nach oben

Quality of Life Research

Erschienen in:

11.04.2017

Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers

verfasst von: Li Yang, Qiuli Zhao, Xuemei Zhu, Xiaoying Shen, Yulan Zhu, Liu Yang, Wei Gao, Minghui Li

Erschienen in: Quality of Life Research | Ausgabe 8/2017

Einloggen, um Zugang zu erhalten

Abstract

Objective

Many factors influence pre-hospital delays in the event of stroke. This study aimed to develop and evaluate a comprehensive educational program for decreasing pre-hospital delays in high-risk stroke population.

Methods

We enrolled 220 high-risk stroke population and caregivers from six urban communities in Harbin from May 2013 to May 2015, and randomly divided them into intervention and control groups. We implemented a comprehensive educational program (intervention group), comprising public lectures, instructional brochures, case videos, simulations, and role-playing from May 2013 to May 2015. We delivered conventional oral education in the control group. We compared stroke pre-hospital delay behavioral intention (SPDBI), pre-hospital stroke symptom coping test (PSSCT), and stroke pre-symptoms alert test (SPSAT) results between the groups before and 6, 12, and 18 months after health intervention.

Results

There were significant differences between before and after intervention (P < 0.01). SPDBI, PSSCT, and SPSAT scores were significantly different between the groups (P < 0.01). The interaction between time and intervention method was significant (P < 0.01). According to multivariate repeated measures analysis of variance, SPDBI, PSSCT, and SPSAT scores were significantly different at each time after intervention (P < 0.05).

Conclusion

The comprehensive educational program was significantly effective in decreasing SPDBI, improving knowledge, enhancing stroke pre-symptoms alert, and reducing the possibility of pre-hospital delays.

WHO. (2004). WHO publishes definitive atlas on global heart disease and stroke epidemic. Indian Journal of Medical Sciences, 58(9), 405–406.

Mukherjee, D., & Patil, C. G. (2011). Epidemiology and the global burden of stroke. World Neurosurg, 76(6 Suppl), 85–90.CrossRef

Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., Moran, A. E., Sacco, R. L., Anderson, L., Truelsen, T., et al. (2014). Global and regional burden of stroke during 1990–2010: Findings from the global burden of disease study 2010. Lancet, 383(9913), 245–254.CrossRefPubMedPubMedCentral

TNIoNDa, S. (1995). Tissue plasminogen activator for acute ischemic stroke. The national institute of neurological disorders and stroke rt-PA stroke study group. The New England Journal of Medicine, 333(24), 1581–1587.CrossRef

Effect of intravenous recombinant tissue plasminogen activator on ischemic stroke lesion size measured by computed tomography (2000). NINDS; The National Institute of Neurological Disorders and Stroke (NINDS) rt-PA Stroke Study Group. Stroke; A Journal of Cerebral Circulation, 31(12), 2912–2919.

Liu, M., Wu, B., Wang, W. Z., Lee, L. M., Zhang, S. H., & Kong, L. Z. (2007). Stroke in China: Epidemiology, prevention, and management strategies. Lancet Neurology, 6(5), 456–464.CrossRefPubMed

Caplan, L. R. (2004). Treatment of acute stroke: still struggling. JAMA: The Journal of the American Medical Association, 292(15), 1883–1885.CrossRefPubMed

Yanagida, T., Fujimoto, S., Inoue, T., & Suzuki, S. (2015). Prehospital delay and stroke-related symptoms. Internal Medicine (Tokyo, Japan), 54(2), 171–177.CrossRef

Evenson, K. R., Foraker, R. E., Morris, D. L., & Rosamond, W. D. (2009). A comprehensive review of prehospital and in-hospital delay times in acute stroke care. International Journal of Stroke, 4(3), 187–199.CrossRefPubMedPubMedCentral

10.

Bouckaert, M., Lemmens, R., & Thijs, V. (2009). Reducing prehospital delay in acute stroke. Nature Review Neurology, 5(9), 477–483.CrossRef

11.

Kim, H. J., Ahn, J. H., Kim, S. H., & Hong, E. S. (2011). Factors associated with prehospital delay for acute stroke in Ulsan, Korea. The Journal of Emergency Medicine, 41(1), 59–63.CrossRefPubMed

12.

