Impact of community self-help group activities on psychological status, quality of life, social support, and community-based activities of daily living in home-based stroke patients_West China Medical Journal

Authors：

ZHANG Shaojun ^1,2 , YANG Hai ^1,2 , DENG Peilin ^1,2 , XIAO Ting ^1,2 , YANG Yuhan ^1,2 , WANG Ling ^1,2 , CHEN Yan ^1,2 ,  CHEN Zhuo ³

1. Department of Rehabilitation Medicine, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
2. Deyang Clinical Medical Research Center for Rehabilitation Medicine, Mianzhu, Sichuan 618200, P. R. China;
3. Neurological Disease Center, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;

Corresponding?author：

CHEN Zhuo, Email: czhere106@163.com

Keywords：

Community self-help group activities; home-based stroke patients; psychological status; activities of daily living; quality of life

DOI：

10.7507/1002-0179.202502086

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Objective To investigate the effects of community self-help group activities on psychological status, quality of life (QOL), social support, and community-based activities of daily living in home-based stroke patients. Methods Stroke patients discharged from Mianzhu People’s Hospital between January 2016 and December 2018 were enrolled. Participants were randomly allocated using a random number table into two groups: the experimental group (community self-help rehabilitation) and control group. Assessments were conducted at baseline and 6 months post-intervention using the Zung Self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS), Stroke-Specific Quality of Life Scale (SS-QOL), Social Support Rating Scale (SSRS), and a community-based activities of daily living scale. Results A total of 130 patients were included. Among them, there were 63 cases in the experimental group and 67 cases in the control group. No significant baseline differences were observed between groups in demographic characteristics or outcome measures including age, gender, depression (SDS), anxiety (SAS), SSRS, SS-QOL, and community-based activities of daily living scores (P>0.05). At 6-month follow-up, between-group comparisons revealed statistically significant differences favoring the experimental group in depression, anxiety, and SS-QOL scores (P<0.05), while no significant intergroup differences were observed in SS-QOL, and community-basedactivities of daily living scores (P>0.05). The intra group comparison results showed that the depression and anxiety scores in the experimental group were lower after intervention than before intervention (P<0.05). The anxiety score of the control group after intervention was higher than before intervention (P<0.05), and there was no statistically significant difference in the depression score before and after intervention (P>0.05). The SSRS and community-based activities of daily living scores of both groups after intervention were higher than before intervention. The SS-QOL of the experimental group after intervention was higher than before intervention (P<0.05). There was no statistically significant difference in SS-QOL between the control group before and after intervention (P>0.05). Conclusion Community self-help group activities improve psychological status, QOL, and community-based activities of daily living capabilities in home-based stroke patients, but demonstrate no superiority over home-based rehabilitation alone in enhancing community-based daily living capabilities.

Citation： ZHANG Shaojun, YANG Hai, DENG Peilin, XIAO Ting, YANG Yuhan, WANG Ling, CHEN Yan, CHEN Zhuo. Impact of community self-help group activities on psychological status, quality of life, social support, and community-based activities of daily living in home-based stroke patients. West China Medical Journal, 2025, 40(6): 876-880. doi: 10.7507/1002-0179.202502086 Copy

