Effects of Self-Care Promoting Program via mHealth on Clinical Outcomes and Health-Related Quality of Life in Ischemic Stroke Patients
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Abstract: This quasi-experimental research aimed to study the effects of stroke self-care promoting program via mHealth on clinical outcomes and health-related quality of life in ischemic stroke patients. Orem’s self-care theory was used as a conceptual framework for the study. The sample consisted of patients newly diagnosed with ischemic stroke receiving treatment in the ward of a university-affiliated hospital. They were divided into control and experimental groups, with 25 persons in each group. The control group received the usual nursing care. The experimental group received the stroke self-care promotion program via mHealth for 10 weeks. Data were collected using demographic records, health information data, the National Institutes of Health Stroke Scale (NIHSS), and Stroke Impact Scale 3.0. Data were analyzed using inferential statistics: Chi-square test, Friedman test, paired t-test, and analysis of covariance. Results showed that after two weeks of program completion, the experimental group had significantly reached the target systolic blood pressure, had better severity of disease, and had better health-related quality of life than that of the usual care group. The mean lipid levels were slightly decreased, but there was no statistically significant difference between the two groups. The self-care promoting program could help to reduce the severity of disease and improve health-related quality of life. The longtudinal study should be conducted in order to achieve changes in other clinical outcomes, addressing more intensive emotional support, and reducing other stroke risk factors.
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