Stroke Self-Management Program Based on Health Behavior Theory on Self-Management Behavior and Subjective Well-Being of Post-Ischemic Stroke Patients

Abstract

Background: Patients who have recently experienced a stroke urgently require self-management to boost their motivation, confidence, and capacity to adhere to a healthy lifestyle-based diet, treatment plan, and therapy. Aim: This study was to analyze the effect of stroke self-management on patients with post-ischemic strokes' self-management behavior and subjective well-being using the health behavior theory. Methods: With a total sample of 118 respondents divided into 59 respondents in the intervention and control groups, the study's quasi-experimental design combined with consecutive sampling to determine the sample in accordance with the inclusion and exclusion criteria. The Stroke Self-Management Behavior Performance Scale (SSBPS) and the Satisfaction with Life Scale (SWSL) were the instruments used in this study. t-test statistical analysis with p<0.5. Results: The results showed that the mean self-management behavior in the intervention group was 74.52 before and after the intervention, while the mean of subjective well-being before and after the intervention differed by 16.74 in the control group. In the intervention group, the mean self-management behavior was 34.18 before and after the intervention, while the mean of subjective well-being before and after the intervention was 9.64. Data analysis demonstrated that the impact of a stroke self-management program based on health behavior theory on post-ischemic stroke patients' self-management behavior and subjective well-being was significant (p = 0.00). Conclusion: To help stroke patients better their self-management skills and subjective well-being over the long term, health behavior theory-based stroke self-management may be adopted.