Score Of Self-management Ability Research Articles

The effectiveness of motivation-guided PDCA cycle nursing for self-management ability and outcomes of patients with gestational diabetes mellitus.

To explore the effectiveness of motivation-guided 'plan, do, check and action' cycle nursing for self-management ability and outcomes of patients with gestational diabetes mellitus (GDM). A pre- and post- comparison quasi experimental study. Totally 108 pregnant women with GDM diagnosed and delivered in our hospital from January 2020 to April 2021 were included in this study. They were divided into study group (54 cases) and control group (54 cases). The score of self-management ability were significantly higher than those of control group (t-test, all p < 0.05), as well as themselves before interventions in both groups (t-test, all p < 0.05). Besides, scores of anxiety, depression, extraverted stimulus and intraverted stimulus all achieved significant reduction after interventions in study group compared with control one (t-test, all p < 0.05), as well as themselves before interventions in both groups (t-test, all p < 0.05). No patient or public contribution.

Segmentation Algorithm-Based Safety Analysis of Cardiac Computed Tomography Angiography to Evaluate Doctor-Nurse-Patient Integrated Nursing Management for Cardiac Interventional Surgery.

To deeply analyze the influences of doctor-nurse-patient integrated nursing management on cardiac interventional surgery, 120 patients with coronary heart disease undergoing cardiac interventional therapy were selected as the subjects and randomly divided into two groups, 60 cases in each group. The experimental group used the doctor-nurse-patient integrated nursing, while the control group adopted the routine nursing. The Hessian matrix enhanced filter segmentation algorithm was used to process the cardiac computed tomography angiography (CTA) images of patients to assess the algorithm performance and the safety of nursing methods. The results showed that the Jaccard, Dice, sensitivity, and specificity of cardiac CTA images of patients with coronary heart disease processed by Hessian matrix enhanced filter segmentation algorithm were 0.86, 0.93, 0.94, and 0.95, respectively; the disease self-management ability score and quality of life score of patients in the experimental group after nursing intervention were significantly better than those before nursing intervention, with significant differences (P < 0.05). The number of cases with adverse vascular events in the experimental group was 3 cases, which was obviously lower than that in the control group (15 cases). The diagnostic accuracy of the two groups of patients after segmentation algorithm processing was 0.87 and 0.88, respectively, which was apparently superior than the diagnostic accuracy of conventional CTA (0.58 and 0.61). In summary, cardiac CTA evaluation of doctor-nurse-patient integrated nursing management cardiac interventional surgery based on segmentation algorithm had good safety and was worthy of further promotion in clinical cardiac interventional surgery.

Effect of Integrated Nursing Care Based on Medical Alliance Mode on the Prevention and Treatment of Complications and Self-Efficacy of Patients with Coronary Heart Disease after PCI.

Objective To explore the effect of integrated nursing care based on the medical alliance model on prevention and treatment of complications and self-efficacy in patients with coronary heart disease (CHD) after PCI. Methods The data of CHD patients treated in our hospital from January 2019 to January 2021 were analyzed in this retrospective study. One hundred and twenty patients were selected as the research subjects according to the inclusion and exclusion criteria and equally split into the observation group and reference group according to the order of admission. Both groups received routine nursing care, while the observation group was additionally given integrated nursing care based on the medical alliance model to compare the self-efficacy scores, scores of self-management abilities, and incidence of postoperative complications between the two groups before and after nursing. Both groups were nursed for 6 months. Results Compared with the reference group, the observation group after nursing achieved a notably higher GSES score (26.10 ± 1.30 vs 22.18 ± 1.30, t = 16.516, P < 0.001), higher scores of self-management ability (P < 0.001) , and a lower incidence of postoperative complications (P < 0.05). Conclusion Integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients undergoing PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving the prognosis of patients.

