Application of cognitive evaluation theory-based family communication pattern in follow-up management in young stroke patients

Abstract

Objective To explore the application and effects of the cognitive evaluation theory-based family communication pattern in follow-up management in young stroke patients. Methods Totally 88 young patients with initial stroke admitted in the 2nd Affiliated Hospital of Wenzhou Medical University between June 2016 and June 2017 were selected, divided into the control group (n=44) and the intervention group (n=44) by governor-controlled study. Patients in the control group received conventional follow-up after discharge, while patients in the intervention group received follow-up management from the aspects of self-actualization needs, ability needs and belongingness needs based on the family communication pattern. The Self-management Behavior Scale for young stroke patients and Caregiver Burden Inventory (CBI) were used to compare the self-management behavior and caregiver burden between the two groups before and after the intervention. Results Six months after discharge, the intervention group's self-management behavior score was (73.69±11.65) , while that of the control group was (66.37±16.78) , the difference was statistically significant (t=2.377, P<0.05) . The caregiver burden score of the intervention group was (35.97±7.49) , lower than that of the control group, the difference was statistically significant (t=3.866, P<0.01) . Conclusions The cognitive evaluation theory-based family communication pattern can effectively enhance the sense of coherence and reduce the caregiver burden in young stroke patients. Key words: Stroke; Cognitive evaluation; Family communication pattern; Self-management