Objective: To explore the impact of an empowerment-based health management program, implemented within a medical consortium framework, on secondary prevention for stroke patients. Methods: Stroke patients admitted to our hospital and its medical group were included in the study. They were randomly divided into two groups: a control group of 98 cases and an experimental group of 101 cases. The control group received conventional treatment and nursing propaganda and education, while the experimental group received an empowerment-based health management program within the medical consortium framework. Stroke recurrence hospitalization rates, self-efficacy scale scores, stroke patient empowerment nursing assessment scale scores, and medication adherence between the two groups were analyzed and compared. Results: After six months, the stroke recurrence hospitalization rate was significantly higher in the control group than in the experimental group (P<0.05). The experimental group demonstrated significantly higher self-efficacy scores than the control group (P<0.05). The stroke patient empowerment nursing assessment scale scores in the experimental group increased (P<0.05). The experimental group showed higher Patient Activation Measure (PAM) scores compared to the control group (P<0.05). The experimental group exhibited higher Medication Adherence Scale-8 (MMAS-8) scores compared to the control group (P<0.05). Conclusion: The empowerment-based health management program within the medical consortium framework effectively enhances secondary prevention outcomes for stroke patients. Through the integration of healthcare resources, provision of personalized health management plans, and reinforcement of patient education, this program enhances patients' self-management capabilities, promotes medication adherence, and encourages positive lifestyle changes. As a result, it reduces the recurrence rate of strokes and the risk of complications. The empowerment-based health management program within the medical consortium framework holds significant potential for enhancing chronic disease management.
| Published in | American Journal of Nursing Science (Volume 13, Issue 1) |
| DOI | 10.11648/j.ajns.20241301.11 |
| Page(s) | 1-7 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Medical Consortium Model, Empowerment-Based Health Management Program, Stroke, Secondary Prevention
| [1] | Jacob J Bundy, Jeffrey Forris Beecham Chick, Anthony N Hage, et al. Stroke. J Neurointerv Surg, 2018, 10 (12): E33. DOI: 10.1136/neurintsurg-2018-013877. |
| [2] | Liu Liu, David Wang, K S Lawrence Wong, et al. Stroke and stroke care in China: Huge burden, significant workload, and a national priority. Stroke, 2011, 42 (12): 3651–3654. doi: 10.1161/STROKEAHA.111.635755. |
| [3] | Ming Liu, Bo Wu, Wen-Zhi Wang, et al. Stroke in China: Epidemiology, prevention, and management strategies. Lancet Neurology, 2007, 6 (5): 456–464. doi: 10.1016/S1474-4422(07)70004-2. |
| [4] | Joshua Chodosh, Sally C Morton, Walter Mojica, et al. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med, 2005, 143 (6): 427-438. doi: 10.7326/0003-4819-143-6-200509200-00007. |
| [5] | W L S Chan, E Hui, C Chan, et al. Evaluation of chronic disease self-management programme (CDSMP) for older adults in Hong Kong. J Nutr Health Aging, 2011, 15 (3): 209-214. doi: 10.1007/s12603-010-0257-9. |
| [6] | Graeme J Hankey. Secondary stroke prevention. Lancet Neurol, 2014, 13 (2): 178-194. doi: 10.1016/S1474-4422(13)70255-2. |
| [7] | Chinese Society of Neurology, Chinese Stroke Society. Diagnostic criteria of cerebrovascular diseases in China (version 2019). Chin J Neurol, 2019, 52 (9): 710-715. |
| [8] | Chinese Guidelines for Diagnosis and Treatment of acute Ischemic Stroke 2010. Chinese Journal of Neurology, 2010, 43 (02): 146. |
| [9] | Shearer N. B. Health empowerment theory as a guide for practice. Geriatric Nursing, 2009, 30 (2 Suppl.): 4–10. doi: 10.1016/j.gerinurse.2009.02.003. |
| [10] | MA Min, AI Zisheng, SHI Zhidao. Reliability and validity of General Self-Efficacy Scale (Chinese version) in middle-aged and elderly patients with type 2 diabetes. Journal of Tongji University (Medical Science), 2022, 43 (04): 515-520. doi: 10.12289/j.issn.1008-0392.21411. |
| [11] | Fand Dandan, Xu Yuxia. Study on the reliability and validity of Empowerment Care Evaluation Scale of Stroke Patients. Clinical Medical & Engineering, 2023, 30 (03): 399-400. doi: 10.3969/j.issn.1674-4659.2023.03.0399. |
| [12] | Dammery, Genevieve, et al. The Patient Activation Measure (PAM) and the pandemic: Predictors of patient activation among Australian health consumers during the COVID-19 pandemic. HEALTH EXPECTATIONS, 2023, 26 (3): 1107-1117. doi: 10.1111/hex.13725. |
| [13] | Tanaka, Makoto, et al. Validity and Reliability of the Japanese Version of the Morisky Medication Adherence Scale-8 in Patients With Ulcerative Colitis. GASTROENTEROLOGY NURSING, 2021, 44 (1): 31-38. doi: 10.1097/SGA.0000000000000533. |
| [14] | Wang Weijun, Li Yanming. Health managementConsideration on disease prevention and control work in the construction of healthy China. Practical Preventive Medicine, 2019, 26(4): 507-509. DOI: 10.3969/j.issn.1006－3110.2019.04.036. |
| [15] | Nelma B Crawford Shearer. Toward a nursing theory of health empowerment in homebound older women. J Gerontol Nurs, 2007, 33 (12): 38-45. doi: 10.3928/00989134-20071201-05. |
| [16] | Aslani, Ms, Zahra, Alimohammadi, et al. Nurses' Empowerment in Self-Care Education to Stroke Patients: An Action Research Stud. International Journal of Community Based Nursing and Midwifery, 2016, 4 (4): 329-338. |
| [17] | Long Linzi, Gu Songsui, Cui Jin, et al. Impact of empowerment education on stroke patients with constraint-induced movement therapy. Family Nurse, 2017, 15 (19): 2308-2310. doi: 10.39699/j.issn.1674-4748.2017.19.002. |
| [18] | Hartford, W., S. Lear, and L. Nimmon. Stroke Survivors' Experiences of Team Support along Their Recovery Continuum. BMC Health Services Research, 2019, 19 (1): 1-12. doi: 10.1186/s12913-019-4533-z. |
