The Recurrent Stroke Prevention Behavior Program in Post Stroke Patients

Main Article Content

Thiwaporn Witee
Weena Thiangtham
Plernpit Boonyamalik

Abstract

     The Quasi-experimental research with two groups pretest - posttest and follow-up design aimed to examine the effects of the recurrent stroke prevention behavior program among post stroke patients. The study samples were 58 post stroke patients living in Lat Krabang District and divided into the experimental group (n = 28) and the comparison group (n = 28). The experimental group received the program applying Information-Motivation-Behavioral Skills model. The program consisted of providing knowledge of warning signs, and health effects of recurrence stroke, learning from good model, practicing exercise as well as food selection skills while the comparison group received conventional nursing care. Data related to personal information and preventive behavior of recurrent stroke were collected by interviewed questionnaire. The preventive behavior questionnaire was tested for validity and internal consistency reliability with content validity index of .82 and Cronbach’s alpha coefficient of .72. Data were analyzed using descriptive statistics, Chi-square test, independent t-test, and repeated measure ANOVA.


     The research results revealed that after intervention and in follow-up period, the mean score of preventive behavior of recurrent stroke in the experimental group were significantly higher than before and those in the comparison group (p-value < .05). This study concluded that the recurrent stroke prevention behavior program could improve skills that further modifying eating habits, exercises, as well as medication compliances, and doctor visit among post stroke patients. Therefore, it is supported the use of this program to prevent recurrent stoke in post stroke patients and to promote preventive health behavior in people with a risk of stroke further.

Article Details

How to Cite
1.
Witee T, Thiangtham W, Boonyamalik P. The Recurrent Stroke Prevention Behavior Program in Post Stroke Patients. KJN [Internet]. 2021 Jun. 15 [cited 2024 Dec. 22];28(1):7-19. Available from: https://he01.tci-thaijo.org/index.php/kcn/article/view/184623
Section
Research Articles

References

Puwarawuttipanit W. Comprehensive care for stroke patients. Bangkok: N P Press Limited Partnership; 2009. (in Thai)

Tiamkao S. Recurrent ischemic stroke in Srinagarind hospital. North-Eastern Thai Journal Neuroscience 2011;6(3):31-8. (in Thai)

Khumsa-ard S, Thiangtham W, Suwan-ampai P. Behavior factors related to recurrent stroke. Journal Public Health Nurse 2017;31 Suppl 1:S13-25. (in Thai)

Piravej K. Management of acute ischemic stroke, neuropsychiatric aspects of stroke. Bangkok: Printing Press of Chulalongkorn University; 2009. (in Thai)

Kumpangkaew K, Somboontanont W, Leelahakul V. Relationships between perceived risk, perceived warning signs and self-care behavior in older adults at risk of cerebrovascular disease. Nurse Journal Ministry Public Health 2015;25(2):40-56. (in Thai)

Puthawong W, Kittipichai W, Silawan T, Munsawaengsub C. Cerebrovascular disease risk factors among hypertensive patients in Phayao province. Thai Journal of Public Health 2014;44(1):30-44. (in Thai)

Laloon P, Madhyamankura N, Malarat A. Self-care behavior of hypertensive patients at outpatient department of HRH Princess Maha Chakri Sirindhorn Medical Center. Journal of Medicine and Health Sciences 2011;18(3):160-9. (in Thai)

Assantachai P. Common health problems in the elderly and prevention. 2nd ed. Bangkok: Faculty of Medicine Siriraj Hospital, Mahidol University; 2011. (in Thai)

Sookwong D, Chantamoon W. The effect of guide line development to control recurrent stroke in transient ischemic attack patients with nurse management system toward the warning signs perception and the disease control behaviors in transient ischemic attack patients. Academic Journal RPS/RPT County 4 2013;15(3):190-6. (in Thai)

Division of Non Communicable Diseases, Department of Disease Control, Ministry of Public Health. Annual report of the bureau of non-communicable diseases, 2018. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King; 2016. (in Thai)

Bangkok Health Center 45 Report system: Home Health Care. Bangkok. Bangkok Health Center 45, 2019. Contract No. 02-5430746. (in Thai)

Bangkok Health Center 46, Bangkok Health Center 46 Report system: Home Health Care. Bangkok Health Center 46, 2019. Contract No. 02-3290320. (in Thai)

Fisher JD, Fisher WA, Bryan AD, Misovich SJ. Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth. Health Psychology 2002;21(2):177-86.

Pasukunthapuk N, Borisut S, Pinyopasakul W. Clinical nursing practice guidelines for stroke. Bangkok: Prasat Neurological Institute; 2017. (in Thai)

Tantirittisak T. Clinical practice guidelines: dementia. Bangkok: Prasat Neurological Institute; 2014. (in Thai)

Nuntharuksa C, Phutthikhamin N. Hope with rehabilitation period among stroke patients. North-Eastern Thai Journal of Neuroscience 2013;8(2):35-55. (in Thai)

Joychoo N, Pinyopasakul W, Chareonkitkarn V. Relationships among age, perceived benefitsof health behaviors, perceived barriers of health behaviors and health behaviors in patients with ischemic stroke. Ramathibodi Nursing Journal 2014;20(2):236-48. (in Thai)