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The effect of action modules on resilience and psychological health of stroke patients: A pilot non‐randomised control trial.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); Jan2023, Vol. 32 Issue 1/2, p311-319, 9p
- Publication Year :
- 2023
-
Abstract
- Aims and objectives: To determine whether interventions that use the Specific Thematic Nursing Care Action Modules (STNC‐AM) platform improve patients' psychological health over a two‐month period. Background: Stroke survivors often are left with a disability after a stroke, which can have an impact on their physical and mental health. Therefore, it is necessary for stroke patients to have tailored programmes in the face of post‐stroke mental health concerns and the need for care information. Design: A non‐randomised controlled pilot study was conducted. Methods: Participants included 44 post‐stroke patients at a medical university hospital, between 1 August 2019–28 February 2021, of whom 24 were assigned to the control group and 20 were assigned to the intervention (STNC‐AM). Data were analysed on an intention‐to‐treat basis. We used the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Checklist (case–control studies) for this study. Results: There were no statistical differences between the two groups at baseline. At the end of two months, however, the scores for resilience, depression and positive factors illness representation were statistically different between the two groups (p <.05). The results of the generalised estimating equation model analysis indicated that resilience and anxiety remained more significant in decreasing depression in the intervention group than in the control group. Conclusion: This preliminary trial suggests that, although action modules may be associated with a decrease in depression post‐stroke, part of this effect was likely associated with an increase in resilience and a decrease in anxiety of the patients. Relevance to clinical practice: The STNC‐AM platform provides a coaching platform that helps patients and caregivers to be effective and accessible. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSING audit
COMPETENCY assessment (Law)
DISEASE relapse prevention
PSYCHIATRIC nursing
EVALUATION of medical care
PILOT projects
EXPERIMENTAL design
CAREGIVER attitudes
MEDICAL rehabilitation
STROKE
CLINICAL trials
ACADEMIC medical centers
FOCUS groups
CAREGIVERS
CONFIDENCE intervals
PATIENTS
MANN Whitney U Test
FISHER exact test
PATIENTS' attitudes
ATTITUDES toward illness
COMPARATIVE studies
PHYSICAL activity
STROKE rehabilitation
MENTAL depression
PSYCHOSOCIAL factors
STROKE patients
DESCRIPTIVE statistics
RESEARCH funding
ANXIETY
STATISTICAL models
FATIGUE (Physiology)
DATA analysis software
NURSING interventions
PSYCHOLOGICAL resilience
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 32
- Issue :
- 1/2
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 160718477
- Full Text :
- https://doi.org/10.1111/jocn.16238