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A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke
Janet W H Sit1, Vera Y B Yip, Stanley K K Ko
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China. hsjsit@inet.polyu.edu.hk
Journal of Clinical Nursing
|January 24, 2007
Summary
A community-based stroke prevention program significantly improved participants' knowledge and self-care skills for stroke prevention. These positive changes in health monitoring and lifestyle were sustained for three months post-intervention.
Area of Science:
- Nursing
- Public Health
- Preventive Medicine
Background:
- Individuals with minor stroke often underestimate long-term health impacts.
- Nurses face challenges in promoting sustained healthy behaviors for secondary stroke prevention.
- Educational interventions are crucial for equipping at-risk individuals with knowledge and self-care strategies.
Purpose of the Study:
- To evaluate a community-based stroke prevention program's effectiveness.
- To assess improvements in stroke knowledge.
- To determine the impact on self-health monitoring and sustained healthy lifestyle changes.
Main Methods:
- Quasi-experimental design.
- 147 participants (77 intervention, 70 control) completed the study.
- Intervention involved eight weekly 2-hour sessions focused on health awareness and self-care for secondary stroke prevention.
Main Results:
- Significant improvements in the intervention group for stroke warning sign knowledge, treatment-seeking response, medication compliance, and blood pressure monitoring.
- Lifestyle modifications, including dietary habits (reduced salt intake), were significant.
- No improvement in exercise participation was observed; a decrease was noted in the control group.
Conclusions:
- A nurse-led community-based stroke prevention program demonstrated a three-month sustained effect on participants' knowledge and skills.
- Effective educational interventions empower patients in self-care management, integrating learned knowledge into daily practice.
- Patient education extends beyond factual teaching to fostering responsibility for daily self-care.
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