Effectiveness of a Stroke Risk Self-Management Intervention for Adults with Prehypertension.
10.1016/j.anr.2015.10.002
- Author:
Hee Young SONG
1
;
Kyoung A NAM
Author Information
1. Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, South Korea.
- Publication Type:Comparative Study ; Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
prehypertension;
primary prevention;
risk;
self-care;
stroke
- MeSH:
Adult;
Behavior Therapy/*education;
Blood Pressure Determination/*methods;
Female;
Humans;
Male;
Middle Aged;
Motivation;
*Patient Education as Topic;
Prehypertension/*nursing;
Primary Prevention/*methods;
Republic of Korea;
Risk Factors;
Self Care/*methods;
Stroke/*prevention & control;
Urban Population/statistics & numerical data
- From:Asian Nursing Research
2015;9(4):328-335
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to evaluate the effectiveness of a community-based intervention for prehypertensive adults, to enhance stroke risk awareness and to adopt a preventive lifestyle for primary stroke prevention. METHODS: This was a single-blinded, repeated measures quasi-experimental study with 47 participants (23 in the experimental group and 24 in the control group) recruited through convenience sampling from two urban areas. The stroke risk self-management intervention consisted of three weekly, 2-hour, face-to-face sessions and two booster telephone sessions, utilizing strategies to enhance motivation for behavioral changes based on the Self-Determination Theory. All participants completed a pretest, a 1- month and a 3-month post test of stroke risk awareness and preventive lifestyle including blood pressure self-monitoring, healthy diet, and regular physical activity. Data were analyzed using descriptive statistics, chi-square test, two sample t test, repeated measures analysis of variance, and Friedman test with PASW Statistics 18.0. RESULTS: After the intervention, significant improvements were found in the experimental group for stroke risk awareness, blood pressure self-monitoring and regular physical activity, and were sustained over time. CONCLUSIONS: Our preliminary results indicate that the stroke risk self-management intervention is feasible and associated with improvement in self-management of stroke risk factors for primary stroke prevention among a prehypertensive population.
