Education curriculum design and Implementation of community stroke self-management group

Objective To design and explore implementation effects of community stroke self-management group education courses. Methods Based on the relevant theories of the long-term self-management education of Hong Kong Rehabilitation Association, the curriculum content of stroke self-management education was developed. A total of 115 stroke patients were randomly selected as study subjects from January 2012 to December 2016, 57 in the study group and 58 in the control group. The blood pressures before and after the two groups of patients were monitored, and the chronic disease self-efficacy scale and self-perception burden scale were evaluated before and after the course of assessment to evaluate the effect of the curriculum implementation. Results The Fangzhuang Community Stroke Self-Management Group was established for the first time, and stroke self-management education curriculum was designed at the community level to objectively evaluate the application effects of the curriculum. A survey of blood pressure and chronic disease self-efficacy and self-perception burden before and after the study subjects' intervention was completed. There was no significant difference in blood pressure values between the two groups of subjects after intervention. The chronic disease self-efficacy scale was used to measure the intervention group and the control group before the entry into the group. The average scores were (196.23±47.29) points and (203.38±54.19) points respectively, P>0.05, and the difference was not statistically significant. After the end of the course, the average scores were: (225.91±43.22) points and (204.83±54.6) points, P<0.05.The difference was statistically significant. The self-perceptual burden scales were used to measure the study group and the control group before the enrollment. The average scores were: (25.42±9.35) points, (24.66±7.58) points, P>0.05, and the difference was not statistically significant. After the end of the course, the average scores were: (22.80±10.96) points, (24.06±8.03) points, P<0.05. The difference was statistically significant. Conclusion This course is designed to be suitable for patients with stroke in the community. Through the implementation of this course, the self-efficacy of stroke patients in the community has been improved, and the burden of self-perception has been reduced.