Stroke
Conditions
Interventions
Test Group:A Researcher-Constructed Nurse-Led Health Coaching Program for Stroke Survivors
Control group:Standard post-discharge nursing care for stroke patients
Sponsors
Affiliated Hospital of Zunyi Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 59 Years
Inclusion criteria
Inclusion criteria: Phase 1: Participants for Semi-Structured Interviews (1) Diagnosed with a first-ever stroke by cranial CT or MRI; (2) Aged 18–59 years, had an income source before the stroke, and currently unable to return to work due to illness (including those on sick leave or unemployed); (3) In a stable recovery phase after stroke, cognitively normal, without significant communication barriers, and willing to provide informed consent. Phase 3: Participants for Quasi-Experimental Study In the third phase, young and middle-aged stroke patients will be recruited as study participants. Upon admission, trained nurses will assess patients, and those who meet the inclusion and exclusion criteria will be enrolled and asked to provide informed consent. Inclusion criteria: (1) Aged 18–59 years; (2) Diagnosed with a first-ever stroke by cranial CT or MRI; (3) Mild to moderate stroke (NIHSS score <=15); (4) Cognitively normal, conscious, without cognitive impairment; (5) Not currently participating in other clinical trials; (6) Able to communicate in Mandarin and without aphasia; (7) Willing to participate in the study.
Exclusion criteria
Exclusion criteria: Phase 1: Exclusion Criteria (1) Severe disability (modified Rankin Scale, mRS > 4), indicating no possibility of returning to work; (2) Presence of major comorbidities, such as malignant tumors, acute myocardial infarction, or other critical conditions (e.g., organ failure); (3) Currently participating in other studies. Phase 3: Exclusion Criteria (1) Presence of severe comorbidities (e.g., cardiovascular, gastrointestinal, or immune system diseases), including malignant tumors or infectious diseases; (2) Presence of psychiatric disorders (e.g., major depression, panic disorder, post-traumatic stress disorder, psychosis, affective schizophrenia, schizophrenia); (3) Stroke survivors who are extremely unwilling to return to work or have only experienced transient ischemic attacks (TIA).
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Exercise adherence;anxiety and depression; | — |
Primary
| Measure | Time frame |
|---|---|
| Return-to-Work Self-Efficacy; | — |
Countries
China
Contacts
Public ContactChen Shuozhen
Affiliated Hospital of Zunyi Medical University
Outcome results
None listed