| Learning Objective #1: Understand the application of self-management principle in the care of clients with chronic illness | |||
| Learning Objective #2: Understand the role of nurses in secondary prevention of stroke |
Purpose:
Secondary prevention of stroke recurrence becomes a priority in contemporary management for Transient Ischemic Attack (TIA). The challenge for nurses is to find ways to sustain health behaviors in stroke risk factors detection and reduction. The aim of the study is to determine the effectiveness of a Stroke Prevention Program for clients with TIA through a self-management approach. The Stroke Prevention Program emphasizes on involving the clients in taking responsibility of their self-care management and risk factors modification.
Method:
The proposed study adopted an experimental design. Subjects who met the inclusion criteria were allocated into either a control group or intervention group. For the intervention group, data were obtained at three time points: prior to commencement of the Stroke Prevention Program; one week after completion of the intervention, and three months after the completion of the intervention. The control group was also assessed at the same time points but they did not attend the Program. The primary outcome indicators included knowledge of stroke risk factors and goal attainments in life-style modification. Secondary outcome indicators included physiological parameters on blood pressure, body mass index, body fat percentage, blood cholesterol level and triglycerides level as well as the number of unplanned stroke-related medical consultation
Results and discussion:
There were 117 subjects (60 in the intervention group and 57 in the control group) participated in the study. Descriptive and repeated measures ANOVA statistics are performed to analyse the data. Currently, data analysis is in progress. Preliminary findings showed improvement in the two primary outcome indicators. Further analysis will focus on comparing the primary and secondary outcome indicators between the control and intervention groups. It is anticipated that the findings will contribute the future evidenced-based practice in self-management approach in stroke prevention or management for other target client groups.
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