Effects of a Self-management Program Among Patients with Ischemic Stroke


  • Sukanya Thongbupa Faculty of Nursing, Thammasat University
  • Sombat Muengtaweepongsa Faculty of Medicine, Thammasat University
  • Urai Kommarg Thammasat University Hospital


Self-management program, Ischemic stroke, Self-management behavior, Clinical outcomes


This study used a quasi-experimental research design with pretest-posttest control groups. The objective of the study was to evaluate the effects of a self-management program among ischemic stroke patients. The study was undertaken at a university hospital. Sixty acute stroke patients were recruited for the study, and they were then assigned to an experimental group (n = 30) or a control group (n = 30). The experimental group received the self-management program, designed based on the concept of self-management by Creer (2000), from the researcher, whereas the control group received usual care by the nursing staff. The outcomes were evaluated at baseline and 8 weeks. The instruments used in the study were the demographic questionnaire; the clinical outcomes, including blood pressure, blood glucose, and lipid profile; and the self-management behaviors test. Data were analyzed using descriptive statistics and the independent t-test.

The findings showed that the mean score of clinical outcomes in the experimental group increased with statistical significance and was greater than the mean score of clinical outcomes in the control group and greater than at baseline (p <.001). The mean score of self-management behaviors in experimental group increased with statistical significance, and was greater than the mean score self-management behaviors in the control group and greater than at baseline (p <.001).

          The results demonstrated that the self-management program can increase clinical outcomes and self-management behaviors in ischemic stroke patients. Nurses and healthcare team can apply this program to improve quality of care among stroke patients.


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Research Article