Hong, E. S., Kim, S. H., Kim, W. Y., Ahn, R., & Hong, J. S. (2011). Factors associated with prehospital delay in acute stroke. Emergency Medicine Journal: EMJ, 28(9), 790–793.CrossRefPubMed

13.

Pandian, J. D., Kalra, G., Jaison, A., Deepak, S. S., Shamsher, S., Singh, Y., & Abraham, G. (2006). Knowledge of stroke among stroke patients and their relatives in Northwest India. Neurology India, 54(2), 152–156.PubMed

14.

Sit, J. W., Yip, V. Y., Ko, S. K., Gun, A. P., & Lee, J. S. (2007). A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke. Journal of Clinical Nursing, 16(2), 272–281.CrossRefPubMed

15.

Wall, H. K., Beagan, B. M., O’Neill, J., Foell, K. M., & Boddie-Willis, C. L. (2008). Addressing stroke signs and symptoms through public education: The Stroke Heroes Act FAST campaign. Preventing Chronic Disease, 5(2), A49.PubMedPubMedCentral

16.

DeLemos, C. D., Atkinson, R. P., Croopnick, S. L., Wentworth, D. A., & Akins, P. T. (2003). How effective are “community” stroke screening programs at improving stroke knowledge and prevention practices? Results of a 3-month follow-up study. Stroke; A Journal of Cerebral Circulation, 34(12), e247–e249.CrossRef

17.

Hodgson, C., Lindsay, P., & Rubini, F. (2007). Can mass media influence emergency department visits for stroke. Stroke; A Journal of Cerebral Circulation, 38(7), 2115–2122.CrossRef

18.

Teuschl, Y., & Brainin, M. (2010). Stroke education: Discrepancies among factors influencing prehospital delay and stroke knowledge. International Journal of Stroke, 5(3), 187–208.CrossRefPubMed

19.

Kim, Y. S., Park, S. S., Bae, H. J., Cho, A. H., Cho, Y. J., Han, M. K., Heo, J. H., Kang, K., Kim, D. E., Kim, H. Y., et al. (2011). Stroke awareness decreases prehospital delay after acute ischemic stroke in Korea. BMC Neurology, 11(1), 1–8.CrossRef

20.

Tanaka, Y., Nakajima, M., Hirano, T., & Uchino, M. (2009). Factors influencing pre-hospital delay after ischemic stroke and transient ischemic attack. Internal Medicine (Tokyo, Japan), 48(19), 1739–1744.CrossRef

21.

Zhao, Q., Yang, L., Zuo, Q., Zhu, X., Zhang, X., Wu, Y., Yang, L., Gao, W., & Li, M. (2014). Instrument development and validation of the stroke pre-hospital delay behavior intention scale in a Chinese urban population. Health Qual Life Outcomes, 12(1), 70.

22.

Zhao, Q., Yang, L., Zhang, X., Zhu, X., Zuo, Q., Wu, Y., Yang, L., Gao, W., Li, M., & Cheng, S. (2014). Development and validation of the pre-hospital stroke symptoms coping test. PLoS ONE, 9(10), e110022.CrossRefPubMedPubMedCentral

23.

Zhang Xiao, Z. Q., Zuo Qingqing, C. S., Ma Jiangping, L. S., & Yanqiu, W. (2015). The development, valitidy and reliability of Stroke Premonitory Symptoms Alert Questionnaire. Chinese Nursing Management, 15(4), 416–419.

24.

Jurkowski, J. M., Maniccia, D. M., Spicer, D. A., & Dennison, B. A. (2010). Impact of a multimedia campaign to increase intention to call 9-1-1 for stroke symptoms, upstate New York, 2006–2007. Preventing Chronic Disease, 7(2), A35.PubMedPubMedCentral

25.

Mullen, C. K., Juhl, M. J., Gonzales, N. R., Maddox, K. E., Pary, J. K., Brown, D. L., Moye, L. A., Espinosa, N., Grotta, J. C., & Morgenstern, L. B. (2010). Kids Identifying and Defeating Stroke (KIDS): development and implementation of a multiethnic health education intervention to increase stroke awareness among middle school students and their parents. Health Promotion Practice, 11(1), 95–103.CrossRef

26.

