This study explores the effect of nursing intervention based on the Interaction Model of Client Health Behavior (IMCHB) on improving self-management ability and quality of life in patients with ischemic stroke (IS). A total of 96 patients admitted to Pingdu Campus of Qingdao University Affiliated Hospital from February 2024 to February 2025 were selected by convenience sampling and randomly divided into a control group and an experimental group, with 48 patients in each group. The control group received routine health education and follow-up, while the experimental group received additional structured nursing intervention based on IMCHB on top of the interventions for the control group. The Self-Management Behavior Assessment Scale for Stroke Patients and the Stroke-Specific Quality of Life Scale (SS-QOL) were used for evaluation before and after the intervention. In terms of self-management ability, the experimental group showed significantly greater improvements in all dimensions including disease management, medication management, and diet management compared with the control group (P<0.01), with particularly prominent improvements in emotional management, social management, and rehabilitation exercise management. Regarding quality of life, the total score and scores of all dimensions in the experimental group after intervention were also significantly higher than those in the control group (P<0.001). Nursing intervention based on IMCHB has a positive impact on promoting the rehabilitation of IS patients, which can significantly enhance their self-management ability and effectively improve their quality of life.

Zhenbang Qian, Ying Liu. The Impact of Nursing Intervention Based on IMCHB on Self-Management Ability and Quality of Life in Patients with Ischemic Stroke. Frontiers in Medical Science Research (2025), Vol. 7, Issue 6: 50-57. https://doi.org/10.25236/FMSR.2025.070606.

[1] Du HD, Zhang J, Xu YP, et al. The impact of belief support integrated with Cox-IMCHB theory combined with mood diary on psychological distress, mindfulness level and emotion of patients undergoing interventional therapy for liver cancer [J]. Journal of General Nursing, 2025, 23(20): 3881-3884.

[2] Dong RX, Li XH, Lu DD, et al. The effect of comprehensive nursing based on the concept of holistic integrative medicine on the improvement of neurological function and treatment compliance in patients with acute ischemic stroke [J]. Journal of General Nursing, 2025, 23(07): 1199-1202.

[3] Kong Y, He CY, Yang JX, et al. The mediating effect of psychological resilience on self-management and quality of life in patients with acute ischemic stroke [J]. Journal of Chengdu Medical College, 2023, 18(02): 215-218.

[4] Chinese Society of Neurology, Cerebrovascular Disease Group of Chinese Society of Neurology. Chinese Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke 2023 [J]. Chinese Journal of Neurology, 2024, 57(6): 523-559.

[5] Zhang LY, Zhou GG. The impact of diversified community rehabilitation nursing based on the Cox-IMCHB model on stroke patients with hemiplegia [J]. Psychological Monthly, 2022, 17(08): 184-186.

[6] Wang YQ. Construction and application of a stroke self-management program [D]. Chengdu University of Traditional Chinese Medicine, 2012.

[7] Yu S, Liao ZD, Zhu XF, et al. Research progress and prospect of self-management assessment tools for stroke patients [J]. Journal of General Nursing, 2022, 20(28): 3938-3940.

[8] Li G. The application effect of responsible global nursing model combined with video rehabilitation education under the Interaction Model of Client Health Behavior in patients undergoing radical cystectomy for bladder cancer [J]. Journal of Chronic Diseases, 2025, 26(10): 1533-1536.

[9] Zhou FF, Bai SP, Yan XQ, et al. The effect of Cox’s Interaction Model of Client Health Behavior in preventing breast cancer-related lymphedema [J]. Clinical Research and Practice, 2025, 10(26): 150-153.

[10] Zhao PP, Chen T, Wang L, et al. The effect of multi-dimensional nursing based on the Cox-IMCHB theory in patients with severe pneumonia complicated with respiratory failure [J]. Journal of Medical Theory and Practice, 2025, 38(16): 2832-2835.

[11] Liang Y, Peng DL, Lyu H. The impact of Cox’s Interaction Model of Client Health Behavior intervention on liver function and quality of life in patients with liver cancer [J]. Cancer Progress, 2025, 23(15): 1801-1804.

[12] Liang YJ, Yu TT, Zhang HH, et al. A study on the application of a health education program based on Cox’s Interaction Model of Client Health Behavior in elderly patients with stable COPD [J]. Nursing Practice and Research, 2025, 22(06): 907-915.

[13] Cao JC, Li WL, Zhang HJ. The application of early limb function rehabilitation nursing based on the Interaction Model of Client Health Behavior in patients with cerebral infarction [J]. Chinese Nursing Research, 2025, 39(10): 1629-1637.

[14] Bao YQ, Li Y, Zhu LY, et al. Observation on the effect of a self-management program based on the Cox-IMCHB theory on functional rehabilitation of patients after lumbar fusion surgery [J]. Guide of China Medicine, 2025, 23(12): 176-179.

[15] Liang YJ, Yu TT, Chen ZM, et al. Construction of a family pulmonary rehabilitation health education program based on the IMCHB model for elderly patients with stable COPD [J]. Journal of General Nursing, 2025, 23(08): 1497-1503.

[16] Wu XW, You H, Xiao YC, et al. Observation on the effect of nursing intervention based on the IMCHB model in children with mental retardation during drug treatment [J]. Chinese Journal of Drug Abuse Prevention and Treatment, 2025, 31(04): 762-764+768.

[17] Zhao LY, Hu YY, Jiang LZ, et al. The impact of the IMCHB model based on Snyder’s theory on demoralization syndrome, quality of life and related complications in hemodialysis patients with chronic renal failure [J]. Hainan Medical Journal, 2025, 36(02): 281-286.

[18] Guo N. The application effect of nursing based on the Interaction Model of Client Health Behavior in patients with gestational diabetes mellitus [J]. Medical Journal of Chinese People's Health, 2024, 36(24): 183-185.

[19] Fang QT. The application of the Interaction Model of Client Health Behavior based on the Cox-IMCHB theory in nutritional support of patients after cholecystectomy [J]. Journal of Qiqihar Medical University, 2024, 45(21): 2086-2090.

[20] Xing J. The impact of nursing measures under Cox’s Interaction Model of Client Health Behavior on psychological status and self-care ability of patients with liver cirrhosis [J]. Medical Equipment, 2024, 37(18): 134-136+141.

[21] Zhang BY, Li J, Yao Y, et al. Construction and application of a cognitive intervention program for medication adherence in secondary prevention of community-dwelling patients with ischemic stroke [J]. Chinese Journal of Nursing Education, 2024, 21(09): 1099-1106.

[22] Dou MJ, Jia RF, Tang HY, et al. Construction of a self-management intervention program based on COX-IMCHB for patients with ultra-low rectal cancer undergoing intersphincteric resection [J]. Chinese Community Doctors, 2024, 40(25): 121-124.

[23] Tang BL, Yi YW, He XL, et al. Sinicization and reliability and validity test of the short version of the Stroke-Specific Quality of Life Scale [J]. Modern Clinical Nursing, 2021, 20(02).