Effect of Nursing Educational Program on knowledge Among Patients at Risk for Stroke

Abd El-Reheem, Heba Abd El-Reheem

doi:10.21608/pssjn.2018.33191

Effect of Nursing Educational Program on knowledge Among Patients at Risk for Stroke

Author

Heba Abd El-Reheem Abd El-Reheem

Medical -Surgical Nursing, 3’4Faculty of Nursing - Port Said University

10.21608/pssjn.2018.33191

Abstract

Background: Stroke is the third most common cause of death worldwide and the leading cause of adult disability. Aim of the study: was to assess the impact of a nursing education program on Knowledge among patients at risk for stroke. Subjects and Method: A quasi-experimental design was used in the current study. This study was carried out on a convenient sample of 133 patients at risk of stroke. This study was conductedin the outpatients clinics in governmental hospitals and the health insurance hospitals in Port-Said City. Three different tools were used for data collection, namely 1) -Structured interview questionnaire sheet , 2) - Stroke risk assessment screening tool and 3) - Patients' assessment knowledge about stroke. The educational program was designed based on an extensive revision of the related materials, recent medical surgical nursing textbooks, studies and literature. Results: The study results revealed that very high statistical significant difference in total and sub-items scores of studied patients' knowledge were found between before and immediately after program implementation and between before and 3months after program implementation, slightly decline was evident in total patient knowledge from post immediate and post 3 months after the program implementation(99.2% to 96.2%) respectively ,but it was still higher than before program implementation(6.0%).Conclusion: The study concluded that The knowledge was significantly improved after implementation of nursing educational program about stroke prevention. Recommendations: The study recommended thatregular continuouseducation programs should be conducted in the different outpatient clinics providing medical care for patients at risk for stroke to give information about stroke prevention for enhancing knowledge.

Keywords

References

Abd Elhameed, S., El Shazly, S., Ali, M. and Ebrahim, H. (2010): Caregiver Training and Health Status Outcomes in General Stroke Elder Patients. Thesis for Doctoral Degree in Nursing Science, Geriatric Nursing, Faculty of Nursing, Mansoura University, unpublished doctoral thesis.

Abdu, B. I. A. (2013): Factors Affecting Compliance of patients with Essential Hypertension toward therapeutic Regimen. Thesis for Master Degree in Nursing Science, Medical Surgical Nursing, Faculty of Nursing, Port Said University, unpublished master thesis.

Barker E. (2005): Delaware Stroke Initiative, Stroke: A Guide to Information and Resources in Delaware ,available at :www.desttroke. Org. accessed date: 4/3/ 2010.

Callcott, D., Miller, J. and Wilson, S. (2015): Health and physical education preparing educators for the future, 2^nd ed., Australia, Cambridge University press, p.159.

Egyptian Cerebro-Cardio-Vascular Association, (2009): World Stroke Day Egypt October,29^thavailable at .http://www.world.stroke.org/wsd/pd/eccva-egyptpdf, accessed date: 12/3 /2010.

El Shafiey, E. M. H. (2013):Needs and Concerns for Stroked Patient at Benha University Hospital, Thesis of the master degree in Nursing Science, Medical Surgical Nursing of Benha University, unpublished master thesis.

Ennen, K. A. (2013):Taking a second look at a stroke in women, American Nurse Today, 8(1): 12-15.

Eshah, N. F. (2013):KnowledgeofStroke and Cerebrovascular Risk Factors Among Jordanian Adults, Journal of Neuroscience Nursing, 45(5):13-19.

Farghaly, W.M., El-Tallawy, H.N., Shehata, G.A., Rageh, T.A., Abdel-Hakeem, N.M., Elhamed, M.A., Al-Fawal, B.M. and Badry, R .(2013): Epidemiology of nonfatal stroke and transient ischemic attack in Al-Kharga District, New Valley, Egypt,9(1): 1785-1790 .

Goldstein ,L.B., Bushnell ,C.D., Adams ,R.J.,et al.,(2011):Guidelines for the Primary Prevention of Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association available at http://stroke.ahajournals.org/ accessed date: 4/ 11 /2015.

Ignatavicius, D.D. and Workman, M.L. (2013): Medical Surgical Nursing: Patient – Centered Collaborative Care, 7^th ed, St Louis, Elsevier Saunders, USA, Pp. 1005-1014

Jones, S. P., Jenkinson, A.J., Leathley, M. J. and Watkins C.L. (2010): Age and Ageing, stroke knowledge and awareness: an integrative review of evidence, 39(1): 11-22

Monaliza, Aggarwal, M. and Srivastava.(2012):Awareness of risk factors and warning symptoms of stroke in general population, Nursing and Midwifery Research Journal, 8(2):149-161.

Prabhakaran, S. and Chong, J. (2014): Risk Factor Management for Stroke Prevention. Con-tinuum, 20(2): 296–308.

Qureshi, (2007): Stroke frequencies of intra-cerebral bleed, cerebral infarction and subarachnoid hemorrhage, Asia, 14(4):580-585

Mvundura, M., McGruder, H., Khoyry, M.J., Valdez, R. and Yoon P.W. (2010): Family history as a risk factor for early- onset stroke, Transient Ischemic Attack among Adults in the United States Public Health Genomic, 13(1):13-20.

Sane, P. (2015): Prevention of stroke among hypertensive patients: A recent update, Innovational Journal of Nursing and Healthcare (IJNH), 1(2):133-138.

Schlesselman, J. (1982): Case control studies: design, conduct, analysis, New York, Oxford University. Press, Pp.145-146.

Sharma, M. and Romas, J. (2012):Theoretical foundation of health education and health promotion, 2^nded., Jones and Bartlett learning company, Canada, P.78.

Sharrief, A. Z., Johnson, B. and Urrutia, V.C. (2015): Stroke Outreach in an Inner City Market: A Platform for Identifying African American Males for Stroke Prevention Intervention. Front Neurol, 15(6):133.

Slark, J. and Sharma, P. (2013): Risk Awareness in Secondary Stroke Prevention: a review of the literature, Journal of the Royal Society of Medicine Cardiovascular Disease, 0(0):1-6.

Tang, Y. H., Hung, C. H, Chen, H.M, Lin, T.H. and Liu, Y. (2015):The Effect of Health Education on Taiwanese Hypertensive patients’ Knowledge and Cognition of Stroke, Kaohsiung City, Taiwan, 12(2):116-125.

Wan, L, H, Zhao, J, Zhang, X, P, Deng, S, F, Li, L, He, S. Z. and Ruan, H. F. (2014):Stroke Prevention Knowledge and Prestrike Health Behaviors among Hypertensive Stroke Patients in Mainland China, J Cardiovascular Nursing, 29(2):1-9.

Williams L.D. and Hopper P.D, (2015). Understanding Medical Surgical Nursing 5^th ed, Davis Company ,Philadelphia. Pp.1172- 1180 .

World Health Organization (2013): Burden of Disease Statistics Geneva, Switzerland: World Health Organization; Available from: http://www.who.int/healthinfo/bod/en/index.html. Accessed on: 3/10/2013.

World Health Organization (WHO) (2013 a):The global burden of cerebrovascular disease, Available at: http://www.who.int/topics /cerebrovascular_accident/ en / accessed date 10/ 1/ 2014.