1.	《中國腦卒中防治報告》編寫組. 《中國腦卒中防治報告 2020》概要. 中國腦血管病雜志, 2022, 19(2): 136-144.
2.	屈云. 腦卒中生存質量健康因素康復現狀問題與展望. 中國實用內科雜志, 2013, 33(8): 591-594.
3.	Feigin VL, Owolabi MO; World Stroke Organization–Lancet Neurology Commission Stroke Collaboration Group. Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization-Lancet Neurology Commission. Lancet Neurol, 2023, 22(12): 1160-1206.
4.	霍春暖, 張惠杰, 川原禮子. 腦卒中患者出院后生活場所的選擇. 中國臨床康復, 2004, 8(1): 101.
5.	周玨. 社區康復治療對腦卒中患者日常生活活動能力的影響分析. 國際全科醫學, 2022, 3(2): 34-36.
6.	中華神經科學會. 各類腦血管疾病診斷要點. 中華神經科雜志, 1996, 29(6): 379-380.
7.	ZUNG WW. A self-rating depression scale. Arch Gen Psychiatry, 1965, 12: 63-70.
8.	ZUNG WW. A rating instrument for anxiety disorders. Psychosomatics, 1971, 12(6): 371-379.
9.	王娜, 孫濟宇, 李艷玲. 腦卒中患者社會支持的有關研究. 醫學研究雜志, 2010, 39(6): 99-102.
10.	陳善佳, 周小炫, 方云華, 等. 日常生活活動能力量表在腦卒中康復臨床使用情況的調查. 中國康復醫學雜志, 2014, 29(11): 1044-1049.
11.	張方, 傅書勇, 王曼, 等. 采用 SS-QOL 測量中國急性缺血性腦卒中患者生存質量和 BI 結果值的相關性研究. 中國藥物經濟學, 2010(3): 35-40.
12.	Wei WE, De Silva DA, Chang HM, et al. Post-stroke patients with moderate function have the greatest risk of falls: a national cohort study. BMC Geriatr, 2019, 19(1): 373.
13.	Goverover Y, Chiaravalloti ND, O'Brien AR, et al. Evidenced-based cognitive rehabilitation for persons with multiple sclerosis: an updated review of the literature from 2007 to 2016. Arch Phys Med Rehabil, 2018, 99(2): 390-407.
14.	張少軍, 劉楊, 楊海, 等. 綿竹地區后遺癥期腦卒中患者抑郁狀況的調查分析. 中華物理醫學與康復雜志, 2022, 44(2): 171-175.
15.	李世瑞, 張振香, 王文娜, 等. 環境因素對社區腦卒中患者康復自我效能的影響研究. 中國全科醫學, 2024, 27(28): 3535-3539, 3545.
16.	趙兵全, 高婷, 朱海娟, 等. 腦卒中后抑郁焦慮患者康復研究的計量學分析. 反射療法與康復醫學, 2024, 5(22): 89-93, 113.
17.	張敏, 王倩, 趙海濤. 支持型自我管理模式對腦卒中抑郁患者的康復效果. 國際精神病學雜志, 2023, 50(5): 1205-1207.
18.	賈杰. 腦卒中全周期康復的思考與策略. 中國全科醫學, 2025, 28(2): 129-134.
19.	湯龍, 鄭拯, 饒阿敏, 等. 腦卒中社區康復管理模式與技術探討. 中國全科醫學, 2021, 24(15): 1932-1937.
20.	Harel-Katz H, Adar T, Milman U, et al. Examining the feasibility and effectiveness of a culturally adapted participation-focused stroke self-management program in a day-rehabilitation setting: a randomized pilot study. Top Stroke Rehabil, 2020, 27(8): 577-589.
21.	Sit JW, Chair SY, Chan Yip CW, et al. Effect of health empowerment intervention for stroke self-management on behaviour and health in stroke rehabilitation patients. Hong Kong Med J, 2018, 24 Suppl 2(1): 12-15.
22.	高春華, 黃曉琳, 黃杰, 等. 自我管理對提高社區腦卒中患者日常生活活動能力及生活質量的效果. 中國康復理論與實踐, 2014, 20(8): 789-793.
23.	黃青青, 顏航, 黃培培, 等. 腦卒中病人自我管理模式的研究進展. 全科護理, 2021, 19(7): 905-909.
24.	孫文佳. 基于授權理論的自我管理模式對腦卒中患者自我效能及自我管理能力的影響. 臨床研究, 2020, 28(2): 186-187.
25.	段宏為, 王筱筱, 王愛紅. 自我管理項目對腦卒中患者生活質量和負性情緒影響的 Meta 分析. 中國全科醫學, 2020, 23(2): 147-155.

