Longitudinal Study of Effectiveness of a Patient‐Centered Self‐Management Empowerment Intervention During Predischarge Planning on Stroke Survivors

Chen, Lu; Chen, Yan; Chen, Xiangyu; Shen, Xiaofang; Wang, Qing; Sun, Chunyan

doi:10.1111/wvn.12295

Cited by 29 publications

(68 citation statements)

References 37 publications

(43 reference statements)

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“…Eight studies excluded those with serious comorbidities and those with aphasia/cognitive/psychiatric diagnosis or communication impairment. 16 – 21 , 23 , 24 Interventions involved an individualised approach (six RCTs), 16 – 18 , 22 , 23 , 25 or group (3 RCTs) 18 – 20 approach to health promotion. One RCT combined both approaches.…”

Section: Resultsmentioning

confidence: 99%

“…Six of these programs 19 – 22 , 24 , 25 reported significant improvements in both self-efficacy and ADLs. These programs ranged from 3–18 months, and four 21 , 22 , 24 , 25 indicated sustained change was possible from 3–12 months after program completion. Core components of successful programs appeared to be a structured approach, tailored to clientele and formalised support systems through their carer, family networks, or community engagement.…”

Section: Discussionmentioning

confidence: 99%

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Health promotion interventions post-stroke for improving self-management: A systematic review

Taft

Laing

Wensley

et al. 2021

JRSM Cardiovascular Disease

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Background It is well-documented that women tend to be worse off post-stroke. They are often frailer, have less independence, lower functionality, increased rates of depression, and overall a lower quality of life. People who have had strokes benefit from rehabilitative support to increase their independence and reduce the risk of stroke reoccurrence. Despite the gender differences in the effects of stroke, interventions explicitly aimed at helping women have not been identified. Purpose This systematic review aimed to summarize the effectiveness of the health promoting behavioural interventions for reducing risk factors and improved self-management in women post-stroke, compared to usual care. Method Seven databases, Medline (Ovid), CINAHL, PsychInfo, Embase, PubMed, Scopus, and Google Scholar, were reviewed for randomized controlled trials covering post-stroke interventions. The following keywords were used: health promotion, secondary prevention, woman, women, female, sex difference, gender difference, after stroke, and post-stroke. Results Ten randomised controlled trials were found. These demonstrated common successful approaches for rehabilitation, but none specifically described health promotion strategies for women. Core components of successful programs appeared to be a structured approach, tailored to clientele and formalised support systems through their carer, family networks, or community engagement. Comprehensive reminder systems were successful for stroke risk reduction. Conclusion Women are disproportionately affected by stroke and are often in the frail category. Tailored structured health promotion programs with family and caregiver support combined with a comprehensive reminder system would appear to enable women post-stroke.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health promotion interventions post-stroke for improving self-management: A systematic review

Taft

Laing

Wensley

et al. 2021

JRSM Cardiovascular Disease

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“…Full text was obtained for 43 studies, 32 of which were subsequently excluded. Reasons for exclusion were not being able to obtain full text on three occasions [24][25][26], two studies turning out to be protocols [27,28], ten studies having a population with a mean age under 65 years [29][30][31][32][33][34][35][36][37][38], three study interventions being based on body functions [39][40][41], three studies only including outcome measures at body level [42][43][44], two studies not including the target population or including other chronic diseases [45,46], three studies focusing on education or exercise only [47][48][49], two studies providing peer or caregiver support [50,51], three studies involving a workbook or diary as the only content in the intervention [52][53][54], and one study being based on art [55]. This resulted in eleven studies eligible for inclusion in this review [56][57][58][59][60][61][62][63][64][65][66].…”

Section: Resultsmentioning

confidence: 99%

Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review

et al. 2020

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A systematic review was undertaken to determine the efficacy of self-management interventions for people with stroke over the age of 65 in relation to psychosocial outcomes. PubMed, Embase, and PsycInfo were searched for randomized controlled clinical trials. Studies were eligible if the included people with stroke had a mean age ≥65 years in both the intervention and control group. Data on psychosocial measurements were extracted and an assessment of methodological quality was undertaken. Due to heterogeneity across the studies, the results were synthesized narratively. Eleven studies were identified. They included different self-management interventions in terms of theoretical rationales, delivery, and content. Seven psychosocial outcomes were identified: i) self-management, ii) self-efficacy, iii) quality of life, iv) depression, v) activities of daily living, vi) active lifestyle, and vii) other measures. Self-management interventions for people with stroke over the age of 65 may be beneficial for self-management, self-efficacy, quality of life, activity of daily living, and other psychosocial outcomes. However, low study quality and heterogeneity of interventions, as well as variation in time of follow-up and outcome measures, limit the possibility of making robust conclusions.

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“…Two studies stated that the positive effects of self-management intervention programs carried out by nurses in increasing daily activities (ADL) and self-efficacy, as well as the rate of hospitalization one month after discharge from the hospital were known to be lower in patients who received self-management empowerment interventions (25,26). Self-management interventions also have a positive effect on self-management behavior, quality of life, depression, and stroke-related complications.…”

Section: Self-management Empowermentmentioning

confidence: 99%

The Appropriate Intervention to Improve Patient Outcome Among Stroke Patients: A Literature Review

Permata

Irawati²

2019

IJNHS

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Stroke has a deadly domino effect and is the number one cause of neurological defects in the world. Stroke patients can experience neurological deficits including cognitive impairment and disruption in fulfilling functional status reducing patient outcome. This literature review aims to identify the appropriate intervention to improve patient outcome among stroke patients. The authors conducted a literature search using several databases, namely ProQuest, EBSCO, Sage, and Science Direct from 2008 to 2018. The keywords appropriateness in the search were “stroke-patient”, “nursing intervention”, “patient outcome”. The literature search showed there are several nursing interventions for stroke patients that have an effect on increasing patient outcomes, namely intervention of dysphagia management, mobilization exercises, acupressure, cognitive enhancement, and self-management empowerment interventions. Nursing intervention given to stroke patients varies depending on the patient's response that arises as a result of a disorder related to the function of the part of the brain affected in stroke patients. Nurses through nursing interventions have a role in improving outcomes in stroke patients Keywords: Nursing Intervention; Patient Outcome; Stroke-Patient

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Longitudinal Study of Effectiveness of a Patient‐Centered Self‐Management Empowerment Intervention During Predischarge Planning on Stroke Survivors

Abstract: PCSMEI is of great value to stroke patients. This paper forms the basis for more widespread implementation of PCSMEI.

Cited by 29 publications

References 37 publications

Health promotion interventions post-stroke for improving self-management: A systematic review

Health promotion interventions post-stroke for improving self-management: A systematic review

Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review

The Appropriate Intervention to Improve Patient Outcome Among Stroke Patients: A Literature Review

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