The effects of transition promotion program on confidence and coping with health transition in first ever ischemic stroke patients


  • Botun Bunhu Master of Nursing Science (Adult) Student, College of Nursing, Christian University of Thailand
  • Tipa Toskulkao College of Nursing, Christian University of Thailand
  • Sakul Changmai College of Nursing, Christian University of Thailand


ischemic stroke patients, confidence, , coping, health transition


        This study was a quasi-experimental research with a two-group pretest-posttest design. The purpose of the study was to examine the effects of transition promotion program on confidence and coping with health transition in first ever ischemic stroke patients. The sample comprised 66 first ever ischemic stroke patients in the stroke unit of Samutsakorn hospital, and were conveniently selected according to the specific criteria. They were assigned into the experimental or the control group and each group consisted of 33 participants. The experimental group received a program of promoting health transition for 5 days during in the hospitalization and 4 weeks post discharge, and the control group received the usual nursing care. Data were collected using questionnaires for demographic data, confidence, and stress coping after stroke. The instrument used in the experimental group was a program based on promoting confidence and coping with health transition in first ever ischemic stroke patients. The data were analyzed by using descriptive statistics and Repeated measures ANOVA and ANCOVA statistics.

        The result revealed that, after receiving the program 4 weeks post discharge the experimental group had significantly higher mean scores of confidence than those in the control group (F1,64=12.66, p<.05). The experimental group had significantly higher mean scores of coping than those in the control group (F1,63=338.77, p<.05), by used palliative coping significantly different from the control group (p<.05), but both groups did not used emotive and confrontive coping differently (p>.05).

        The research findings of this study indicated that the health promoting transition program helped increase confidence and promoted coping abilities of the first ever ischemic stroke patients. Hence, nurses should add this program to the usual nursing care in order to promote better quality of nursing care for the stroke patients. 


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