Table 2 - uploaded by Adnan Bhat
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Background and Purpose: Stroke is one of the most commonly encountered neurological emergencies in Tertiary Care Hospitals and is one of the leading causes of death in Bangladesh. Poor knowledge of risk factors, symptoms and appropriate response are possible causes of poor outcome. There are no studies from Bangladesh regarding knowledge about warn...
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... Stroke is now an important cause of morbidity and mortality in low-and middle-income countries (LMICs) like Bangladesh [3] [4]. In Bangladesh, stroke has been reported as one of the most commonly encountered neurological emergencies at tertiary level hospitals and a rising cause of death and disability in Bangladesh [5]. The growth of the aging population, lack of knowledge on stroke, and increased prevalence of risk factors due to rapid urbanization add to this problem [6] [7] [8]. ...
... In Bangladesh, a previous study reported a relatively lower (76.1%) [5] and in Uganda, an even lower proportion of respondents (12%) knowing about weakness of the body as a clinical manifestation of stroke [52]. In our study, all respondents knew about hypertension being a prime risk factor for stroke, while in previous studies conducted in Turkey, Bangladesh and Uganda revealed that 87.7%, 66.7% and only 28.9% caregivers respectively mentioned hypertension as the major risk factor for stroke [5] [51] [52]. ...
... [5] and in Uganda, an even lower proportion of respondents (12%) knowing about weakness of the body as a clinical manifestation of stroke [52]. In our study, all respondents knew about hypertension being a prime risk factor for stroke, while in previous studies conducted in Turkey, Bangladesh and Uganda revealed that 87.7%, 66.7% and only 28.9% caregivers respectively mentioned hypertension as the major risk factor for stroke [5] [51] [52]. ...
... [9] In addition, a previous study has suggested that lack of knowledge of stroke's risk factors, symptoms are the possible causes of unfavorable outcomes. [10] Stroke survivors' and their family members' awareness and attitude may affect their practices towards stroke complications and can play a nonnegligible role in the path of rehabilitation and prevent or minimize the occurrence of sequelae. [11,12] In this survey, we aimed to assess the knowledge, attitude, and practice among stroke survivors' family members in Shiraz, Iran. ...
Objectives: This study aimed to evaluate stroke survivors' family members' knowledge, attitude, and practice about these sequelae.
Patients and methods: In this cross-sectional survey, 105 family members (57 males, 48 females; mean age: 48.3±9.7 years; range 18 to 60 years) of stroke survivors were examined via a self-structured questionnaire between September 2019 and January 2020. Patients’ medical characteristics, as well as participants' sociodemographic and opinions regarding studying variables, were surveyed.
Results: The participants were mostly married and had relatively high scores in knowledge, attitude, and practice questionnaires. We found a significant correlation between participants’ knowledge and practice. Moreover, data analysis revealed significantly higher knowledge scores in the employed participants and higher practice scores in the urban population. Furthermore, the relationship of patients with their family members can affect their attitude toward stroke complications.
Conclusion: This study has revealed that caregivers in rural areas with lower education levels are less knowledgeable about potential stroke complications, and subsequently, the patients are more vulnerable to those sequelae. Stakeholders should consider these groups their priorities in education and empowerment processes for stroke survivors’ caregivers.
... Pengetahuan pasien pasca stroke terkait dengan tanda gejala, penyebab dan faktor resiko sangat bervariasi. Bhat (2016) menyatakan bahwa mengontrol tekanan darah dapat mencegah stroke, otak merupakan organ yang terganggu sebanyak 69,1% dan jantung sebanyak 29,1%, artinya masih ada yang belum mengetahui bahwa organ yang terkena adalah otak. Untuk tingkat pengetahuan terkait faktor resiko seperti usia, jenis kelamin Pengetahuan tentang stroke dan perilaku kesehatan pribadi yang kurang optimal, sehingga menempatkan pasien pada resiko tinggi untuk terkena serangan berulang. ...
... Mengenai pengetahuan pasien pasca stroke, 28% pasien melaporkan ketidaktahuan terkait dengan pengobatan, 26% tidak patuh dalam mengkonsumsi obat 40% pasien tidak patuh terhadap pola diet khusunya pada pasien dengan diabetes mellitus atau hipertensi. (Alotaibi et al., 2017;Bhat et al., 2016;Sowtali et al., 2017;Kaddumukasa et al., 2015). ...
