Development and effectiveness of a stroke self-management program

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19215
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: The University of Shimane
• Principal Investigator: Sato Mikiko 島根県立大学, 看護栄養学部, 准教授 (20457188)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 脳卒中 / セルフマネジメント

Outline of Final Research Achievements

During the development phase of the intervention, a post-stroke self-management program was developed through a literature review, conceptual analysis, patient survey, and health care professional survey. In addition, fieldwork was conducted and expert consultation was obtained to test the safety and validity of the program.
During the feasibility testing phase, a small sample randomized controlled trial was conducted to test the feasibility and acceptability of the program. In addition, a feasibility study was conducted with 30 participants using a one-group pretest/posttest design to determine the effectiveness of the program.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

脳卒中後には複数の機能障害・症状を併発しやすく、それらが適切にマネジメントされないことで、更なる機能低下・症状悪化、医療・介護費の増大を招く実態がある。それを回避するためには、患者が主体的に療養生活上の課題に対処できるよう、セルフマネジメントスキルの獲得を支援する必要がある。現在、脳卒中後のセルフマネジメント介入のエビデンスは十分に構築されていない。
本研究は、脳卒中後のセルフマネジメント支援におけるエビデンスの構築において意義がある。また、本プログラムを通して、患者のセルフマネジメントスキルの獲得、脳卒中の再発・重症化予防、QOLの向上に寄与できる。さらに、医療経済効果が期待できる。