To explore the effect of self-mutual-group (SMG) health management model for stroke patients with hemiplegia.

Sixty-eight stroke patients with hemiplegia treated in our hospital from February 2018 to February 2019 were randomly divided into observation group and control group, with 34 cases in each group. The control group was given basic intervention management, and the observation group was given SMG health management model plus the basic intervention management. The self-efficacy (daily activities, self-management, total score), self burden status and quality of life were compared between the two groups.

There were no significant differences in daily activities, self-management and total score at baseline between the two groups [(49.18±11.63) scores vs (49.92±12.99) scores, t=0.2474, P=0.8053; (27.22±8.45) scores vs (27.19±6.83) scores, t=0.0160, P=0.9872; (76.38±16.03) scores vs (77.12±15.29) scores, t=0.1947, P=0.8462]. After the intervention, the daily activities, self-management and total scores of the observation group were significantly higher than those of the control group [(59.75±12.85) scores vs (49.93±10.68) scores, t=3.4269, P=0.0011; (35.73±7.69) scores vs (29.55±8.09) scores, t=3.2284, P=0.0019; (95.33±16.28) scores vs (79.44±13.95), t=4.3216, P=0.0001]. At baseline, there was no significant difference in SPBs score between the two groups [(33.02±6.58) scores vs (30.66±4.70) scores, t=1.7017, P=0.0935]. After the intervention, the SPBs score of the observation group was lower than that of the control group, and the difference was statistically significant [(26.26±3.81) scores vs (32.75±4.70) scores, t=6.2547, P=0.0001]. At baseline, there was no significant difference in SS-QOL score between the two groups [(149.18±26.72) scores vs (149.88±17.63) scores, t=0.1275, P=0.8989]. After the intervention, the SS-QOL score of the observation group was significantly higher than that of the control group [(168.39±15.63) scores vs (152.02±27.28) scores, t=3.0359, P=0.0034].

The health management model based on SMG can improve the self-efficacy and quality of life of stroke patients with hemiplegia,and reduce their sense of self-burden.