Evaluating a community-based stroke nursing education and rehabilitation programme for patients with mild stroke

被引:28
作者
Wang, Lee [1 ,2 ]
Chen, Chiu-Mei [3 ,4 ]
Liao, Wen-Chun [5 ]
Hsiao, Chun-Yin [6 ]
机构
[1] Chung Shan Med Univ, Dept Publ Hlth, Taichung 40242, Taiwan
[2] Chung Shan Med Univ Hosp, Dept Family & Community Med, Taichung, Taiwan
[3] Chung Shan Med Univ Hosp, Dept Neurol, Taichung, Taiwan
[4] Chung Shan Med Univ, Sch Med, Taichung 40242, Taiwan
[5] Chung Shan Med Univ, Sch Nursing, Taichung 40242, Taiwan
[6] Publ Hlth Bur, Taichung, Taiwan
关键词
community based; education; rehabilitation; stroke; TISSUE-PLASMINOGEN ACTIVATOR; ISCHEMIC-STROKE; BLOOD-PRESSURE; PREVENTION; RISK; HYPERTENSION; POPULATION; SURVIVORS; EXERCISE; JAPANESE;
D O I
10.1111/ijn.12064
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study evaluated whether mild stroke patients who received a community-based stroke nursing intervention had better stroke knowledge, behaviour and self-efficacy than those who were exposed to traditional education programmes. The intervention group consisted of sixty five stroke patients randomly selected from seven communities who received three 2-hour stroke interventions per week for 8 weeks. The normal care group consisted of sixty two stroke patients randomly selected from a medical centre who received a general stroke education programme. The stroke patients in two groups were assessed at baseline, after intervention and at the 6-month follow-up. At the 6-month follow-up, the intervention group demonstrated an improvement in the knowledge of stroke risk factors compared with the normal care group. Three months after education, the intervention group exhibited changes in the knowledge of stroke, social participation and self-efficacy compared with those at baseline. Also, self-efficacy was correlated with the knowledge of stroke risk factors after intervention and at the 6-month follow-up; self-efficacy was correlated with social participation after the 6-month follow-up. A community-based stroke nursing intervention might have effects on changes in the knowledge of stroke risk factors, social participation and self-efficacy.
引用
收藏
页码:249 / 256
页数:8
相关论文
共 29 条
[21]   Meeting stroke survivors' perceived needs: a qualitative study of a community-based exercise and education scheme [J].
Reed, Mary ;
Harrington, Rachel ;
Duggan, Alne ;
Wood, Victorine A. .
CLINICAL REHABILITATION, 2010, 24 (01) :16-25
[22]   Heart disease and stroke statistics - 2007 update - A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee [J].
Rosamond, Wayne ;
Flegal, Katherine ;
Friday, Gary ;
Furie, Karen ;
Go, Alan ;
Greenlund, Kurt ;
Haase, Nancy ;
Ho, Michael ;
Howard, Virginia ;
Kissela, Bret ;
Kittner, Steven ;
Lloyd-Jones, Donald ;
McDermott, Mary ;
Meigs, James ;
Moy, Claudia ;
Nichol, Graham ;
O'Donnell, Christopher J. ;
Roger, Veronique ;
Rumsfeld, John ;
Sorlie, Paul ;
Steinberger, Julia ;
Thom, as Thom ;
Wasserthiel-Smoller, Sylvia ;
Hong, Yuling .
CIRCULATION, 2007, 115 (05) :E69-E171
[23]  
Sacco RL, 2006, STROKE, V37, P577, DOI 10.1161/01.STR.0000199147.30016.74
[24]   Multimodality stroke prevention [J].
Sanossian, N ;
Ovbiagele, B .
NEUROLOGIST, 2006, 12 (01) :14-31
[25]   Nutrition and stroke prevention [J].
Spence, J. David .
STROKE, 2006, 37 (09) :2430-2435
[26]   Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies [J].
Strazzullo, Pasquale ;
D'Elia, Lanfranco ;
Kandala, Ngianga-Bakwin ;
Cappuccio, Francesco P. .
BMJ-BRITISH MEDICAL JOURNAL, 2009, 339 :1296
[27]   Dietary calcium intake and risks of stroke, its subtypes, and coronary heart disease in Japanese - The JPHC Study Cohort I [J].
Umesawa, Mitsumasa ;
Iso, Hiroyasu ;
Ishihara, Junko ;
Saito, Isao ;
Kokubo, Yoshihiro ;
Inoue, Manami ;
Tsugane, Shoichiro .
STROKE, 2008, 39 (09) :2449-2456
[28]   The Domains of Stroke Recovery: A Synopsis of the Literature [J].
Vanhook, Patricia .
JOURNAL OF NEUROSCIENCE NURSING, 2009, 41 (01) :6-17
[29]   FUNCTIONAL ABILITIES AFTER STROKE - MEASUREMENT, NATURAL-HISTORY AND PROGNOSIS [J].
WADE, DT ;
HEWER, RL .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1987, 50 (02) :177-182