Healthy living behavior in post-stroke patients is still relatively low so that the residual symptoms experienced by patients are quite varied. Integrated education is one of the efforts that can be given to improve patient's healthy behavior where education is provided by the collaboration of Caregiver Professionals (PPA) consisting of doctors, nurses, pharmacists and nutritionists so that patients can make the right decisions to optimize their health and improve patient safety, satisfaction patients and families. The purpose of this study was to see the effect of an integrated education program on the behavior of post-stroke patients. This type of research is a quantitative study with aresearch design Quasy Experimental Pre-Post Test One Group with a sample of 38 people. This research was conducted at Lubuk Sikaping Hospital. The data collection tool uses a questionnaire. Data analysis was carried out using thetest Wilcoxcon. The results of the study illustrate that there is a significant difference between the knowledge, attitudes and actions of post-stroke patients before and after being given integrated education with p-values of 0.000 (knowledge), 0.000 (attitude) and 0.001 (action). It can be concluded that integrated education affects the behavior of post-stroke patients. The provision of integrated education toaccording to the clinical pathway patientsof the patient's illness requires a joint commitment to the field of nursing services in order to improve the quality of service in hospitals Keywords: Integrated Education, Knowledge, Attitude, Action
... T he World Health Organization defines stroke as a sudden disturbance of cerebral function associated with vascular causes with symptoms that last longer than 24 hours and which can lead to death. 1,2 Identifying leading clinical characteristics and risk factors of stroke is the most effective strategy for preventing stroke and for rapid intervention. 3 Recent advances in the early response to acute ischemic stroke have improved the functional outcomes of stroke and increased the survival rate. ...
... However, despite all the advances in stroke treatment, the majority of stroke patients are still unable to get emergency medical care. 1 Poor levels of awareness among the community, about both stroke symptoms and methods of emergency response to stroke, are the leading causes of such inability and being late for stroke treatment. Therefore, the priority in the overall efforts regarding stroke should be given to raising awareness among the community to help recognize the signs and symptoms of stroke and to ensure that patients are taken to the hospital immediately. ...
... In scientific studies, weakness or weakness in the arms and legs has been reported as the most commonly mentioned stroke symptom and it was suggested that weakness in the arms and legs may be an important indicator of awareness about strokes. 1,7,[9][10][11][12][13][14] In some studies, speech difficulties were reported as the most frequently mentioned stroke symptom. 15,16 In the present study, speech difficulties were found to be the second most frequently mentioned stroke symptom with 91% (n = 182) of those in group 1 and 92% (n = 184) of those in group 2 mentioning it. ...
Objective:
To assess the stroke awareness levels of individuals whose first-degree relatives had a stroke and to compare the results with those of individuals whose first-degree relatives did not have a stroke.
Materials and methods:
This cross-sectional study was conducted between March and May 2019, with first-degree relatives of patients who had a stroke (group 1) and a comparable set of individuals whose first-degree relatives did not have a stroke (group 2). Participants were asked to complete a questionnaire asking about signs and symptoms, risk factors, treatment options, information sources, responses after the development of stroke, and early treatment of stroke.
Results:
In response to the questions about the signs and symptoms of stroke, group 1 mentioned dizziness and comprehension disorder as a symptom of stroke more frequently than the other group. Stress was the second most frequently mentioned risk factor (by 81% of group 1 and 80.5% in group 2). When the participants were asked about the sources of information about stroke, family circle and friends were the most frequently mentioned sources for both groups.
Conclusion:
The present study can serve as a guide in planning training to improve stroke awareness in the future, especially by including individuals whose first-degree relatives had a stroke.
... This is most likely due to the fact that we have a big number of missing data that could affected the possibility of having any significant association. However, many studies had been demonstrating that higher level of education has been associated with better knowledge of stroke based on studies mainly done on relatives of patients with or without history of stroke attending hospitals [6,14,25]. However, a study done in Australia has revealed that despite the presence of a significant association between the level of education and knowledge of stroke, education does not confer any advantage in term of taking proper response towards stroke warning signs [16]. ...
Background:
Information regarding the knowledge on the action to be taken during stroke and good recognition of stroke symptoms is mandatory in helping to plan out educational strategies to deliver health education to the community.
