The Effect of The Family-supported Stroke Prevention Program among High Risk Stroke Elderly in Community
Keywords:high risk stroke order persons, family support, stroke prevention
Introduction: Cerebrovascular disease (CVD or Stroke) has been known as one of the causes of paralysis. Stroke is a major health problem that is a cause of death among global citizens. As the trend of global increasing aging society, stroke is predicted as an important disease and worldwide mortality. Research objectives: This quasi-experimental study aimed to investigate the effects of the family-supported stroke prevention program among elderly people who have a high risk stroke in community. This program is developed by a health belief model and social support theory. Research methodology: The program was guided by a health belief model and social support theory. Sample included the elderly persons aged between 65-80 years old and was diagnosed by a physician as having one of chronic diseases (hypertension, diabetes mellitus, and coronary heart disease). Thirty participants were randomly assigned to either control or experimental group. The family support stroke prevention program lasted for 6 weeks and was divided into 4 activities including: 1) beware of stroke, 2) protect yourself and family member from stroke, 3) all family members against stroke together, and 4) free paralysis in family. Data were collected using questionnaire at pre-test and post-test. Findings were analyzed using mean, standard deviation, chi-square, independent sample t-test, and paired sample t-test. Results: showed that in the experimental group, mean scores of perceived susceptibilities, perceived benefit, perceived barrier of stroke prevention behavior, and perceived family support were significantly higher than the comparison group (p<.05). Post-test mean score of the experimental group was statistically significantly higher than pre-test mean score (p<.05). Conclusions: This revealed that the program was able to enhance older people’s perceived susceptibility, perceived severity, perceived benefits, and perceived barriers, and capability to develop preferable stroke prevention behaviors. It is recommended that health care organizations should promote and implement family-supported prevention program as an effective tool in creating health activities for health improvement among older persons. Implications: The health care sectors can apply this program to improve in health promotion for older people to get well-being successfully.
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