基于ITHBC理论的脑卒中患者自我管理干预方案的构建及可行性研究

Construction and Feasibility Study of a Self-Management Intervention Program for Stroke Patients Based on the ITHBC Theory

摘要: 目的：构建基于ITHBC理论的脑卒中患者自我管理干预方案并探讨其可行性。方法：将28名脑卒中患者按照入院时间顺序分为对照组和干预组。对照组采用常规脑卒中护理。干预组在对照组的基础上，构建并实施基于ITHBC理论的脑卒中患者自我管理干预方案，比较干预前后两组患者的自我管理能力和自我效能。结果：本研究显示两组患者的留存率100%，总体依从率98.41%，患者满意度为96.98 ± 1.32。干预后，干预组的自我管理能力显著高于对照组，差异有统计学意义(P < 0.05)。结论：基于ITHBC理论的脑卒中患者自我管理干预方案具有较好的可行性，有助于提高脑卒中患者自我管理能力，提高患者的康复效果。

Abstract: Objective: To develop a self-management intervention program for stroke patients based on the ITHBC theory and to explore its feasibility. Methods: Twenty-eight stroke patients were divided into a control group and an intervention group according to their admission sequence. The control group received routine stroke care. The intervention group, in addition to routine care, received a self-management intervention program for stroke patients constructed and implemented based on the ITHBC theory. The self-management abilities and self-efficacy of patients in both groups were compared before and after the intervention. Results: This study showed a retention rate of 100% in both groups. The overall compliance rate was 98.41%, and patient satisfaction was 96.98 ± 1.32. After the intervention, the self-management ability of the intervention group was significantly higher than that of the control group, with the difference being statistically significant (P < 0.05). Conclusion: The self-management intervention program for stroke patients based on the ITHBC theory demonstrates good feasibility. It helps improve the self-management ability of stroke patients and enhances their rehabilitation outcomes.