Min Gyeong Park; Yeongmi Ha

doi:10.4040/jkan.2014.44.5.581

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Original Article
Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke: Min Gyeong Park, Yeongmi Ha; Journal of Korean Academy of Nursing 2014;44(5):581-591.
DOI: https://doi.org/10.4040/jkan.2014.44.5.581
Published online: October 31, 2014

¹Yeson Rehabilitation Medicine Hospital, Jinju, Korea.

²College of Nursing·Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Ha, Yeongmi. College of Nursing & Institute of Health Sciences, Gyeongsang National University, 816-15 beon-gil Jinju-daero, Jinju 660-987, Korea. Tel: +82-55-772-8253, Fax: +82-55-772-8222, yha@gnu.ac.kr

• Received: May 20, 2014 • Revised: May 30, 2014 • Accepted: September 17, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined.
Methods
A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke.
Results
There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group.
Conclusion
This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.
Keywords: Stroke; Goal setting; Self care; Self efficacy; Health behavior

This manuscript is based on a part of the first author's master's thesis from Gyeongsang National University.

REFERENCES

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Table 1

Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

G-AP=Goal setting and Action Planning framework.

Table 2

Test of General Characteristics in Patients after a Stroke (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; SES=socioeconomic status.

Table 3

Homogeneity Test of Disease-related Characteristics in Patients after a Stroke (N=60)

Exp.=Experimental group; Cont.=Control group; K-MMSE=Korea Mini Mental State Examination; HAD=Hospital anxiety and depression.

Table 4

Effectiveness of a Self-management Program Using Goal Setting based on a G-AP (N=60)

Exp.=Experimental group; Cont.=Control group; HAD=Hospital Anxiety and Depression; G-AP=Goal setting and Action Planning framework.

Figure & Data

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Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

J Korean Acad Nurs. 2014;44(5):581-591. Published online October 31, 2014

DOI: https://doi.org/10.4040/jkan.2014.44.5.581

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Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

Table 1

Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

G-AP=Goal setting and Action Planning framework.

Table 2

Test of General Characteristics in Patients after a Stroke (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; SES=socioeconomic status.

Table 3

Homogeneity Test of Disease-related Characteristics in Patients after a Stroke (N=60)

Exp.=Experimental group; Cont.=Control group; K-MMSE=Korea Mini Mental State Examination; HAD=Hospital anxiety and depression.

Table 4

Effectiveness of a Self-management Program Using Goal Setting based on a G-AP (N=60)

Exp.=Experimental group; Cont.=Control group; HAD=Hospital Anxiety and Depression; G-AP=Goal setting and Action Planning framework.

Table 1 Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

G-AP=Goal setting and Action Planning framework.

Table 2 Test of General Characteristics in Patients after a Stroke (N=60)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; SES=socioeconomic status.

Table 3 Homogeneity Test of Disease-related Characteristics in Patients after a Stroke (N=60)

Exp.=Experimental group; Cont.=Control group; K-MMSE=Korea Mini Mental State Examination; HAD=Hospital anxiety and depression.

Table 4 Effectiveness of a Self-management Program Using Goal Setting based on a G-AP (N=60)

Exp.=Experimental group; Cont.=Control group; HAD=Hospital Anxiety and Depression; G-AP=Goal setting and Action Planning framework.