Pre–Post Changes in Self-Management After Implementation of the NUR Model Among Post-Stroke Patients in Bumi Rahayu, Indonesia

Nur Fitriah; Fery Agusman

doi:10.33394/j-ps.v14i4.22463

Authors

Nur Fitriah Universitas Karya Husada Semarang
Fery Agusman Universitas Karya Husada Semarang

DOI:

https://doi.org/10.33394/j-ps.v14i4.22463

Keywords:

NUR Model, Self-management, Stroke, Nursing care, Family support, Rehabilitation

Abstract

Stroke is a leading cause of chronic disability that can impair patients’ self-management, including medication adherence, lifestyle management, and recurrence prevention. Physical, psychological, and social limitations may reduce independence without integrated nursing care, family support, and rehabilitation. The NUR Model (Nursing Care, Utilizing Family Support, Rehabilitation) was developed as a community-based intervention integrating these three components to improve self-management among post-attack stroke patients. This study aimed to evaluate changes in self-management ability among post-stroke patients following the implementation of the NUR model, which integrates nursing care, family support, and rehabilitation. This study employed a pre-experimental, one-group pretest–posttest design involving 30 post-stroke patients selected through purposive sampling. Changes in self-management scores before and after the intervention were analyzed using the Wilcoxon signed-rank test. The mean self-management score increased from 82.77 (SD = 16.00) before the intervention to 119.63 (SD = 15.12) after the intervention. The Wilcoxon signed-rank test indicated a statistically significant difference (Z = −3.667; p < 0.001). Self-management scores improved following the implementation of the NUR model. However, because the study did not include a control group, the observed improvement cannot be attributed exclusively to the intervention.

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