Effect Of Nursing Intervention Based on Behavioral Shaping Therapy on Blood Glucose Index, Self-Efficacy and Subjective Well-Being in Elderly Patients with T2DM

Objective: To investigate the effect of nursing intervention based on behavioral shaping therapy on blood glucose index, self-efficacy and subjective well-being in elderly patients with type 2 diabetes mellitus (T2DM). Methods: 100 elderly patients with T2DM admitted to our hospital from February 2019 to January 2020 were selected and divided into control group and observation group according to the random number table method, 50 cases in each group. The control group adopted the nursing method of routine education combined with motivation interview, and the observation group adopted the nursing method of behavior shaping on the basis of the control group. The fasting plasma glucose (FPG), 2h postprandial plasma glucose (2h PG), glycosylated hemoglobin (HbAlc) level, self-management ability score, diabetes management self-efficacy scale (DMSES) score and subjective well-being score were compared between the two groups before and after intervention. Results: The levels of FPG, 2h PG and HbAlc in the two groups were significantly decreased, and those of the observation group were significantly lower than those in the control group (P&lt;0.05). After intervention, the total scores of self-management ability, DMSES and subjective well-being of the two groups were significantly increased, and the observation group was significantly higher than the control group (P&lt;0.05). Conclusion: Behavioral shaping therapy combined with routine education and motivation interview can significantly improve the self-management ability, self-efficacy, blood glucose index and subjective well-being of elderly patients.

[Application of an intervention plan based on unplanned readmission risk model in the rehabilitation of patients with acute myocardial infarction complicated with cardiogenic shock after percutaneous coronary intervention].

To study and analyze the application effect of intervention plan based on unplanned readmission risk model (LACE) in the rehabilitation of patients with acute myocardial infarction (AMI) complicated with cardiac shock (CS) after percutaneous coronary intervention (PCI). Ninety-three patients with AMI complicated with CS who received PCI in Tianjin Union Medical Center from January 2019 to December 2020 were enrolled. The patients were divided into LACE intervention group (n = 46) and routine intervention group (n = 47) according to the different nursing intervention methods. The patients in the routine intervention group received routine interventions, including drug care, diet care, psychological care, health education and telephone follow-up, while those in the LACE intervention group were assessed for the risk of LACE, and then intervention measures were formulated according to the score of LACE index, including strengthening risk awareness, life behavior, daily life ability, self-care ability, health recovery and health needs. The follow-up period in both groups was 3 months. The changes of cardiac function, incidence of adverse cardiac events, readmission rate, self-management ability after intervention and quality of life level before and after intervention were compared between the two groups. There was no significant difference in cardiac function or quality of life before intervention between the two groups. After intervention for 3 months, the cardiac function and quality of life in the two groups were improved as compared with those before intervention. The left ventricular ejection fraction (LVEF) in the LACE intervention group was significantly higher than that in the routine intervention group (0.533±0.076 vs. 0.492±0.072, P < 0.05), the left ventricular end diastolic diameter (LVEDD) was significantly lower than that in the routine intervention group (mm: 47.09±7.01 vs. 53.23±7.15, P < 0.01), and the World Health Organization Quality of Life-brief (WHOQOL-BREF) score was also significantly higher than that in the routine intervention group (66.32±6.19 vs. 55.79±7.26, P < 0.01). The scores of self-management ability in the coronary heart disease self-management scale (CSMS) after intervention in the LACE intervention group were significantly higher than those in the routine intervention group (adverse hobbies score: 17.37±3.24 vs. 14.21±2.73, symptoms score: 14.82±3.11 vs. 10.56±2.65, emotional cognition score: 16.17±2.83 vs. 12.95±2.41, first aid score: 11.85±1.94 vs. 10.62±1.56, disease knowledge score: 15.58±2.73 vs. 12.68±2.61, daily life score: 17.80±2.61 vs. 14.33±2.36, treatment compliance score: 11.47±1.84 vs. 8.56±1.23, all P < 0.01). The incidence of adverse cardiac events and readmission rate in the LACE intervention group were significantly lower than those in the routine intervention group (10.87% vs. 29.79%, 4.35% vs. 17.02%, both P < 0.05). The intervention plan based on LACE risk model can effectively promote postoperative rehabilitation of patients with AMI complicated with CS after PCI, and also help to improve patients' self-management ability and quality of life, which is worthy of clinical promotion and application.

Effects of tai chi on catheter management and quality of life in tumor patients with PICC at the intermission of chemotherapy: a non-inferiority randomized controlled trial.

