Effects of in-Person, in-Hospital Education for Stroke Patients by an Education-Specialized Nurse
Journal of the Korean Neurological Association
; : 333-339, 2016.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-182773
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
We assessed the effects of customized in-hospital, in-person education provided by an education-specialized nurse in ischemic stroke patients.METHODS:
All ischemic stroke patients who were hospitalized between April 2015 and December 2015 were included. They were provided with education about stroke by an education-specialized nurse during their hospital stay. The knowledge of stroke warning signs and appropriate responses was examined both before the in-hospital education and 3 months after discharge in 127 patients.RESULTS:
The awareness of the following stroke warning signs increased significantly at 3 months after discharge compared to before receiving the education (all p values <0.001) sudden difficulty in speaking or in understanding speech (74.0→93.7%), sudden numbness or weakness (72.4→92.1%), sudden dizziness (71.7→89.8%), sudden severe headache (44.9→82.7%), and sudden visual impairment (38.6→69.3%). The proportion of patients with a good knowledge of stroke warning signs (defined as providing at least five correct answers) increased significantly, from 38.6% to 81.9%. Almost half of them (46.5%) correctly answered that they should call an ambulance first when someone shows stroke symptoms before receiving the education, with this proportion increasing to 68.5% at 3 months after discharge (p<0.001). The proportions of patients who understood the need for prompt treatment of stroke and the golden time window increased from 80.3% to 96.9% and from 66.1% to 86.6%, respectively (both p<0.001). The proportion of patients with knowledge of thrombolytic therapy for stroke also increased significantly after the in-hospital education, from 11.0% to 76.4% (p<0.001).CONCLUSIONS:
In-hospital, in-person education was effective at increasing the understanding that patients have of stroke, even at 3 months after discharge. In-hospital education provided by an education-specialized nurse would be an effective intervention for increasing the likelihood of stroke patients reacting appropriately to stroke recurrence.
Full text:
Available
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
SDG3 - Health and Well-Being
Health problem:
Authority and Accountability for Healthcare Workers
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Target 3.6: Reduce deaths and the trauma caused by road accidents
Database:
WPRIM (Western Pacific)
Main subject:
Recurrence
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Vision Disorders
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Thrombolytic Therapy
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Ambulances
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Stroke
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Dizziness
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Education
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Headache
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Hypesthesia
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Length of Stay
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
2016
Document type:
Article