Lundelin, K., Graciani, A., Garcia-Puig, J., Guallar-Castillon, P., Taboada, J. M., Rodriguez-Artalejo, F., & Banegas, J. R. (2012). Knowledge of stroke warning symptoms and intended action in response to stroke in Spain: A nationwide population-based study. Cerebrovascular diseases (Basel, Switzerland), 34(2), 161–168.CrossRef

27.

Mikulik, R., Bunt, L., Hrdlicka, D., Dusek, L., Vaclavik, D., & Kryza, J. (2008). Calling 911 in response to stroke: A nationwide study assessing definitive individual behavior. Stroke; A Journal of Cerebral Circulation, 39(6), 1844–1849.CrossRef

28.

Ebinger, M., Rozanski, M., Waldschmidt, C., Weber, J., Wendt, M., Winter, B., Kellner, P., Baumann, A. M., Malzahn, U., Heuschmann, P. U., et al. (2012). PHANTOM-S: The prehospital acute neurological therapy and optimization of medical care in stroke patients—study. International Journal of Stroke, 7(4), 348–353.CrossRefPubMed

29.

Baldereschi, M., Piccardi, B., Di, C. A., Lucente, G., Guidetti, D., Consoli, D., Provinciali, L., Toni, D., Sacchetti, M. L., Polizzi, B. M., et al. (2012). Relevance of prehospital stroke code activation for acute treatment measures in stroke care: A review. Cerebrovascular Diseases (Basel, Switzerland), 34(3), 182–190.CrossRef

30.

Komolafe, M. A., Obembe, A. O., Olaogun, M. O., Adebiyi, A. M., Ugalahi, T., Dada, O., Kanu, A., Adebiyi, O. C., Akilo, F., Ogunkoya, B., et al. (2015). Awareness of stroke risk factors and warning signs in Nigerian adolescents compared with adults. Journal of Stroke and Cerebrovascular Diseases, 24(3), 687–693.CrossRefPubMed

31.

Hickey, A., Holly, D., McGee, H., Conroy, R., & Shelley, E. (2012). Knowledge of stroke risk factors and warning signs in Ireland: Development and application of the Stroke Awareness Questionnaire (SAQ). International Journal of Stroke, 7(4), 298–306.CrossRefPubMed

32.

Hickey, A., O’Hanlon, A., McGee, H., Donnellan, C., Shelley, E., Horgan, F., & O’Neill, D. (2009). Stroke awareness in the general population: Knowledge of stroke risk factors and warning signs in older adults. BMC Geriatrics, 9(1), 35.

33.

Falavigna, A., Teles, A. R., Vedana, V. M., Kleber, F. D., Mosena, G., Velho, M. C., Mazzocchin, T., Silva, R. C., Lucena, L. F., Santin, J. T., et al. (2009). Awareness of stroke risk factors and warning signs in southern Brazil. Arquivos de Neuro-Psiquiatria, 67(4), 1076–1081.CrossRefPubMed

34.

Gutierrez-Jimenez, E., Gongora-Rivera, F., Martinez, H. R., Escamilla-Garza, J. M., & Villarreal, H. J. (2011). Knowledge of ischemic stroke risk factors and warning signs after a health education program by medical students. Stroke; A Journal of Cerebral Circulation, 42(4), 897–901.CrossRef

Titel: Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers
verfasst von: Li Yang
Qiuli Zhao
Xuemei Zhu
Xiaoying Shen
Yulan Zhu
Liu Yang
Wei Gao
Minghui Li
Publikationsdatum: 11.04.2017
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 8/2017
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1550-4

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2017

Decrements in health-related quality of life associated with gender nonconformity among U.S. adolescents and young adults

Changes in quality of life after elective surgery: an observational study comparing two measures

Does the Sense of Coherence modifies the relationship of oral clinical conditions and Oral Health-Related Quality of Life?

Psychometric validation of the dysmenorrhea daily diary (DysDD): a patient-reported outcome for dysmenorrhea

What contributes to long-term quality of life in breast cancer patients who are undergoing surgery? Results of a multidimensional study

The “no problems”-problem: an empirical analysis of ceiling effects on the EQ-5D 5L