Peripherally inserted central catheter (PICC) is widely used in chemotherapy due to its minimal complications and simple wound care. This study explored the effects of tai chi on catheterrelated complications, catheter management ability, and quality of life in tumor patients with PICC at the intermission of chemotherapy. This study was an open parallel trial. A total of 98 patients with malignant tumors who underwent long-term chemotherapy with PICC were randomly divided into an observation group (49 cases) and a control group (49 cases). The control group received grip strength exercise for 3 months, while the observation group received 24 simplified tai chi exercises. The coagulation function, thrombosis rate, self-management ability, and quality of life were compared between the two groups before and after the intervention. After the intervention, the activated partial thromboplastin time (APTT) and prothrombin time (PT) in the observation group were longer than those in the control group, while fibrinogen (FIB) was lower than that in the control group (all P<0.05). After the intervention, the total score of self-management ability of the observation group was higher than that of the control group (t=2.038, P=0.047), and the scores of exercises ability and quality of daily life with catheters were significantly increased (all P<0.05). In terms of quality of life, scores of role-physical (RP), social functioning (SF), mental health (MH) and role-emotional (RE) in the observation group were higher than those in the control group (all P<0.05), while there was no statistical difference between the bodily pain (BP) scores of the observation group and the control group (P>0.05). The incidence of venous thrombosis in the observation group was lower than that in the control group, the difference was statistically significant ( χ 2 =4.439, P=0.035). Tai chi can prevent PICC thrombosis, reduce PICC-related complications, improve selfmanagement ability, and improve quality of life in at-home patients with long-term PICC.

Evaluation of the effect of continuous nursing in patients with chronic heart failure

Objective To explore the effect of continuous nursing in patients with chronic heart failure. Methods A total of 80 patients with chronic heart failure (NYHA Ⅱ-Ⅲ) in Department of Cardiology were randomly divided into experimental group (40 cases) and control group (40 cases). The patients in the experimental group were given continuous nursing for 6 months on the basis of routine treatment and nursing. The patients in the control group were treated with routine treatment and nursing. The self-management ability of heart failure patients was evaluated by self-management scale at discharge and 6 months after discharge, cardiac function was evaluated by 6-minute walking test, and quality of life was evaluated by Minnesota Living with Heart Failure Questionnaire (MLHFQ). Results All 80 patients completed the study. The score of self-management ability in the experimental group was 69.51 ±4.89 after intervention, and that in the control group was 52.42 ±10.48. There was significant difference between the two groups (t value was -9.346, P< 0.05). The 6-minute walking test distance was (468.56 ±32.53) m in the experimental group and (372.95 ± 32.37) m after the intervention in the control group. There was significant difference between the two groups (t value was -13.177, P < 0.05). The MLHFQ score of the patients in the experimental group was 15.74 ± 4.66 after intervention, and that in the control group was 36.29 ± 11.67. There was significant difference between the two groups (t value was 10.343, P<0.05). Conclusion Continuous nursing intervention can significantly improve the self-management ability, cardiac function and quality of life of patients with chronic heart failure. Key words: Continuous nursing; Chronic heart failure; Self-management ability; Cardiac function; Quality of life

Effect of Multi-Directional Nursing Intervention on the Prognosis and Quality Of Life in Patients with Type 2 Diabetes

To explore the effect of the multi-directional nursing intervention on the complications and nursing satisfaction of patients with Type 2 diabetes. Eighty-eight patients with type 2 diabetes treated in the endocrinology department of our hospital from June 2018 to June 2019 were collected and randomly divided into the control group (n=44) and experimental group (n=44). Patients with type 2 diabetes in the control group received routine medical care. The experimental group received a multi-directional nursing intervention. The nursing effect and nursing satisfaction of the two groups were evaluated after 12 w. The results showed that after 12 w of intervention, the multi-directional nursing intervention had a positive effect on the related indexes or risk factors of type 2 diabetes complications, including Hemoglobin A1C, blood pressure, and Low-density lipoprotein cholesterol level, and the improvement effect was significantly better than that in the control group. After the intervention, the scores of self-management ability in the two groups were higher than those before the intervention, and the scores in the experimental group were higher than those in the control group. And the treatment compliance of patients in the experimental group was significantly higher than that in the control group, the incidence of complications in the experimental group was significantly lower than that in the control group (p<0.05). In addition, the average nursing satisfaction of the experimental group was higher than that of the control group, and the difference between the two groups was statistically significant (p<0.05). The multi-directional nursing intervention model is effective in patients with type 2 diabetes and should be widely used in the clinic to help more patients with diabetes self-management education.

