Effects of intervention based on SMG health management model on self-efficacy and medical coping styles of patients with moderate to severe stroke / 中国实用护理杂志

ABSTRACT

Objective:To explore the impact of intervention based on the SMG health management model on self-efficacy and medical coping styles of patients with moderate to severe stroke.Methods:In this experimental study, 106 stroke patients who visited the rehabilitation medicine department of the Second Affiliated Hospital of Xinjiang Medical University from April 2022 to August 2022 were selected by drawing lots and randomly divided into a control group (53 cases) and an intervention group (53 cases). The control group received routine health management after early stroke rehabilitation, while the intervention group was included in the SMG health management model intervention for 8 weeks based on the control group. The Medical Coping Style Questionnaire and Stroke Self-efficacy Questionnaire were used to compare the medical coping style and self-efficacy of the two groups and compared the results.Results:The total scores of coping style and self-efficacy in the intervention group were (16.42 ± 2.79) and (59.86 ± 13.84), which were higher than those in the control group (14.80 ± 1.70) and (35.96 ± 13.92) ( t = 3.50, 8.61, both P<0.05). The scores of avoidance and surrender coping styles were (13.28 ± 1.60) and (7.16 ± 2.10), which were lower than the control group′s (14.66 ± 0.77) and (8.26 ± 1.01) scores ( t = -5.48, -3.34, both P<0.05). Conclusions:Integrating the SMG health management model intervention into the early rehabilitation nursing process of patients with moderate to severe stroke can help improve patients′ self-efficacy, transform positive disease coping styles, actively cooperate with medical staff for rehabilitation training to improve disease prognosis.