| [19] | Liu Youhua, Guo Hong. Empowerment in Chinese primary caregivers of post-stroke patients with disability: A cross-sectional study. Medicine (Baltimore), 2021, 100 (5), p. e23774. doi: 10.1097/MD.0000000000023774. |
| [20] | Izadi-Avanji F S, Amini A, Mirbagh Ajorpaz N, et al. The effect of a family-centered empowerment model on the quality of life of patients with stroke. Journal of Client-centered Nursing Care, 2020, 6 (1): 13-22. doi: 10.32598/JCCNC.6.1.293.4. |
| [21] | Clark D, Forbes C. Patient empowerment stroke—a strategy for Scotland. Scottish Medical Journal, 2001, 46 (3): 71-72. doi.org/10.1177/003693300104600302. |
| [22] | Sit J W H, Chair S Y, Choi K C, et al. Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial. Clinical Interventions in Aging, 2016, 11: 1441-1450. doi.org/10.2147/CIA.S109560. |
| [23] | Bishop M, Kayes N, McPherson K. Understanding the therapeutic alliance in stroke rehabilitation. Disability and rehabilitation, 2021, 43 (8): 1074-1083. doi.org/10.1080/09638288.2019.1651909. |
APA Style
Yan, H., Xiaofen, H., Baoxia, W., Min, D. (2024). The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke. American Journal of Nursing Science, 13(1), 1-7. https://doi.org/10.11648/j.ajns.20241301.11
ACS Style
Yan, H.; Xiaofen, H.; Baoxia, W.; Min, D. The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke. Am. J. Nurs. Sci. 2024, 13(1), 1-7. doi: 10.11648/j.ajns.20241301.11
AMA Style
Yan H, Xiaofen H, Baoxia W, Min D. The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke. Am J Nurs Sci. 2024;13(1):1-7. doi: 10.11648/j.ajns.20241301.11
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Download@article{10.11648/j.ajns.20241301.11,
author = {Huang Yan and Huang Xiaofen and Wu Baoxia and Du Min},
title = {The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke},
journal = {American Journal of Nursing Science},
volume = {13},
number = {1},
pages = {1-7},
doi = {10.11648/j.ajns.20241301.11},
url = {https://doi.org/10.11648/j.ajns.20241301.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20241301.11},
abstract = {Objective: To explore the impact of an empowerment-based health management program, implemented within a medical consortium framework, on secondary prevention for stroke patients. Methods: Stroke patients admitted to our hospital and its medical group were included in the study. They were randomly divided into two groups: a control group of 98 cases and an experimental group of 101 cases. The control group received conventional treatment and nursing propaganda and education, while the experimental group received an empowerment-based health management program within the medical consortium framework. Stroke recurrence hospitalization rates, self-efficacy scale scores, stroke patient empowerment nursing assessment scale scores, and medication adherence between the two groups were analyzed and compared. Results: After six months, the stroke recurrence hospitalization rate was significantly higher in the control group than in the experimental group (PPPPP<0.05). Conclusion: The empowerment-based health management program within the medical consortium framework effectively enhances secondary prevention outcomes for stroke patients. Through the integration of healthcare resources, provision of personalized health management plans, and reinforcement of patient education, this program enhances patients' self-management capabilities, promotes medication adherence, and encourages positive lifestyle changes. As a result, it reduces the recurrence rate of strokes and the risk of complications. The empowerment-based health management program within the medical consortium framework holds significant potential for enhancing chronic disease management.
},
year = {2024}
}
TY - JOUR T1 - The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke AU - Huang Yan AU - Huang Xiaofen AU - Wu Baoxia AU - Du Min Y1 - 2024/01/08 PY - 2024 N1 - https://doi.org/10.11648/j.ajns.20241301.11 DO - 10.11648/j.ajns.20241301.11 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 1 EP - 7 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20241301.11 AB - Objective: To explore the impact of an empowerment-based health management program, implemented within a medical consortium framework, on secondary prevention for stroke patients. Methods: Stroke patients admitted to our hospital and its medical group were included in the study. They were randomly divided into two groups: a control group of 98 cases and an experimental group of 101 cases. The control group received conventional treatment and nursing propaganda and education, while the experimental group received an empowerment-based health management program within the medical consortium framework. Stroke recurrence hospitalization rates, self-efficacy scale scores, stroke patient empowerment nursing assessment scale scores, and medication adherence between the two groups were analyzed and compared. Results: After six months, the stroke recurrence hospitalization rate was significantly higher in the control group than in the experimental group (PPPPP<0.05). Conclusion: The empowerment-based health management program within the medical consortium framework effectively enhances secondary prevention outcomes for stroke patients. Through the integration of healthcare resources, provision of personalized health management plans, and reinforcement of patient education, this program enhances patients' self-management capabilities, promotes medication adherence, and encourages positive lifestyle changes. As a result, it reduces the recurrence rate of strokes and the risk of complications. The empowerment-based health management program within the medical consortium framework holds significant potential for enhancing chronic disease management. VL - 13 IS - 1 ER -
Nursing Department, Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou, China
