1
Assist. Prof. Community Nursing, Faculty of Nursing, Menoufia University
2
Lecturer of medical surgical Nursing, Faculty of Nursing, Menoufia University
10.12816/0029246
Abstract
Background Stroke is a leading cause of disability and death worldwide. Effective rehabilitation interventions initiated early following stroke can enhance the recovery process and minimize functional disability. Aim: was to determine risk factors of recurrence of stroke episodes and evaluate the influence of lifestyle risk factors modification on patient's outcomes and the frequency of stroke recurrence. Subject & methods: Research design: A Quasiexperimental design was used. Setting: The study was carried out in out-patient clinic of Neurology department, Shebin Elkom university hospital. Subjects: 86 stroke patients were included. Tools of data collection: Three tools are used, a structured interviewing questionnaire, Barthel index scale, physiologic measures. Results: the common risk factors of recurrence of stroke were sex, age, active smoking, cholesterol level, and hypertension. Clear improvement was noticed related to hypertension, blood glucose, cholesterol levels of study group compared to controls at 3rd, 6th, 12th months. Significant positive effect of the interventions was demonstrated immediately in terms of stroke knowledge immediately after intervention and 3 months later. A significant improvement in function of daily activities at 3rd, 6th and at the end of one year of follow up. A significant relationship between study and control group regarding occurrence of stroke episodes at the end of one year of follow-up < br />where, 4 cases of stroke recurrence (9.1%) were occurred among study group compared to11 cases(26.2%) for controls. Conclusion: identification of risk factors and its modifications is urgent need for stroke patients. Appropriate tertiary stroke prevention needs adherence with lifestyle risk factors changes that make important contributions for further reductions in stroke occurrence. Recommendations: Nurses and allied health professionals should ensure that they provide current, evidence-based information regarding lifestyle risk factors for recurrent stroke to patients and their families. Tertiary prevention interventions should start immediately after hospital patient's discharge.
)
View on SCiNiTO