Self-Care for Prevention of Recurrence Cerebrovascular Stroke

Abstract

Background: The risk of recurrent stroke following a first event is high. It is associated with poorer outcome with higher mortality and functional disability. Aim of this study: this study aimed at evaluating the self-care program on prevention of recurrence cerebrovascular stroke. Design: Quasi-experimental was applied to achieve the aim of the study. Setting: the study was conducted at the patient neurological department and outpatient's clinics in El Demardash Hospital of Ain Shams University and patient's home. Sample: included 82 patients were chosen randomly according to the inclusion criteria. Tools: four tools were used for data collection, 1): An interviewing questionnaire for CVS patients including four parts; Demographic characteristics of the patients, past and present medical history, CVS patients' knowledge and their practices. 2): Patient's physical assessment sheet. 3): Home observational checklist to assess patients' home environment. 4): Assessing Activities of Daily Living (ADLs) as regards: bathing, dressing, toileting, transferring, continence, eating and walking and instrumental activities of daily living (IADLs) as ability to use telephone, shopping, food preparation, house keeping, laudry, transportation, take medication and handle finances. Result: The main study results revealed that significant improvement in patient's knowledge and self-care practices regarding CVS. Conclusion:The study concluded that the self-care program will improve the patient's health and eliminate recurrence of cerebrovascular stroke; there were highly statistically significant improvement in all items related to knowledge of CVS patients' pre, post and follow-up self-care program. There were marked improvements about all items of CVS patients' self-care practices pre, post/follow up self-care program. Recommendation: Establishing a nursing discharge plan includes teaching patients about prevention of recurrent stroke, warning signs of stroke and various treatments at home. Key words: cerebrovascular stroke, recurrent stroke and self-care.