EFFECT OF MULTI-DISCIPLINARY CLINICAL NURSING PATHWAY ON SELF-EFFICACY AND SELF-MANAGEMENT BEHAVIOR IN PATIENTS WITH CEREBRAL INFARCTION

Yiping Lin^*

Department of Nursing, Quanzhou First Hospital, Quanzhou, 362002, China

Introduction: To analyze the effect of multi-disciplinary Clinical Nursing Pathway (CNP) on self-efficacy and self-management behavior in patients with cerebral infarction. 

Materials and methods: 166 patients with cerebral infarction admitted from January 2019 to October 2021 were randomly divided into a conventional intervention group (83 cases) and a multi-disciplinary intervention group (83 cases). The conventional intervention group used usual care in neurology, and the multi-disciplinary intervention group used CNP under the multi-disciplinary collaboration. After 2 months, the symptom self-assessment, stroke rehabilitation self-efficacy, self-management behavior, motor function, neurological function, and living ability were compared between the two groups. 

Results: Compared with the pre-intervention results, the anxiety, depression, hostility, terror, paranoia, somatization, psychiatric disorder, coercion, interpersonal relationship, and other scores in the National Institute of Health Stroke Scale (NIHSS) were reduced in both groups, with the results that the overall scores in the multi-disciplinary intervention groups were lower than that of the conventional intervention group (P<0.05). In addition, the self-management efficacy, daily activity efficacy score and total score, safe medication management, disease management, mood management, diet management, rehabilitation and exercise management, social function and interpersonal management, daily life management, Fugl-Meyer Assessment (FMA), Barthel Index (BI) score increased in both groups, with the results that the overall scores in the multi-disciplinary intervention group were higher than that of the conventional intervention group (P<0.05). 

Conclusions: The CNP intervention in patients with cerebral infarction with multi-disciplinary cooperation can effectively improve patients' self-efficacy, self-management ability, clinical symptoms, and neurological function, improve patients' motor function and living ability, and can produce good intervention effects.