Symptom diary application of self-management in lymphoma patients undergoing chemotherapy

Objective To investigate the effect of symptom diary on the self-management ability of lymphoma patients. Methods A convenient sampling method was adopted to select 57 cases of lymphoma patients who received chemotherapy from February to October 2018 as the study subjects. According to the order of admission, they were divided into the intervention group (n = 25) and the control group (n = 32). The control group received the lymphoma department chemotherapy nursing routine; The intervention group applied symptom diary intervention on the basis of routine nursing, and evaluated the self-management ability of patients in the two groups before the first cycle and after the sixth cycle of chemotherapy, respectively. Results There was no significant difference in the scores of self-management ability between the two groups before intervention (P>0.05). The self-management scores of the two groups were both improved before and after the intervention, and the intervention group was higher than the control group. The difference was statistically significant (P<0.05); after intervention, for total self-management ability and the four dimensions of daily life management, symptom management, medical staff communication, and information management. the intervention group scored (4.16±0.28), (4.31±0.44),(4.31 ± 0.44), (4.38 ± 0.48), (3.96 ± 0.60) points, significantly higher than the control group (3.85 ± 0.45), (3.96 ± 0.45), (3.96 ± 0.57), (3.64 ± 0.77), (3.26±0.68) points, the difference was statistically significant (t=2.235-4.175, P<0.05). Conclusion The application of symptom diary can effectively improve the self-management ability of patients with lymphoma during chemotherapy, stimulate the ability of patients to cope with disease, improve the quality of life of patients, and promote rapid recovery. Key words: Lymphoma; Symptom diary; Self-management

676-P: The Efficacy and Safety of Careful Management of Self-Dose-Adjustment Intervention of Basal Insulin by the Nurse in Outpatients with T2DM

Background: Basal insulin therapy is widely used in patients with type 2 diabetes mellitus (T2DM). After giving the initial dose, the follow-up of the patients from the doctors, including the dose adjustment and the hypoglycemia, is not sufficient in China, which influences the glucose control obviously. Thus, we intended to invest if the patients with T2DM would benefit from careful follow-up and management of the basal insulin therapy by the nurse. Methods: The patients with T2DM who were ≥ 18 years old and glycosylated hemoglobin A1c (HbA1c) &amp;gt; 7% were eligible for the 12-week study. After they were randomized to the control group and the careful care group, glargine was added to them. All of the patients accepted the routine guidance by the doctor. In addition to that, patients in the careful care group were guided to adjust their insulin dose 2-6U to reach the glucose target and followed-up at the 1, 2, 4, 8, 12 weeks by the Diabetes Specialist Nurses. The laboratory indices and questionnaire were assessed at baseline and at the end of the study. Results: Four hundred and twenty-three patients (53.6 ± 14.3 years) in the control group and four hundred and twenty-six patients (54.7 ±13.4 years) in the careful care group finished the 12-week study. The patients in the careful care group had greater reduction of fasting plasma glucose (-2.64±0.44mmol/L vs. -1.63±0.53mmol/L, P&amp;lt;0.05) and HbA1c (-2.8±0.5% vs. -1.8±0.5%, P&amp;lt;0.05), higher improvements of the score of diabetes knowledge (6.10 ± 0.76 vs. 2.87± 1.72, P&amp;lt;0.001), the score of Diabetes Empowerment Scale-Short Form (39.07 ± 17.82 vs. 26.93 ± 19.17, P&amp;lt;0.05), and the score of self-management ability (including diet, exercise, etc., P&amp;lt;0.05), compared with the control group. The hypoglycemic percentages were similar between them (17.73% vs. 20.65%, P=0.279). Conclusions: The careful follow-up and management of self-insulin dose adjustment by Diabetes Specialty Nurses is effective and safe in patients with T2DM. Disclosure X. Hu: None. X. Yang: None. H. Deng: None. X. Guo: None. B. Yao: None.

