Effect of an IMB theory-based"Internet+stroke nursing"continuity model on rehabilitation outcomes in stroke patients
Zhai Chaoyue
Liu Dongyuan
Chen Liuliu
Li Yan
Chen Wenhui
He Kun
Abstract：Objective To evaluate the effect of an"Internet+stroke nursing"continuing nursing care model based on the In-formation-Motivation-Behavioral skills(IMB)theory on rehabilitation outcomes in patients with stroke,and to provide evi-dence for clinical practice.Methods Patients who visited the Fifth Affiliated Hospital of Zunyi Medical University,Zhuhai,in 2023 were selected as the control group(n=93),and those who visited in 2024 as the intervention group(n=98).The control group received routine nursing care,while the intervention group was given information-based transitional care inter-vention constructed based on the IMB theory on the basis of routine nursing care.Patients were assessed before discharge,and at 3 and 6 months after discharge,using the Barthel Index(BI),the Stroke-Specific Quality of Life scale(SS-QOL),the Fugl-Meyer Assessment(FMA),a stroke prevention/treatment knowledge questionnaire,the General Self-Efficacy Scale(GSES),and the Stroke Functional Questionnaire of Exercise Adherence(EAQ).Results Before discharge,compari-sons between the two groups showed no statistically significant differences in FMA,SS-QOL,the stroke prevention/treat-ment knowledge questionnaire,GSES,or EAQ scores(P＞0.05);the BI score in the intervention group was lower than that in the control group,and this difference reached statistical significance(P＜0.05).Generalized estimating equation an-alyses of the multiple outcome measures(fully adjusted models)indicated that some baseline(pre-discharge)characteristics independently influenced intervention effects:patients with higher National Institutes of Health Stroke Scale(NIHSS)scores showed smaller improvements in FMA,BI and SS-QOL;patients with higher educational level showed greater im-provement on the stroke prevention/treatment knowledge questionnaire;older patients had smaller gains on the knowledge questionnaire but showed slight increases on the GSES;and male patients showed less improvement in knowledge mastery than female patients.Conclusion The IMB theory-based"Internet+stroke nursing"continuing nursing care model can produce marked and sustained improvements across multidimensional rehabilitation outcomes in stroke patients,and these effects re-main robust after adjustment for covariates.
Keywords：Stroke nursingInformation-Motivation-Behavioral skills modelInternet+continuing nursing careRehabilita-tion management
Publication Date：2025-08-20
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：8( 115-122 )