Stroke Patients’ Self-Management: Application of Empirical Evidence
Strokes have for decades been a major health threat in countries around the world, including Thailand. Prevention and control of stroke-related complications and stroke recurrence are of paramount importance to every stroke patient. Currently, empirical evidence from various countries demonstrates that self-management is integral to the control of strokes and care for stroke patients. Good healthcare behaviour and improved health-management ability directly contribute to stroke patients’ recovery, reduce stroke recurrence, and improve the patients’ quality of life. For the above reasons, registered nurses play a signifcant role in caring for and promoting self-management amongst stroke patients.
This article presents 1) self-management concepts, theories, and programmes; 2) application of Thai and foreign empirical evidence to developing self-management methods for stroke patients; and 3) recommendations on the role of nurses in promoting self-management amongst stroke patients. According to the applied empirical evidence, registered nurses’ roles should include: 1) educating stroke patients and their family members both on the disease and on self-management principles; 2) creating motivation and positive reinforcement for the patients and their families; 3) gathering support from the patients’ families and communities; 4) counselling for the patients and their families; 5) building the necessary self-management skills; and 6) establishing favourable nurse-patient relationships and coordinating between the patients and their families. This article recommends that self-management programmes be applied by healthcare organisations and that their administrators and policy setters integrate this approach to develop a high-quality procedure for stroke care and prevention in Thailand.
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