Effect of a nurse-led secondary stroke prevention intervention on medium-term stroke outcome in a teaching hospital in Nigeria: A quasi-experimental study

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Clinical Sciences Pub Date : 2021-07-01 DOI:10.4103/jcls.jcls_6_21
I. Ademuyiwa, N. Okubadejo
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Abstract

Background: Mortality and morbidity attributable to stroke remain high in developing countries. Secondary prevention of stroke can reduce recurrence using targeted interventions addressing modifiable risk factors. This study assessed the effect of a nurse-led secondary stroke prevention intervention on compliance to lifestyle, diet, clinic and physical therapy attendance, and drug compliance over the medium-term poststroke. Methods: The study utilized a case (interventional group)–control (noninterventional group) quasi-experimental design. Sixty consenting acute stroke patients surviving till discharge were consecutively recruited into the study and conveniently assigned to either group in a 1:1 ratio. Recruitment was conducted over the initial 3 months of the study. The intervention group received standardized intensive in-person counseling for cases and designated caregivers at discharge. This means that, apart from standardized intensive in-person counseling for cases and designated caregivers at discharge. There was additional telephone calls and weekly short messages to the intervention group in-order to reinforce information and communication during follow-up. The nonintervention group received discharge instructions provided by the managing physician only. Outcome assessment was conducted at 9 months post stroke. Results: The study recruited 39 (65%) males and 21 (35%) females. The mean age of participants in intervention group was 55.0 ± 14.5 years, while it was 56.0 ± 11.2 years in the nonintervention group. Other demographic parameters were similar between both the groups. At the end of the follow-up period of 9 months, compliance with lifestyle and diet modification, clinic and physical therapy attendance, and drug compliance was statistically significantly higher in the intervention compared to the nonintervention group (P < 0.05 for all comparisons). Conclusion: This study demonstrates the potential utility of a nurse-led intervention incorporating targeted lifestyle risk modification on compliance to strategies aimed at reducing stroke recurrence. Adoption of this task shifting/sharing strategy is recommended.
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尼日利亚某教学医院护士主导的卒中二级预防干预对中期卒中转归的影响:一项准实验研究
背景:在发展中国家,脑卒中的死亡率和发病率仍然很高。通过针对可改变的危险因素进行有针对性的干预,二级预防可以减少卒中的复发。本研究评估了护士主导的二级卒中预防干预对卒中后中期生活方式、饮食、临床和物理治疗出勤以及药物依从性的影响。方法:采用病例(介入组)-对照组(非介入组)准实验设计。60名自愿存活至出院的急性脑卒中患者被连续招募到研究中,并按1:1的比例方便地分配到两组。招募工作在研究的前3个月进行。干预组在出院时接受标准化的病例强化面对面咨询和指定的护理人员。这意味着,除了标准化的病例密集面对面咨询和出院时指定的护理人员。为了在随访期间加强信息和沟通,对干预组进行了额外的电话和每周短消息。非干预组仅接受主治医师提供的出院指示。卒中后9个月进行结果评估。结果:研究招募了39名(65%)男性和21名(35%)女性。干预组平均年龄为55.0±14.5岁,非干预组平均年龄为56.0±11.2岁。两组之间的其他人口统计学参数相似。随访9个月时,干预组患者的生活方式和饮食改变依从性、临床和物理治疗出席率、药物依从性均显著高于非干预组(P < 0.05)。结论:本研究证明了护士主导的干预措施的潜在效用,包括有针对性的生活方式风险改变对减少卒中复发策略的依从性。建议采用这种任务转移/共享策略。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
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