Abstract:

Objective To explore the effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients. Methods From October 2019 to September 2020,a total of 202 post-stroke patients with fatigue were randomly divided into the control group and the experimental group with 101 cases in each group. Patients in the control group received routine care and patients in the experimental group received the intervention based on health empowerment theory besides routine care. Regarding the interventional program,four aspects were involved including belief and attitude,knowledge and ability,action and performance,and support and resources. After 2 months and 6 months of intervention,the level of empowering nursing between the two groups were compared. After 6 months of intervention,the severity of fatigue was compared. The recurrence rate of stroke one year after the intervention was recorded. Results There was an interaction effect in score of empowering nursing between groups and time（F=61.335,P<0.001）. A simple effect analysis showed that the score of the experimental group was higher than that of the control group（t=2.957,3.061;P<0.05）. Six months after the intervention,the severity of fatigue in the experimental group was lower than that of the control group（P<0.05））. The recurrence rate of stroke in the experimental group（4.00%） was lower than that of the control group（11.88%） 1 year after the intervention. The survival curve of the experimental group was better than that of the control group（P<0.05）. Conclusion Intervention based on the theory of health empowerment besides routine care can effectively improve the level of emprowing nursing,reduce the severity of fatigue,and improve patient’s self-care ability. Accordingly,patients’ disease recovery can be improved and rate of disease recurrence can be decreased.

Key words: Stroke, Fatigue, Recurrence, Health empowerment