Methods:
This is a cross-sectional study of adults aged 18 and above attending a blood pressure screening program in community in conjunction with May Measurement Month 2017 in Malaysia. A structured self-administered questionnaire was given to the participants who gave verbal consent. Data analysis was done using SPSS v. 23 and multiple logistic regression was used to identify the determinants of knowledge on actions to be taken during stroke and recognition of stroke symptoms.
Results:
Out of 4096 respondents, 82.9-92.1% of them able to recognise the common stroke symptoms. and 74.2% of the study respondents will go to hospital within 4.5 h of stroke onset. According to binomial logistic regression analyses, adults aged 45 years old and above (OR 1.39 95%CI 1.01-1.92), being Malay (OR 1.74, 95% CI 1.27-2.40), being non-smokers (OR = 2.491, 95% CI: 1.64-3.78), hypertensives (OR: 1.57, 95% CI: 1.02-2.42)and diabetics (OR: 2.54, 95% CI:1.38-4.69) are determinants of right actions to be taken during stroke. Meanwhile, respondents aged 45 years old and older (OR = 1.68, 95% CI: 1.39-2.03), being Malay (OR = 1.49, 95% CI: 1.24-1.79), hypertensive (OR = 1.32, 95% CI: 1.04-1.66) and those who had a previous history of stroke (OR = 2.25, 95% CI: 1.01-5.00) are determinants of good recognition of stroke symptoms.
Conclusions:
The overall knowledge of stroke in our study population was good. Older age, being Malay, non-smokers, hypertensives and diabetics are determinants of right actions to be taken during stroke. Meanwhile, older age, being Malay, hypertensive and those who had a previous history of stroke are determinants of good recognition of stroke symptoms.
... These results agreed with the study conducted by Ali (2013) about the "Effect of Nursing Care Strategy on the Functional and Physical Abilities of Patients Following Stroke", and revealed that the two groups were similar in every aspect, and had the characteristics commonly encountered in stroke patients, with middle to old age and higher percent of them were women, also in accordance with the study of Torre-Arreolas, et al., (2009) Barman(2016) added in their study results that the majority of them were married, also stated that (70%) of studied patients were attaining lower educational qualification, which interprets that this low-level decrease the chance of access to more information about stroke as well as poor control of risk factors contribute to the rising incidence of stroke especially in developing countries. ...
Context: Strokes are life-changing events not merely affect a person physically but also emotionally as it may result in physical disabilities, which lead to functional disabilities as difficulties carrying out daily activities as working, walking, talking, eating, bathing, with loss of energy in addition to depressive status as a result of functional disabilities. Daily nursing care strategies are essential to stroke management. Since, it can overcome spasticity and hemiplegia through sustained stretching by various positioning, repetitive performance of a specific movement, and teaching patient to use and adapt the affected limb during functional activities. Aim: The aim of this study is to evaluate the effect of nursing care strategy on functional outcomes among patients after the first-time stroke. Methods: A quasi-experimental design used to conduct the current study in neurology department to be followed through neurology outpatient clinic at Benha University Hospital. During the period from the beginning of February 2018 till the beginning of January 2019.Subjects: Purposive sample of 171 patients to be at the end of study period (Intervention group 72 & control group 69), recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools utilized for data collection, (1)Structured interviewing questionnaire for patients, (II)Functional outcomes scales, involving: Modified Ashworth scale, Modified Barthel index, as well as the Center for Epidemiologic Studies Depression Scale (CES-D Scale). Results: Showed that there was highly statistically significant difference in term of increased knowledge score among the intervention group compared to controls, as well as a significantly lower degree of spasticity, a higher level of independence in performing activity of daily living (ADL), besides, lower depression score among intervention group compared to controls. It also showed a significant correlation between the degree of spasticity with both of independence in performing ADL and degree of depression among intervention group after nursing care strategy implementation. Conclusion: The nursing care strategy was effective in improving patients' knowledge as well as the functional outcomes among intervention group revealing a significant correlation between the degree of spasticity with both independence in performing ADL and degree of depression. The study suggested continuous education and training program planned and offered regularly to stroke patients in the neurology and rehabilitation unit. Also recommended written, a simple booklet about stroke and its management should be provided & be available for patients and their families (relatives).
