Tailored stroke self-management interventions: maximizing physical abilities
Jehan Sayyed Ali Sayyed; Mohamed Elsayed, Reda; Jehan A.Rahem Mohamed; Nehal Abd Elazim Youssef Abd ELmeguid;
Abstract
Abstract: Stroke is the leading cause of global long-term adult disability. Individuals post-stroke are inactive, even
during rehabilitation, contributing to ongoing disability and risk of secondary health conditions. So, the
engagement of stroke survivors in self-management has become an emerging priority because of the increased
recognition of the chronic nature of stroke and its related disabling consequences and post-stroke sequela. A
possible strategy to improve the effectiveness of self-management interventions is to understand how best to tailor
self-management interventions to the needs and circumstances of each participant. Aim: to evaluate the
effectiveness of tailored stroke self-management interventions on physical abilities. Subjects& Methods: A quasiexperimental
design was used to fulfil the aim of the study. Subjects: A purposive sample of (120) post-stroke
patients were recruited equally divided into study and control (60 patients each) both of groups receiving the
routine hospital care (ultraviolet rays and range of motion exercise) Moreover, the study group receiving tailored
stroke self-management interventions. Study setting: Rheumatology and Rehabilitation Department of Minia
University Hospital at Minia Governorate, Egypt. Tools of data gathering were; 1) Structured questionnaire for
personal and medical data, 2) Barthel scale for the performance of activities of Daily Living (ADL) to detect
physical abilities, 3) Ashworth scale for degree of spasticity to detect physical functions and 4) Patient's knowledge
assessment sheet. Results: a significant improvement in physical abilities as well as physical functions in the study
group than the control group at the 2 weeks and 12 weeks follow-up (p<0.001). Conclusion: The implementation of
tailored stroke self-management interventions is effective in maximizing physical abilities. Recommendation:
Rehabilitation nurses should be encouraged to incorporate tailored stroke self-management interventions to
minimize post-stroke sequela.
during rehabilitation, contributing to ongoing disability and risk of secondary health conditions. So, the
engagement of stroke survivors in self-management has become an emerging priority because of the increased
recognition of the chronic nature of stroke and its related disabling consequences and post-stroke sequela. A
possible strategy to improve the effectiveness of self-management interventions is to understand how best to tailor
self-management interventions to the needs and circumstances of each participant. Aim: to evaluate the
effectiveness of tailored stroke self-management interventions on physical abilities. Subjects& Methods: A quasiexperimental
design was used to fulfil the aim of the study. Subjects: A purposive sample of (120) post-stroke
patients were recruited equally divided into study and control (60 patients each) both of groups receiving the
routine hospital care (ultraviolet rays and range of motion exercise) Moreover, the study group receiving tailored
stroke self-management interventions. Study setting: Rheumatology and Rehabilitation Department of Minia
University Hospital at Minia Governorate, Egypt. Tools of data gathering were; 1) Structured questionnaire for
personal and medical data, 2) Barthel scale for the performance of activities of Daily Living (ADL) to detect
physical abilities, 3) Ashworth scale for degree of spasticity to detect physical functions and 4) Patient's knowledge
assessment sheet. Results: a significant improvement in physical abilities as well as physical functions in the study
group than the control group at the 2 weeks and 12 weeks follow-up (p<0.001). Conclusion: The implementation of
tailored stroke self-management interventions is effective in maximizing physical abilities. Recommendation:
Rehabilitation nurses should be encouraged to incorporate tailored stroke self-management interventions to
minimize post-stroke sequela.
Other data
Title | Tailored stroke self-management interventions: maximizing physical abilities | Authors | Jehan Sayyed Ali Sayyed; Mohamed Elsayed, Reda ; Jehan A.Rahem Mohamed; Nehal Abd Elazim Youssef Abd ELmeguid | Keywords | Stroke;tailored stroke self-management interventions;physical abilities | Issue Date | Apr-2020 | Publisher | International Journal of Novel Research in Healthcare and Nursing | Journal | International Journal of Novel Research in Healthcare and Nursing | Volume | 7 | Issue | 1 | Start page | 636 | End page | 650 |
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