Impacts of targeted intervention based on action research method on medical coping strategies and sleep quality in elderly patients with acute stroke

[Objective] To explore the impacts of targeted intervention based on action research method on medical coping strategies and sleep quality in elderly patients with acute stroke (AS). [Methods] A total of elderly patients with AS hospitalized in Handan Central Hospital from September 2021 to October 2023 were selected as the study subjects and divided into two groups according to the random number table. There were 45 patients in the conventional group, they received routine intervention. And there were 46 patients in the study group, they received targeted intervention based on the action research method. Medical coping style ［assessed by medical coping modes questionnaire(MCMQ)］, compliance behavior, sleep quality ［assessed by self-rating sleep scale (SRSS)］ and neurological function ［assessed by Chinese stroke scale (CSS)］ were compared between the two groups. [Results] 3 months after discharge, the face scores of MCMQ in the two groups were higher than those at enrollment (P<0.05), the avoidance and yield scores were lower than those at admission (P<0.05), and the face scores of the study group were higher than those of the conventional group, and the avoidance and yield scores were lower than those of the conventional group (P<0.05). The compliance rate of regular medication, scientific diet, functional exercise and timely return visit in the study group was higher than that in the conventional group (P<0.05). Three months after discharge, the SRSS and CSS scores of the two groups were lower than those at enrollment (P<0.05), and the SRSS and CSS scores of the study group were lower than those of the conventional group (P<0.05). [Conclusion] Targeted intervention based on action research method for elderly AS patients can improve their medical coping strategies and compliance behavior, enhance the repair effects on sleep quality and neurological function.