1. 《中國腦卒中防治報告》編寫組. 《中國腦卒中防治報告 2020》概要. 中國腦血管病雜志, 2022, 19(2): 136-144.
2. 屈云. 腦卒中生存質量健康因素康復現狀問題與展望. 中國實用內科雜志, 2013, 33(8): 591-594.
3. Feigin VL, Owolabi MO; World Stroke Organization–Lancet Neurology Commission Stroke Collaboration Group. Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization-Lancet Neurology Commission. Lancet Neurol, 2023, 22(12): 1160-1206.
4. 霍春暖, 張惠杰, 川原禮子. 腦卒中患者出院后生活場所的選擇. 中國臨床康復, 2004, 8(1): 101.
5. 周玨. 社區康復治療對腦卒中患者日常生活活動能力的影響分析. 國際全科醫學, 2022, 3(2): 34-36.
6. 中華神經科學會. 各類腦血管疾病診斷要點. 中華神經科雜志, 1996, 29(6): 379-380.
7. ZUNG WW. A self-rating depression scale. Arch Gen Psychiatry, 1965, 12: 63-70.
8. ZUNG WW. A rating instrument for anxiety disorders. Psychosomatics, 1971, 12(6): 371-379.
9. 王娜, 孫濟宇, 李艷玲. 腦卒中患者社會支持的有關研究. 醫學研究雜志, 2010, 39(6): 99-102.
10. 陳善佳, 周小炫, 方云華, 等. 日常生活活動能力量表在腦卒中康復臨床使用情況的調查. 中國康復醫學雜志, 2014, 29(11): 1044-1049.
11. 張方, 傅書勇, 王曼, 等. 采用 SS-QOL 測量中國急性缺血性腦卒中患者生存質量和 BI 結果值的相關性研究. 中國藥物經濟學, 2010(3): 35-40.
12. Wei WE, De Silva DA, Chang HM, et al. Post-stroke patients with moderate function have the greatest risk of falls: a national cohort study. BMC Geriatr, 2019, 19(1): 373.
13. Goverover Y, Chiaravalloti ND, O'Brien AR, et al. Evidenced-based cognitive rehabilitation for persons with multiple sclerosis: an updated review of the literature from 2007 to 2016. Arch Phys Med Rehabil, 2018, 99(2): 390-407.
14. 張少軍, 劉楊, 楊海, 等. 綿竹地區后遺癥期腦卒中患者抑郁狀況的調查分析. 中華物理醫學與康復雜志, 2022, 44(2): 171-175.
15. 李世瑞, 張振香, 王文娜, 等. 環境因素對社區腦卒中患者康復自我效能的影響研究. 中國全科醫學, 2024, 27(28): 3535-3539, 3545.
16. 趙兵全, 高婷, 朱海娟, 等. 腦卒中后抑郁焦慮患者康復研究的計量學分析. 反射療法與康復醫學, 2024, 5(22): 89-93, 113.
17. 張敏, 王倩, 趙海濤. 支持型自我管理模式對腦卒中抑郁患者的康復效果. 國際精神病學雜志, 2023, 50(5): 1205-1207.
18. 賈杰. 腦卒中全周期康復的思考與策略. 中國全科醫學, 2025, 28(2): 129-134.
19. 湯龍, 鄭拯, 饒阿敏, 等. 腦卒中社區康復管理模式與技術探討. 中國全科醫學, 2021, 24(15): 1932-1937.
20. Harel-Katz H, Adar T, Milman U, et al. Examining the feasibility and effectiveness of a culturally adapted participation-focused stroke self-management program in a day-rehabilitation setting: a randomized pilot study. Top Stroke Rehabil, 2020, 27(8): 577-589.
21. Sit JW, Chair SY, Chan Yip CW, et al. Effect of health empowerment intervention for stroke self-management on behaviour and health in stroke rehabilitation patients. Hong Kong Med J, 2018, 24 Suppl 2(1): 12-15.
22. 高春華, 黃曉琳, 黃杰, 等. 自我管理對提高社區腦卒中患者日常生活活動能力及生活質量的效果. 中國康復理論與實踐, 2014, 20(8): 789-793.
23. 黃青青, 顏航, 黃培培, 等. 腦卒中病人自我管理模式的研究進展. 全科護理, 2021, 19(7): 905-909.
24. 孫文佳. 基于授權理論的自我管理模式對腦卒中患者自我效能及自我管理能力的影響. 臨床研究, 2020, 28(2): 186-187.
25. 段宏為, 王筱筱, 王愛紅. 自我管理項目對腦卒中患者生活質量和負性情緒影響的 Meta 分析. 中國全科醫學, 2020, 23(2): 147-155.

West China Medical Journal

Impact of community self-help group activities on psychological status, quality of life, social support, and community-based activities of daily living in home-based stroke patients

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