Yu He1, Lina Guo1, Yanjin Liu2, Miao Wei1, Yuanli Guo1, Xiaofang Dong1, Caixia Yang1, Qing Zhou3, Xiaoyu Lei4, Gege Zhang1, Mengyu Zhang4. 1. Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China. 2. Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China. 3. Department of Rehabilitation, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China. 4. College of Nursing, Zhengzhou University, Zhengzhou, People's Republic of China.
Abstract
PURPOSE: To examine the effectiveness of goal-based health management on health knowledge, health belief and health behavior in people at high risk of stroke. PATIENTS AND METHODS: This is a two-armed and non-randomized controlled trial from May 31, 2020 to December 31, 2020. Participants were arranged to receive regular health care (n=126) or goal-based health management (n=126). The generalized estimation equation was used to analyze the changes in the participants' health knowledge, health belief and health behavior at baseline (T0), 1-month (T1), 3-month (T3), and 6-month (T6). RESULTS: A total of 243 participants completed the 6-month study, of which 123 were in the control group and 120 were in the intervention group. After receiving goal-based health management, participants' health behavior (β=27.154, p<0.001), health knowledge (β=10.504, p<0.001) and health belief (β=49.057, p<0.001) scores increased significantly. CONCLUSION: Goal-based health management can effectively improve the health knowledge, health belief and health behavior of people at high risk of stroke. We recommend that nurses can provide goal-based health management for people at high risk of stroke with support from hospitals and family members of people at high risk of stroke.
PURPOSE: To examine the effectiveness of goal-based health management on health knowledge, health belief and health behavior in people at high risk of stroke. PATIENTS AND METHODS: This is a two-armed and non-randomized controlled trial from May 31, 2020 to December 31, 2020. Participants were arranged to receive regular health care (n=126) or goal-based health management (n=126). The generalized estimation equation was used to analyze the changes in the participants' health knowledge, health belief and health behavior at baseline (T0), 1-month (T1), 3-month (T3), and 6-month (T6). RESULTS: A total of 243 participants completed the 6-month study, of which 123 were in the control group and 120 were in the intervention group. After receiving goal-based health management, participants' health behavior (β=27.154, p<0.001), health knowledge (β=10.504, p<0.001) and health belief (β=49.057, p<0.001) scores increased significantly. CONCLUSION: Goal-based health management can effectively improve the health knowledge, health belief and health behavior of people at high risk of stroke. We recommend that nurses can provide goal-based health management for people at high risk of stroke with support from hospitals and family members of people at high risk of stroke.