Effects of self-management education on sharp instruments operation behavior of nursing staff

Objective To explore the effects of self-management education on sharp instruments operation behavior of nursing staff. Methods Form January to June 2017, 231 nurses were given the self-management education on sharp instruments operation. The general self-efficacy, the self-management ability and the accuracy of sharp instruments operation behavior of nurses were compared before and after the education. Results After the self-management education, the general self-efficacy, the total score of self-management ability in sharp instruments operation, the control operation, the emotion management, the operation information management, occupational health management, the operation environment management and the accuracy of sharp instruments operation behavior of nurses also improved apparently than before, and the differences were statistically significant (P<0.05) . Conclusions The self-management education can improve the self-management ability and the accuracy of sharp instruments operation behavior of nurses. Key words: Nursing staff; Self-management education; Sharp instruments operation; Behavior

Effect of home diabetes care platform based on internet and family fixed partner on the continuous care of diabetes patients outside the hospital

Objective To investigate the effect of home diabetes care platform based on internet and family fixed partner on the continuous care of diabetes patients outside the hospital. Methods A total of 150 out-patients with diabetes were collected from June 2016 to November 2016, divided into family fixed partner group (group A), smart phone APP home diabetes care platform group (group B), family fixed partner combination with smart phone APP home diabetes care platform group (group C) with 50 cases each by random digits table method. The three groups received the same health education during their stay in hospital, patients in group A and group C were required to have family fixed partners, patients in group B and group C were required to receive the home diabetes care platform for smart phones APP after they left the hospital, the intervention time was six months, and the indexes of blood glucose metabolism, self-management ability of diabetes were assessed at the end of six months after intervention and before intervention. Results Fasting blood glucose and postprandial blood glucose and glycosylated hemoglobin values of the three groups after intervention were lower than those before intervention. The postprandial blood glucose and glycosylated hemoglobin values was (9.96±4.23) mmol/L, (7.16±1.47)% in group C, (13.78±3.34), (11.46±4.85) mmol/L and (8.46±2.21)%, (8.07±2.45)% in group A and B, the difference was significant (F=10.57, 3.92, P<0.05). The scores of self-management ability of diabetes of the three groups after intervention were all higher than those before intervention. The score of self-management ability of diabetes of item 1-6 was (6.45±1.65), (4.87±2.23), (6.17±2.12), (5.24±1.65), (4.67±2.13), (6.27±2.02) points in group C,(5.78±1.96), (3.63±2.14), (5.25±2.34), (4.12±1.97), (3.65±1.34), (5.26±2.21) points in group B, (5.04±1.78), (3.37±1.64), (4.63±1.87), (4.03±2.17), (3.32±1.74), (5.30±1.97) points in group A, the difference was statistically significant (F=3.82-7.94,P<0.05). Conclusions Home diabetes care platform based on internet, combined with family fixed partner education, are more conductive to patient blood sugar control, and enhance self-management ability and account ability. Key words: Diabetes mellitus; Home diabetes care platform; Family fixing partner; Continuing care outside hospital

Comparative analysis of care behaviors between inpatients and nurses

Objective To compare the evaluation of care behaviors among inpatients and nurses, in order to know the implementation of caring behavior from different perspectives, and to provide evidence for better humanistic care in hospitals. Methods The nurses' humanistic practice ability scale and the caring behavior scale were used to investigate 160 nurses and inpatients respectively in The Third Affiliated Hospital of Southern Medical University. Results The total score of nurses' self rating for caring behavior was (4.15 ± 0.58) points, while the score of self-management ability was lowest, which was (3.84 ± 0.67) points; and the total score of nurses' caring behaviors was (3.49 ± 0.92) points, while the lowest scoring dimensions were respect and connection (3.42 ± 0.95) points. Nurses and patients both feel better at basic care (such as meeting basic needs, providing good environment), psychological care (such as giving support and) and professional care (such as health education), but both of them think that nurses did not do good enough in the provision of high-level emotional needs (such as diversified care, spiritual sustenance)and participation in nursing programmes. Conclusions The evaluation of nursing caring behavior is in the middle and upper level, which shown that the nurses have certain humanistic care and practical ability in clinical practice, and have been recognized by patients, but there is still a lot of room for improvement, and suggested that nursing administrators should give nurses enough respect and consideration while considering patients. Key words: Nurses; Inpatients; Caring behavior; Two-way evaluation

체육고등학교 학생들의 성취목표지향성과 스포츠 자신감 및 자기관리 능력이 실수 인식에 미치는 영향

In order to analyze the effects of the achievement goal, self-confidence in sports and self-management ability on the players’ perception of error, this study searches for the relationships among the three components and the positive consequences of mistakes in the practices and games. This study is ultimately intended to improve the players’ competency in performance through a positive thinking by exploring the relevant components. The results are as followed: while the achievement goal orientation has a statistically significant effect on the self-management ability and mistake recognition, the achievement goal orientation has no significant effect on the recognition of mistakes. Also, the achievement goal orientation has influenced on the self-confidence in sports, which has not influenced on the recognition of mistakes.BR In conclusion, students with the high achievement goals have resulted in a high degree of their self-management abilities, and those with the high scores of self-management ability have shown a positive influence of their acknowledgment of mistakes (learning from mistakes, challenging attitudes toward mistakes, and mistake itself).

