The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-03-26 eCollection Date: 2024-03-01 DOI:10.4103/ijnmr.ijnmr_100_23
Zahra Salajegheh, Behnaz Bagherian, Roghayeh Mehdipour Rabori, Sakineh Sabzevari
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引用次数: 0

Abstract

Background: Cerebrovascular accident dramatically impacts patients' lives. However, this chronic disease could be managed by boosting self-care and following healthy behaviors. Accordingly, this trial sought to specify the impact of a training program established on the theory of planned behavior on the self-care of clients with this condition.

Materials and methods: This trial was performed on 80 clients, who were selected using a random numbers table and divided into two equal groups to receive either usual care alone or usual care plus a training program based on the theory of planned behavior (five in-hospital individual sessions for 5 weeks and weekly phone follow-ups for 2 months after discharge). Self-care and the dimensions of the theory of planned behavior were investigated at baseline and 2 months after the last in-hospital session using the standardized Shah version of the modified Barthel index and a researcher-made questionnaire, respectively.

Results: The mean score of self-care was significantly higher in the experimental arm at the posttest (Mann-Whitney = 506.00, p = 0.005). Also, the increase in mean change of self-care from baseline to posttest was significantly more in the experimental arm (t78= -6.6, p < 0.001). Such findings were also found for all dimensions of the theory of planned behavior.

Conclusions: Based on results, nurses and health policymakers can incorporate training based on the theory of planned behavior into routine care programs for patients with cerebrovascular accident to boost their self-care. The implemented intervention also could be reproduced in other contexts. Hence, further trials are requested to specify the sustainability of the findings.

基于计划行为理论的培训项目对脑血管意外患者自我护理的影响:随机对照试验
背景:脑血管意外严重影响着患者的生活。然而,这种慢性疾病可以通过加强自我护理和遵循健康行为来控制。因此,本试验试图明确根据计划行为理论制定的培训计划对该病患者自我护理的影响:该试验以 80 名患者为对象,采用随机数字表法选出患者,并将其分为两组,一组只接受常规护理,另一组则接受常规护理加基于计划行为理论的培训项目(5 周的院内个人课程和出院后 2 个月内每周的电话随访)。在基线和最后一次院内培训后的 2 个月,分别使用标准化的沙赫版改良巴特尔指数和研究人员自制的问卷调查自我护理和计划行为理论的各维度:实验组的自我护理平均得分在测试后显著提高(Mann-Whitney = 506.00,P = 0.005)。此外,从基线到测试后,实验组的自理能力平均变化的增加幅度也明显更大(t78= -6.6,p < 0.001)。在计划行为理论的所有维度上也发现了这样的结果:根据研究结果,护士和卫生政策制定者可以将基于计划行为理论的培训纳入脑血管意外患者的常规护理计划中,以提高他们的自我护理能力。已实施的干预措施也可在其他情况下复制。因此,还需要进一步的试验来明确研究结果的可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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