Shiah-Lian Chen, Chien-Chi Liu
Development and evaluation of a physical examination and health assessment course
Nurse education today
common modified vascular risk factors remain poorly controlled among stroke survivors educational programs may help improve conditions study aimed evaluate effect planned webbased educational intervention based health belief model hbm promoting secondary prevention among patients ischemic stroke evaluationblinded quasiexperimental trial historical control group conducted patients admitted march june 2020 assigned historical control group patients admitted july october 2020 assigned intervention group control group received routine health management intervention group received 6 additional sessions based hbm via tencent meeting audio video conferencing application within 3 months discharge sessions held every 2 weeks session lasting approximately 40 minutes sessions conducted small groups 8 10 people group primary outcomes changes blood pressure bp lowdensity lipoprotein cholesterol ldlc hemoglobin a1c hba1c proportion patients achieving treatment target secondary outcomes medication adherence assessed morisky medicine adherence scale mmas disability assessed modified rankin scale total 315 patients experiencing firstever stroke analyzed patients intervention group controlled bp 419 vs 284 adjusted odds ratio aor 193 p01 ldlc 831 vs 677 aor 266 p001 hba1c 919 vs 839 aor 337 p04 levels well significant postintervention decrease systolic bp adjusted 394 p02 ldlc adjusted 021 p008 hba1c adjusted 027 p001 compared control groups significant betweengroup differences observed medication adherence 794 vs 632 aor 231 p002 favorable functional outcomes webbased education program based hbm may effective current methods used educate patients strokes optimal vascular risk factors medication adherence