Construction and empirical study of self management program for patients with ureteral skin stoma

Objective To construct a management program for patients with ureteral stoma, then validate the proposal. Methods The expert consensus reached an agreement after 2 rounds of Delphi expert consultation of self management programme, according with the contents of the manual requirements, the intervention patients (41 cases) were given these management interventions: regular one-on-one ostomy skills training, mental support and motivational interview, recording stoma diary, the control patients were given routine nursing interventions, after 1, 3 and 6 months of implementation, their results of management was evaluated. Results The total score of self-management ability was 99.32±10.41, 105.34±13.75, 109.18±10.91 in the control group after the intervention of 1, 3 and 6 months respectively, and 106.73 ± 13.82, 117.65 ± 15.47, 129.43 ± 12.37 in the test group, the differences were statistically significant (t=7.847, 9.318, 11.416, P<0.01). The total score of quality of life was 167.18 ± 24.62, 173.36 ± 25.33, 179.48 ± 22.17 in the control group after the intervention of 1, 3 and 6 months respectively, and 178.66 ± 23.47, 185.41 ± 22.67, 213.17 ± 26.75 in the test group, the differences were statistically significant (t=6.839, 10.241, 13.926, P<0.01). Conclusions The construction of the ureterostomy self-management program, enhance patients’ self-management consciousness, and improve the ability of self-management. Key words: Ureterostomy; Self-management; Continuing nursing; Delphi technique

Effects of three-subject double-track interactive nursing intervention model on self-management and liver function in patients with cirrhosis

Objective To explore the effects of three-subject double-track interactive nursing intervention model on self-management and liver function in patients with cirrhosis. Methods A total of 120 cirrhosis patients who were discharged from Nanxishan hospital from January 2015 to June 2016 were divided into control group and observation group according to random number table, 60 patients respectively. Patients in control group received routine double-track nursing interventions, while patients in observation group were treated with additional three-subject double-track interactive nursing intervention mode. The self-management ability and liver function of patients were compared between two groups before and after intervention. Results There was no significant difference in self-management ability between two groups before the intervention. The score of self-management ability of patients in observation group was significantly higher than that of control group after the intervention (P<0.05) . Before the intervention, no differences were observed in TBIL, ALT, ALB, A/G values between two groups. However, TBIL, ALT, ALB, A/G values of patients in observation were better than those of control group after the intervention, the differences were statistically significant (P<0.05) . Conclusions Three-subject double-track interactive nursing intervention model effectively improves the self-management ability and facilitates the recovery of liver function of patients with cirrhosis. Key words: Liver cirrhosis; Three-subject double-track interaction; Self-management; Liver function

Impact of self-efficacy on self behavior management and self-care ability among stroke patients

Objective To explore the impact of the self-efficacy in patients with stroke on their self-behavior management and self-care ability. Methods General questionnaires, chronic disease self-efficacy form, self-designed behavior management form and Barthel index were applied to investigate 120 cases of hospitalized stroke patients undergoing rehabilitation training from October 2012 to June 2013. Results The self-efficacy score was (8.07±1.90) in the whole group, and different families average income influenced the score of self-efficacy level (F=5.16, P<0.05). The self-management ability score of patients was (48.17±26.18), and self-management of behavior (75.50±19.67) score. Different level of self-efficacy in patients had different score of self-management ability and level, and different self-management of behavior and compliance (P<0.05), but with the increasing of self-efficacy, the self-management score of ability and behavior increased as well. Conclusions To enhance the self-efficacy of the stroke patients can help improve the level of their self behavior management, so that it can increase the self-management ability and behavior, and promote the recovery. Key words: Stroke; Rehabilitated nursing; Self-efficacy; Self-management ability; Self-management of behavior