Effects of Self-Management Intervention Programs Based on the Health Belief Model and Planned Behavior Theory on Self-Management Behavior and Quality of Life in Middle-Aged Stroke Patients

Abstract

Objectives. To study the effect of self-management intervention programs based on the health belief model and planned behavior theory on self-management behavior and quality of life in middle-aged stroke patients. Most of the intervention studies on the self-management of middle-aged stroke patients focus on traditional Chinese medicine nursing and continuous nursing, lacking theoretical support. In particular, there is a lack of interventions based on the integration of two or more theories. Method. The middle-aged stroke patients were divided into the control group and the intervention group according to the disease area. A total of 70 patients were included, and 35 patients were included in the control group and the intervention group, respectively. The control group received routine neurological treatment and health education during hospitalization and continued to receive routine health education for 3 months after discharge. On this basis, the intervention group received an intervention program based on an integrated model of health beliefs and planned behavior theory, including 3 health education sessions during hospitalization and 3 months of postdischarge health education. A self-administered stroke general information questionnaire was used to collect basic information on patients’ age, gender, and comorbidities. The Stroke Self-Management Behavior Rating Scale and Stroke-Specific Quality-of-Life Scale (SS-QOL) were used to evaluate the management behavior and quality of life of the patients in both groups before and after the intervention. Results. Before the intervention, there was no statistically significant difference between the two groups in terms of self-management score, quality of life total score, and scores of each dimension P > 0.05 . At different periods after the intervention, the total score of self-management, total score of quality of life, and scores of each dimension were significantly higher in both groups than before the intervention P < 0.05 . In particular, the self-management and quality of life scores of the intervention group were higher than those of the control group at 1 and 3 months after the intervention P < 0.05 . Conclusion. The self-management intervention scheme based on the integrated model of health belief and planned behavior theory is beneficial to improve the self-management ability and quality of life of stroke patients. It provides basis for clinical nurses to further improve the self-management ability and quality of life of stroke patients. Our findings may also serve as a reference for caregivers in other countries to improve the self-management and quality of life of stroke patients.

Observation of the Effect of TTM-Based Health Information Behavior Combined with Continuous Nursing on Cognitive and Motor Function, Living Ability, and the Quality of Life of Cerebral Stroke Patients

“…In addition, most patients with CS have limited knowledge of treatment and nursing related to diseases, and they are eager to get further information and guidance related to disease rehabilitation. Health information behavior refers to the way in which individuals get information about health, health promotion activities, health risks, and diseases [13]. After discharge, patients often need to obtain a large amount of health information.…”

Predictors of the Intention to use of Traditional Chinese Medicine in Hong Kong Using Extended Theory of Planned Behavior: A Cross-Sectional Study

“…Positive attitude towards behaviors is correlated to the intention to the behaviors. The relationship between the attitude towards behaviors and intention to the behavior was found in many studies using TPB, including wearing PM2.5 mask [25], consumer purchasing behavior for organic food [26], and self-management of stroke [27]. Individual's attitude towards herbal medicines consumption was correlated with intention of herbal medicine use among pregnant women [28].…”

Predictors of the intention to use traditional Chinese medicine (TCM) using extended theory of planned behavior: a cross-sectional study among TCM users in Hong Kong

“…Positive attitude towards behaviors is correlated to the intention to the behaviors. The relationship between the attitude towards behaviors and intention to the behavior was found in many studies using TPB, including wearing PM2.5 mask [ 25 ], consumer purchasing behavior for organic food [ 26 ], and self-management of stroke [ 27 ]. Individual’s attitude towards herbal medicines consumption was correlated with intention of herbal medicine use among pregnant women [ 28 ].…”