88)which were higher than(165.82±10.39)in the control group.The BI scores in the experimental group were(85.21±3.21)which were higher than(65.04±4.27)in the control group.The score of self-perceived burden in the experimental group were(22.60±5.57)which were lower than(29.77±6.52)in the control group.All differences were statistically significant(P＜0.05).After 12 months of intervention,there was no statistically significant difference in the score of SMBs between the two groups(P＞0.05).The BI score of the experimental group was(88.32±3.70)which was higher than(65.26±2.05)in the control group(P＜0.05).The score of self-perceived burden in the experimental group was(25.01±6.75),which was lower than(30.44±4.53)in the control group(P＜0.05).Conclusions The stroke multidisciplinary self-management model based on the knowledge transformation TDF can effectively improve the SMBs and BI of stroke patients.However,the effect of the in-tervention is diminished after 12 months.This suggests that intensive intervention is necessary in subsequent studies.
万方数据
维普
