• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.2
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• pp.174-182
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• 2014

Purpose: This study was done to investigate the probability of stroke, knowledge of stroke, and health-promoting lifestyle among stroke risk groups. Method: A descriptive correlational design was used. Data for 110 patients were analyzed. The probability of stroke was calculated using the Stroke Risk Profile from the Framingham Heart Study (2013), knowledge of stroke was measured using a questionnaire developed by Yoon et al. (2001), and health-promoting lifestyle was measured using the HPLP-II, developed by Walker et al. (1995). Results: The average probability of stroke was 11.74, knowledge of stroke, 67.88, and health-promoting lifestyle, 2.27. Probability of stroke showed significant differences according to gender. Knowledge differed according to patients' salaries. Health-promoting lifestyle showed significant differences according to gender. There were no significant correlations between probability of stroke and knowledge of stroke or probability of stroke and health-promoting lifestyle, but there was a significant correlation between knowledge of stroke and health-promoting lifestyle. Conclusion: Results indicate the necessity of active education to increase knowledge related to stroke which will contribute to an increase in health-promoting behaviors and make primary prevention a reality in the reduction of risk of stroke among stroke risk groups.

• Korean Journal of Adult Nursing
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• v.29 no.3
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• pp.302-312
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• 2017

Purpose: The purpose of this study was to identify the following: knowledge of stroke, fear of recurrence and health behaviors among patients with ischemic stroke. Further, factors influencing health behavior will be described. Methods: Data were collected from 180 patients with ischemic stroke at a general hospital. The study instruments included items about general and health related characteristics, a Stroke Knowledge Scale, a Stroke Fear of Recurrence Scale, and a Health Behavior Scale. Hierarchical regression method was conducted to examine predictors of health behavior. Results: The mean age of the participants was $63.62{\pm}11.10years$, and 57.8% of the sample was men. The mean score for stroke knowledge (possible range=0~17) was $14.99{\pm}1.76$, the mean score for fear of recurrence (possible range=0~32) was $23.16{\pm}3.75$, and the mean score for health behavior (possible range=20~80) was $54.69{\pm}6.46$. Stroke knowledge and fear of recurrence were associated with health behavior in patients with ischemic stroke (F=9.98, p<.001, Adjusted $R^2=.43$). Conclusion: The results demonstrated that stroke knowledge and fear of recurrence impacts the health behavior among patients with ischemic stroke. Thus, nursing interventions which focused on fear of recurrence as well as enhancing stroke knowledge could help health behavior in patients with ischemic stroke.

• Journal of Korean Biological Nursing Science
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• v.22 no.4
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• pp.297-307
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• 2020

Purpose: The purpose of this research was to identify the relationships between stroke knowledge, health perception, exercise self-efficacy and stroke prevention behaviour and the factors influencing stroke prevention behaviour in middle-aged adults. Methods: A cross-sectional survey was conducted in 2 cities of Korea from May to July 2020, using structured questionnaire. The participants were 168 middle-aged adults without a history of stroke. Collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 25.0. Results: There was significant correlations among degree of stroke prevention behaviour, stroke knowledge about warning sign (r= .20, p= .010), health perception (r= .35, p< .001) and exercise self-efficacy (r= .43, p< .001). The most important factor influencing stroke prevention behaviour was exercise self-efficacy (β= 0.38, p< .001), followed by health perception (β= 0.18, p= .008), body mass index (β= -0.17, p= .011), stroke knowledge about warning sign (β= 0.13, p= .045) in that order. These factors explained 37.7% of total variance in stroke prevention behaviour (F= 11.09, p< .001). Conclusion: The results of this study suggest that the development of nursing intervention for stroke prevention behaviour improvement is needed considering exercise self-efficacy and stroke knowledge.

• Journal of muscle and joint health
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• v.20 no.1
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• pp.1-9
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• 2013

Purpose: The purpose of this study was to examine the effects of self-help management program on knowledge about stroke, self-efficacy, self-esteem and family support in people with stroke. Methods: With a quasi-experimental design, 44 persons with stroke were assigned into an experimental group (n=21) or a control group (n=23). The knowledge about stroke, self-efficacy and self-esteem were measured at both before and after the self-help management program. Date were analyzed with SPSS/WIN using descriptive statistics, t-test, and $x^2$-test. Results: There was a significant increase in knowledge about stroke, self-efficacy and self-esteem in the experimental group. Conclusion: Self-help management program can be an effective nursing intervention to improve the knowledge about stroke, self-efficacy and self-esteem for patients with stroke.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.97-107
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• 2014

Purpose: This study was performed to explore levels of stroke knowledge and identify subgroups with lower levels of stroke knowledge among adults in Korea. Methods: A cross-sectional survey was used and data were collected in 2012. A national sample of 990 Koreans aged 20 to 74 years participated in this study. Knowledge of risk factors, warning signs, and first action for stroke were surveyed using face-to-face interviews. Descriptive statistics and decision tree analysis were performed using SPSS WIN 20.0 and Answer Tree 3.1. Results: Mean score for stroke risk factor knowledge was 7.7 out of 10. The least recognized risk factor was diabetes and four subgroups with lower levels of knowledge were identified. Score for knowledge of stroke warning signs was 3.6 out of 6. The least recognized warning sign was sudden severe headache and six subgroups with lower levels of knowledge were identified. The first action for stroke was recognized by 65.7 percent of participants and four subgroups with lower levels of knowledge were identified. Conclusion: Multi-faceted education should be designed to improve stroke knowledge among Korean adults, particularly focusing on subgroups with lower levels of knowledge and less recognition of items in this study.

• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.388-397
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• 2013

Purpose: The purpose of this study is to examine effects of a self-help management program at public health centers on self-efficacy, self-esteem, knowledge of stroke and family supports in stroke patients. Methods: Based on a quasi-experimental design, 44 persons with stroke were assigned to the experimental group (n=21) or the control group (n=23). Data were analyzed through the descriptive statistics, t-test, $x^2$-test and Mann-Whitney test with the SPSS/WIN 18.0 program. Results: The experimental group showed significant improvement in its members' self-efficacy, self-esteem, knowledge of stroke and family supports. Conclusion: The self-help management program can be an effective nursing intervention to help stroke patients improve their self-efficacy, self-esteem, knowledge of stroke and family supports. That program is also meaningful in that it can contribute to more effective implementation of established programs for stroke patients in public health centers.

• Journal of Korean Biological Nursing Science
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• v.10 no.2
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• pp.121-130
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• 2008

Purpose: This study was undertaken to identify stroke risk with risk factors and knowledge of stork in women with prehypertension. Methods: A total of 46 pre-hypertensive women in urban area aged 44.8 (SD 11.4) yr old in average were selected by a convenient sampling. Demographic data, risk factors, and knowledge of stroke were assessed through face to face interview. Stroke risk scores were calculated based on points given to age, systolic blood pressure, smoking, DM, and heart disease in Framingham stroke risk score. Data were analyzed by SPSS WIN 12.0 using descriptive statistics, two sample t-test, and Pearson's correlation coefficient. Results: The mean systolic blood pressure of participants was 133.11 mmHg, and HDL cholesterol was lower than the recommended level, although rest of physiologic risk factors were within normal. Of the participants, 82% did not do regular physical activity and 75% did not control fat intake persistently. Mean stroke risk points and knowledge scores were 4.48 and 29.15, respectively, which were significantly different between women with and without persistent controlling fat intake. Conclusion: Results indicate stroke prevention intervention for prehypertensive women should address comprehensively modifying lifestyle as well as physiologic factors, and information focusing on stroke risk factors and warning symptoms.

• 재활복지
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• v.21 no.1
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• pp.173-191
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• 2017

The purpose of this study is to provide basic data for the development of family education program for stroke patients by investigating the degree of knowledge and educational needs of stroke patients. The subjects of the research were 116 families of the stroke patients at 3 rehabilitation hospitals located in the city G. In the data analysis, knowledge related to stroke and education needs were analyzed by independent t-test and ANOVA. Post-test was analyzed by Tukey test. As a results, the general knowledge about stroke was 4.54 points out of the total of 6 points, and there was a statistically significant difference in religion and education level. The full score of the symptoms knowledge of stroke was 15 points. Stroke - related symptom knowledge was a total score of 15 points out of 10.34 points, and there was a significant difference according to degree of education and monthly income. The knowledge of risk factors related to stroke was 8.98 points out of a total of 16 points and there were significant differences in education level, marital status and occupation. Educational needs were measured as 4.70 points on the scale of 5 points, which showed significant difference in education level and income. This study suggests the development of educational programs for families of different stroke patients to improve the quality of nursing care of stroke patients considering their knowledge and general needs for their knowledge and education needs of stroke patients.

• Journal of Korean Biological Nursing Science
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• v.22 no.1
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• pp.61-70
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• 2020

Purpose: The purpose of the this study was to examine the dietary knowledge and educational needs of stroke patients and analyze the related factors that are associated with dietary knowledge and educational needs. Methods: Our study analyzed data from 146 stroke patients. The survey was conducted by individual interviews using questionnaires and data collected from participants' medical records. Dietary knowledge and educational needs were measured by tools developed by the author. Results: The mean scores for the dietary knowledge and educational needs were 19.09±3.48 and 36.17±7.18, respectively. Many stroke patients had misconceptions about soy sauce, cholesterol, and fruits. The most needed items in dietary education was first identifying foods that are beneficial or harmful, and second, food interaction with medications. As for the results of multiple regressions, dietary knowledge was significantly associated with gender, educational attainment, monthly income, exercise, body mass index, and level of compliance to dietary therapy. Additionally, the educational needs were significantly related with educational attainment and employment. Conclusion: For secondary prevention of stroke patients, education strategy considering dietary knowledge and educational needs of stroke patients should be established. Special attention is needed for stroke patients with a lower level of dietary knowledge and educational needs.

• Korean Journal of Adult Nursing
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• v.24 no.1
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• pp.1-10
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• 2012

Purpose: Among the sources of anxiety and burden of family caregivers of stroke patients, this study investigated the role of self-efficacy and knowledge about care. Methods: Descriptive and correlational study design was used. One hundred and thirteen subjects were included. They were anticipated family caregivers of stroke patients. All patients were hospitalized at the intensive care unit (ICU) for the first time as a stroke patients. Data of family caregivers were collected during the time that patients were in the ICU with self-reported standardized questionnaire. Pearson's correlation coefficients and regression analysis were used to explore the role of self-efficacy and knowledge. Results: Self-efficacy was correlated with burden, but not with anxiety. Knowledge about care was correlated with anxiety and burden. Only knowledge about care was the significant predictor of anxiety and burden of anticipated family caregivers. Conclusion: The knowledge about care for stroke patients is important especially to the family caregivers who have to care stroke patients for the first time to reduce their anxiety and burden.