Development of a health behavior guidance program for stroke rehabilitation patients based on the adaptive leadership framework
10.3760/cma.j.cn115682-20231114-02061
- VernacularTitle:基于适应性领导框架的脑卒中恢复期患者健康行为指导方案的构建
- Author:
Mingyue WANG
1
;
Caiqin WU
;
Jieting JIANG
;
Jie SUN
;
Binhai SUN
;
Kunpeng LI
Author Information
1. 复旦大学附属华东医院心脏监护室，上海 200040
- Keywords:
Stroke;
Adaptive leadership;
Health behavior;
Rehabilitation guidance;
Program development
- From:
Chinese Journal of Modern Nursing
2024;30(27):3678-3684
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop a health behavior guidance program for stroke rehabilitation patients based on the adaptive leadership framework (ALF) .Methods:Relevant stroke health behavior guidelines were systematically retrieved, screened, included, and recommendations extracted from domestic and international websites. The initial draft of the health behavior guidance program for stroke rehabilitation patients was developed in light of the ALF. From January to March 2022, the draft was refined through two rounds of Delphi expert consultation, resulting in the finalized health behavior guidance program.Results:A total of 10 guidelines were included, and 73 guideline recommendations were extracted. These recommendations were categorized into six dimensions and 25 specific items. In both rounds of expert consultation, 15 questionnaires were distributed and all were returned, yielding an effective recovery rate of 100.00%, with an expert authority coefficient greater than 0.8. Based on expert feedback and group discussions, the final program included eight dimensions and 31 items, adding sleep management and regular health consultations to the original six dimensions.Conclusions:The health behavior guidance program for stroke rehabilitation patients, based on the ALF, introduces a new perspective on nursing by reasonably dividing adaptive and technical problems. This approach aligns with clinical practice in China, providing scientific and practical value for promoting health behaviors and offering a new perspective for health education in stroke patients.
