Effect of a nurse-led secondary stroke prevention intervention on medium-term stroke outcome in a teaching hospital in Nigeria: A quasi-experimental study
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Date
2021
Authors
Ademuyiwa, IY
Okubadejo, NU
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Klumer - Medknow
Abstract
Background: Mortality and morbidity attributable to stroke remain high in developing
countries. Secondary prevention of stroke can reduce recurrence using targeted interventions
addressing modifiable risk factors. This study assessed the effect of a nurse‑led secondary
stroke prevention intervention on compliance to lifestyle, diet, clinic and physical therapy
attendance, and drug compliance over the medium‑term poststroke. Methods: The study
utilized a case (interventional group)–control (noninterventional group) quasi‑experimental
design. Sixty consenting acute stroke patients surviving till discharge were consecutively
recruited into the study and conveniently assigned to either group in a 1:1 ratio. Recruitment was
conducted over the initial 3 months of the study. The intervention group received standardized
intensive in‑person counseling for cases and designated caregivers at discharge. This means
that, apart from standardized intensive in-person counseling for cases and designated
caregivers at discharge. There was additional telephone calls and weekly short messages to
the intervention group in-order to reinforce information and communication during followup.
The nonintervention group received discharge instructions provided by the managing
physician only. Outcome assessment was conducted at 9 months post stroke. Results: The study
recruited 39 (65%) males and 21 (35%) females. The mean age of participants in intervention
group was 55.0 ± 14.5 years, while it was 56.0 ± 11.2 years in the nonintervention group. Other
demographic parameters were similar between both the groups. At the end of the follow‑up
period of 9 months, compliance with lifestyle and diet modification, clinic and physical therapy
attendance, and drug compliance was statistically significantly higher in the intervention
compared to the nonintervention group (P < 0.05 for all comparisons). Conclusion: This
study demonstrates the potential utility of a nurse‑led intervention incorporating targeted
lifestyle risk modification on compliance to strategies aimed at reducing stroke recurrence.
Adoption of this task shifting/sharing strategy is recommended.
Description
Scholarly article
Keywords
Intervention , nurse‑led , stroke outcomes , secondary stroke , Research Subject Categories::MEDICINE
Citation
Ademuyiwa IY, Okubadejo NU. Effect of a nurse-led secondary stroke prevention intervention on medium-term stroke outcome in a teaching hospital in Nigeria: A quasi-experimental study. J Clin Sci 2021;18:168-73