Reduction of Recurrence of Stroke by Nurse-led Education in Bangladesh
Effectiveness of Health Education Program Among Patients & Family Caregivers on Modifiable Risk Factors mRS 0 to 4 to Reduce Recurrence of Stroke After Discharge From a Tertiary Hospital in Bangladesh
Hiroshima University
432 participants
Oct 2, 2022
INTERVENTIONAL
Conditions
Summary
Stroke is a major public issue that can be occurred a patient with severe and unbearable disability for a long time. Recurrence of stroke is increasing due to a lack of knowledge and compliance with treatment regarding the modifiable risk factors of stroke and behavioral and lifestyle changes. Nurse-led health education with (self) monitoring of modifiable risk factors and behaviors can be an effective way to create knowledge about the behavioral changes in stroke patients. The investigators hypothesized that health education among first stroke patients and their family caregivers could reduce the stroke recurrence rate by controlling modifiable risk factors compared to the first stroke patients without health education.
Eligibility
Inclusion Criteria10
- For patient
- Who was discharged from NINSH to home or who visited NINSH right after getting a stroke
- First-time stroke
- All types of strokes, except subarachnoid haemorrhage
- modified Rankin Scale (0 - 4)
- Stroke patient who is 18 years old and above
- Both males \& females
- Who provided written consent \& willing to participate in the study
- For family caregivers
- Who will provide written consent \& willing to participate in the study
Exclusion Criteria10
- Who has stroke with the recurrence
- Stroke subtype: caused by genetic problems or injury/accident
- Patients with multi-organ failure or terminal stage
- Participation in other clinical trials
- Unwillingness to participate in the study
- Not having a mobile phone at home
- mRS 5
- Who is not living with the patient
- Who is under 18 years old
- Who is mentally unstable and/or cognitively impaired (diagnosed cases)
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Interventions
The participants received a 45mins, face-to-face group health education after enrollment and during the 6th month by a RA nurse. Participants received the same health education over the phone call if the patient and family caregiver could not come for any reason. They also received a digital BP machine, a salt-measurement spoon, a medication box, and a recording notebook for monitoring. The intervention group receives health education above and reminder telephone calls provided by research assistant nurses every month (1st month to 3rd month: twice a month, and 4th month to 12th month: once a month)
Locations(1)
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NCT05520034