Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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The Effects of a Secondary Stroke Prevention Program on the Health Risk Indicators and Self-Care Compliance of Stroke Patients

뇌졸중 이차예방교육이 건강위험지표와 자가간호수행에 미치는 효과

  • Kim, Ji Yeon (College of Nursing, Kyungpook National University) ;
  • Na, Yeon Kyung (College of Nursing.Research Institute of Nursing Science, Kyungpook National University) ;
  • Hong, Hae Sook (College of Nursing.Research Institute of Nursing Science, Kyungpook National University)
  • 김지연 (경북대학교 간호대학) ;
  • 나연경 (경북대학교 간호대.간호과학연구소) ;
  • 홍해숙 (경북대학교 간호대.간호과학연구소)
  • Received : 2016.02.01
  • Accepted : 2016.04.07
  • Published : 2016.05.31
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Abstract

Purpose: This study aimed to investigate the effects of a secondary stroke prevention education program on the health risk indicators and self-care compliance of stroke patients. Methods: A non-equivalent control group pretest-posttest design was used to select the participants. Subjects were 54 stroke patients (27 in the experimental group and 27 in the control group) hospitalized in a K university hospital in D city, Korea. Health risk indicators and self-care compliance were measured both for a baseline, as well as after intervention. The data was analyzed using a chi-square test, paired t-test and ANCOVA. Results: There were significant differences in systolic blood pressure, diastolic blood pressure, fasting blood sugar, weight and self-care compliance. Conclusion: The results of the study indicate that an educational secondary stroke prevention program is effective for health risk indicators and self-care compliance of patients. Therefore it can be used as an effective nursing intervention in clinical practice.

Keywords

References

  1. Statistics Korea. Social Indicators in Korea: Death Rate by Chronic Disease [Internet]. Seoul: Statistics Korea; 2014 [cited 2015 Jul 15]. Available from: http://www.index.go.kr.
  2. Clinical Research Center for Stroke. Clinical Practice Guidelines for Stroke [Internet]. Seoul: Clinical Research Center for Stroke; 2014 [cited 2015 May 10]. Available from: http://www.stroke-crc.or.kr.
  3. Michelle MM, Don BS, Cristina TA program to improve secondary stroke prevention: the colorado neurological institute stroke preventing recurrence of thromboembolic events through coordinated treatment program. Journal of Neuroscience Nursing. 2011;43(4):199-203. https://doi.org/10.1097/JNN.0b013e3182212a83
  4. Stefanie L, Steffen B, Inga L, Annerose Z, Gabriele N, Christian HN, et al. Secondary prevention after minor stroke and TIA-Usual care and development of a support program. PLOS ONE. 2012;7(12):1-8.
  5. Kim MK, Kang MJ, Lee HN, Lee KM. The risk factors associated with recurrence. Journal of Korean Academy of Rehabilitation Medicine. 2000;24(5):857-863.
  6. Lee HW. Colon Cancer and Stroke, Local Medical Level 'the best in the world' [Internet]. Busan: The Busan Ilbo. [cited 2015 Dec 8]. Available from: http://news20.busan.com/controller/newsController.jsp?newsId=20151109000029.
  7. Maggie L, Susan K, Hazel EW, Jennie J, Margaret GB. A summary of the guidance relating to four lifestyle risk factors for recurrent stroke. British Journal of Neuroscience Nursing. 2009;5(10):471-476. https://doi.org/10.12968/bjnn.2009.5.10.44671
  8. Sarah G, Ruth E. Impact of enhanced secondary prevention on health behaviour in patients following minor stroke and transient ischaemic attack: A randomized controlled trial. Clinical Rehabilitation. 2010;24:822-830. https://doi.org/10.1177/0269215510367970
  9. Miranda NB, Alex G, Angie W, Karen CK, Lynn T, Marie W. Steps against recurrent stroke plus: Patient transition program. American Association of Neuroscience Nurses. 2014;46(4):E3-E13.
  10. Theresa G, Eryka H, Michael E, Keith H. Education in stroke prevention: Efficacy of an educational counselling intervention to increase knowledge in stoke survivors. Canadian Journal of Neuroscience Nursing. 2007;29(2):13-20.
  11. Park HS, Lee MH, Ha JH. The effects of individualized education on stroke patient’s post-discharge anxiety and self-care compliance. Korean Academic Society of Rehabilitation Nursing. 2013;16(1):1-8. https://doi.org/10.7587/kjrehn.2013.1
  12. Kim EJ. The effect of telephone counseling after discharge for secondary stroke prevention in patients with ischemic stroke [master's thesis]. Seoul: Ewha Womans University; 2011. p.1-101.
  13. Suzanne BC, Rita K, Emma W, Valery F, Amy J, Kathryn M, et al. Improving adherence to secondary stroke prevention strategies through motivational interviewing: randomized controlled trial. Stroke. 2015;46:3451-3458. DOI: 10.1161/STROKEAHA.115.011003.
  14. Ann-C J, Peter H, Marco B, Helene PR. Secondary prevention and health promotion after stroke: can it be enhanced? Journal of Stroke and Cerebrovascular Disease. 2014;23(9):2287-2295. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.04.021
  15. Kim HJ, Kim OS. The lifestyle modification coaching program for secondary stroke prevention. Journal of Korean Academy Nursing. 2013;43(3):331-340. https://doi.org/10.4040/jkan.2013.43.3.331
  16. Bak HK. The effects of the stroke secondary prevention program on the health-promoting lifestyle and the health risk indicators of the in-house stroke patients [dissertation]. Seoul: Korea University; 2003. p. 1-119.
  17. Elaine TK, Judith S. Readiness to change and brief educational interventions: Successful strategies to reduce stroke risk. Journal of neuroscience nursing. 2003;35(4):215-222. https://doi.org/10.1097/01376517-200308000-00009
  18. Jeong BS, Gang HG, Kwak MY, Kim ES, Kim HY, Bak ES, et al. Effects of biophysical index, knowledge and self management compliance of patients with primary hypertension by a self management compliance promotion program. Journal of Korean Academy Nursing. 2006;36(3):551-560. https://doi.org/10.4040/jkan.2006.36.3.551
  19. Yang JH, Cho MO, Lee KY. Patterns of health behavior for weight loss among adults using obesity clinics. Journal of Korean Academy Nursing. 2012;42(5):759-770. https://doi.org/10.4040/jkan.2012.42.5.759
  20. Scott DP, Greenfield JR, Bramah V, Alford J, Bennett C, Markus R, et al. Challenges in secondary stroke prevention: Prevalence of multiple metabolic risk factors including abnormal glycemia in ischemic stroke and transient ischemic attack. Internal Medicine Journal. 2010;40:275-280. https://doi.org/10.1111/j.1445-5994.2009.01941.x

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