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The effectiveness of a comprehensive reminder system in the secondary prevention of hypertensive ischaemic stroke:

Li-Hong Wan1, Li-Ming You1, Shao-Xian Chen2

  • 1School of Nursing, Sun Yat-sen University, Guangzhou, China.

Journal of Advanced Nursing
|August 11, 2016
PubMed

Insights

This study evaluated a Comprehensive Reminder System for hypertensive patients post-ischaemic stroke. The system aims to improve health beliefs, behaviors, and medication adherence to reduce stroke recurrence.

Area of Science:

  • Neurology
  • Cardiology
  • Public Health

Background:

  • Hypertensive patients with recent ischaemic strokes face high recurrence risk.
  • Previous secondary stroke prevention efforts via patient education yielded limited success.
  • Long-term follow-up studies for secondary stroke prevention are scarce.

Purpose of the Study:

  • To assess if a Comprehensive Reminder System, grounded in the Health Belief Model, enhances health belief, behaviors, and medication adherence.
  • To determine the system's effectiveness in improving blood pressure control.
  • To reduce the rate of stroke recurrence in hypertensive ischaemic stroke patients.

Main Methods:

  • A 12-month, multi-centre, randomized controlled trial.
  • Participants: Hypertensive patients post-ischaemic stroke.
  • Intervention: Health belief education, calendar handbook, SMS reminders, telephone follow-ups.

Main Results:

  • Primary outcome: Blood pressure control.
  • Secondary outcomes: Health belief, health behaviors, medication adherence.
  • Clinical endpoint: Stroke recurrence rate.

Conclusions:

  • Improvements in secondary stroke prevention are possible and necessary.
  • This Health Belief Model-based system offers insights into stroke education and transitional care.
  • Findings are relevant for China and global populations at risk.
Abstract

Keywords:
RCTfollow-up studyhealth belief modelhypertensionnursingprotocolreminder systemsecondary preventionshort-message servicestroke

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