Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen
Top
Quality of Life Research
Gepubliceerd in:

11-04-2017

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

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

Gepubliceerd in: Quality of Life Research | Uitgave 8/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

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.
vorige artikel Visual function quality of life measure changes upon conversion to neovascular age-related macular degeneration in second eyes
volgende artikel The association of catastrophizing with quality-of-life outcomes in patients with irritable bowel syndrome
Literatuur
1.
WHO. (2004). WHO publishes definitive atlas on global heart disease and stroke epidemic. Indian Journal of Medical Sciences, 58(9), 405–406.
2.
Mukherjee, D., & Patil, C. G. (2011). Epidemiology and the global burden of stroke. World Neurosurg, 76(6 Suppl), 85–90.CrossRef
3.
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
4.
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
5.
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.
6.
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
7.
Caplan, L. R. (2004). Treatment of acute stroke: still struggling. JAMA: The Journal of the American Medical Association, 292(15), 1883–1885.CrossRefPubMed
8.
Yanagida, T., Fujimoto, S., Inoue, T., & Suzuki, S. (2015). Prehospital delay and stroke-related symptoms. Internal Medicine (Tokyo, Japan), 54(2), 171–177.CrossRef
9.
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
Metagegevens
Titel
Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers
Auteurs
Li Yang
Qiuli Zhao
Xuemei Zhu
Xiaoying Shen
Yulan Zhu
Liu Yang
Wei Gao
Minghui Li
Publicatiedatum
11-04-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1550-4

Andere artikelen Uitgave 8/2017

Pathways linking obesity to health-related quality of life

Effects of long-term multicomponent exercise on health-related quality of life in older adults with type 2 diabetes: evidence from a cohort study

Symptom burden and life challenges reported by adult chordoma patients and their caregivers

  • Open Access

Erratum to: Symptom burden and life challenges reported by adult chordoma patients and their caregivers

  • Erratum

Erratum to: Using a discrete choice experiment to value the QLU-C10D: feasibility and sensitivity to presentation format

  • Erratum

Development and refinement of the WAItE: a new obesity-specific quality of life measure for adolescents