Acceso abierto

Effect of nursing intervention on improving awareness of high-risk patients about stroke prevention

, , ,  y   
14 mar 2025

Cite
Descargar portada

Figure 1.

Mean scores of total KAP regarding stroke among the studied stroke high-risk patients (study and control groups) pre- and post-program (N = 80).
Note: KAP, knowledge, attitude, and practice.
Mean scores of total KAP regarding stroke among the studied stroke high-risk patients (study and control groups) pre- and post-program (N = 80). Note: KAP, knowledge, attitude, and practice.

Medical history and family history of the studied stroke high-risk patients (study and control groups) (N = 80)_

Variables Study group (n = 40) Control group (n = 40) χ2 P
n % n %
Patients’ medical history
  Hypertension 15 37.5 11 27.5 15.215 0.009*
  Diabetes 4 10 0 0
  Cardiac disease 8 20 2 5
  Hypertension and diabetes 6 15 15 37.5
  Hypertension and heart disease 4 10 3 7.5
  Multiple diseases 3 7.5 9 22.5
Family medical history
  No 2 5 1 2.5 13.511 0.061
  Hypertension 8 20 7 17.5
  Diabetes 4 10 4 10
  Heart diseases 7 17.5 2 5
  Obesity 7 17.5 2 5
  Hypercholesterolemia 4 10 2 5
  Hypertension and diabetes 4 10 14 35
  Multiple diseases 4 10 8 20
Family history of stroke
  No 36 90 35 87.5 0.125 0.723
  Yes (one of parents) 4 10 5 12.5
  Patient history of stroke
  No 35 87.5 39 97.5 2.883 0.090
  Yes 5 12.5 1 2.5
Using blood clotting drugs
  No 30 75 35 87.5 2.051 0.152
  Yes 10 25 5 12.5

Mean changes of scores of total KAP regarding stroke among the studied stroke high-risk patients (study and control groups) post-program (N = 80)_

Variables Study group (n = 40) Control group (n = 40) Z value P
Total knowledge 5.435 0.0001*
  Range -4.00 to 25.00 -1.00 to 6.00
  Mean ± SD 14.90 ± 6.13 1.42 ± 1.82
Total attitude 5.199 0.0001*
  Range 0–6.00 -3.00 to 3.00
  Mean ± SD 3.05 ± 1.81 0.20 ± 0.97
Total practice 5.295 0.0001*
  Range 0–14 0–3
  Mean ± SD 7.45 ± 3.65 0.40 ± 0.81

Levels of total KAP regarding stroke among the studied stroke high-risk patients (study and control groups) pre- and post-program (N = 80)_

Variables Study group (n = 40) Control group (n = 40) χ2/P
Pre-program Post-program Pre-program Post-program Pre-program Post-program
n % n % n % n %
Levels of total knowledge
  Poor 39 97.5 7 17.5 40 100 40 100
  Fair 1 2.5 32 80 0 0 0 0
  Good 0 0 1 2.5 0 0 0 0
  χ2 52.382 - 1.013 53.333
  P 0.0001* - 0.314 0.0001*
Levels of total attitude
  Negative 38 95 9 22.5 39 97.5 35 87.5
  Positive 2 5 31 77.5 1 2.5 5 12.5
  χ2 43.378 2.883 0.346 34.141
  P 0.0001* 0.09 0.556 0.0001*
Levels of total practice for prevention
  Bad 39 97.5 9 22.5 40 100 40 100
  Moderate 1 2.5 24 60 0 0 0 0
  Good 0 0 7 17.5 0 0 0 0
  χ2 46.910 - 1.013 50.612
  P 0.0001* - 0.314 0.0001*

Smoking and physical activity practicing of the studied stroke high-risk patients (study and control groups) pre- and post-program (N = 80)_

Variables Study group (n = 40) Control group (n = 40) χ2/P
Pre-program Post-program Pre-program Post-program Pre-program Post-program
n % n % n % n %
Smoking
  No smoking 8 20 6 15 14 35 15 37.5
  Ex-smoker 4 10 1 2.5 11 27.5 11 27.5
  Active smoker 23 57.5 28 70 12 30 11 27.5
  Passive smoker 5 12.5 5 12.5 3 7.5 3 7.5
  χ2 2.58 0.08 8.86 20.10
  P 0.461 0.994 0.031* 0.0002*
Physical activity practicing
  No 34 85 18 45 27 67.5 24 61.5
  Sometimes 2 5 10 25 5 12.5 4 10.3
  Yes 4 10 12 30 8 20 11 28.2
  χ2 14.26 0.75 3.42 3.46
  P 0.0001* 0.688 0.181 0.177

Sociodemographic data and BMI of the studied stroke high-risk patients (study and control groups) (N = 80)_

Variables Study group (n = 40) Control group (n = 40) χ2 P
n % n %
Age (years) t-test = 0.056, P = 0.955
  Range 25–90 32–74
  Mean ± SD 53.15 ± 16.28 52.98 ± 10.92
Sex
  Females 27 67.5 25 62.5 0.22 0.639
  Males 13 32.5 15 37.5
Residence
  Rural 22 55 29 72.5 2.650 0.104
  Urban 18 45 11 27.5
Educational level
  Illiterate 9 22.5 11 27.5 20.189 0.0001*
  Read and write 16 40 3 7.5
  Elementary 3 7.5 13 32.5
  Secondary 4 10 10 25
  University 8 20 3 7.5
Marital status
  Single 8 20 1 2.5 6.193 0.045*
  Married 23 57.5 27 67.5
  Widow/Divorced 9 22.5 12 30
Work
  Not working 28 70 30 75 2.355 0.308
  Retired 6 15 2 5
  Working 6 15 8 20
Live with
  Alone 6 15 3 7.5 1.127 0.288
  With family 34 85 37 92.5
Income
  Not enough 24 60 25 62.5 3.163 0.206
  Enough 13 32.5 15 37.5
  Enough and spare 3 7.5 0 0
BMI t-test = 0.764, P = 0.447
  Range 21.6-48.4 25.0-46.6
  Mean ± SD 33.08 ± 6.31 34.05 ± 4.96

Correlation between changes of scores of total KAP regarding stroke among the studied stroke high-risk patients (study and control groups) post-program (N = 80)_

Variables Study group (n = 40) Control group (n = 40)
Total knowledge Total attitude Total knowledge Total attitude
Total attitude
  r 0.502 - 0.416 -
  P 0.001* - 0.008* -
Total practice
  r 0.684 0.427 0.264 0.288
  P 0.0001* 0.006* 0.1 0.071
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Medicina, Profesiones auxiliares, enfermería