Secondary Prevention and Health Promotion after Stroke: Can It Be Enhanced?
(2014) In Journal of Stroke & Cerebrovascular Diseases 23(9). p.2287-2295- Abstract
- The aim was to study if health outcome and secondary prevention were satisfactory 1 year after stroke and if nurse-led interventions 3 months after stroke could have impact. Design was a randomized controlled open trial in a 1-year population. Primary outcome was health status 1 year after stroke. One month after stroke, survivors were randomized into intervention group (IG) with follow-up by a specialist nurse (SN) after 3 months (n = 232), and control group (CG) with standard care (n = 227), all to be followed up 1 year after stroke. At the first follow-up, patients graded their health, replied to the EuroQol-5 Dimensions (EQ-5D) health outcome questions, health problems were assessed, and supportive counseling was provided in the IG.... (More)
- The aim was to study if health outcome and secondary prevention were satisfactory 1 year after stroke and if nurse-led interventions 3 months after stroke could have impact. Design was a randomized controlled open trial in a 1-year population. Primary outcome was health status 1 year after stroke. One month after stroke, survivors were randomized into intervention group (IG) with follow-up by a specialist nurse (SN) after 3 months (n = 232), and control group (CG) with standard care (n = 227), all to be followed up 1 year after stroke. At the first follow-up, patients graded their health, replied to the EuroQol-5 Dimensions (EQ-5D) health outcome questions, health problems were assessed, and supportive counseling was provided in the IG. Health problems requiring medical interventions were primarily referred to a general practitioner (GP). One year after stroke, 391 survivors were followed up. Systolic blood pressure (BP) had decreased in IG (n = 194) from median 140 to 135 (P = .05), but about half were above the limit 139 in both groups. A larger proportion (22%) had systolic BP >155 in the CG (n = 197) than in the IG (14%; P = .05). In the IG, 62% needed referrals compared with the 75% in the CG (P = .009). Forty percent in the IG and 52.5% in the CG (P = .04) reported anxiety/depression. In the IG, 75% and 67% in the CG rated their general health as fairly good or very good (P = .05). Although nurse-led interventions could have some effect, the results were not optimal. A more powerful strategy could be closer collaboration between the SN and a stroke clinician, before referring to primary care. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4581531
- author
- Jönsson, Ann-Cathrin LU ; Höglund, Peter LU ; Brizzi, Marco LU and Pessah-Rasmussen, Hélène LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Stroke & Cerebrovascular Diseases
- volume
- 23
- issue
- 9
- pages
- 2287 - 2295
- publisher
- Elsevier
- external identifiers
-
- pmid:25048955
- wos:000345649900015
- scopus:84908021125
- pmid:25048955
- ISSN
- 1532-8511
- DOI
- 10.1016/j.jstrokecerebrovasdis.2014.04.021
- language
- English
- LU publication?
- yes
- id
- 6cf3eabb-8c4e-4e83-8eb5-108fb0083ab0 (old id 4581531)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/25048955?dopt=Abstract
- date added to LUP
- 2016-04-01 10:49:26
- date last changed
- 2022-01-26 02:49:41
@article{6cf3eabb-8c4e-4e83-8eb5-108fb0083ab0,
abstract = {{The aim was to study if health outcome and secondary prevention were satisfactory 1 year after stroke and if nurse-led interventions 3 months after stroke could have impact. Design was a randomized controlled open trial in a 1-year population. Primary outcome was health status 1 year after stroke. One month after stroke, survivors were randomized into intervention group (IG) with follow-up by a specialist nurse (SN) after 3 months (n = 232), and control group (CG) with standard care (n = 227), all to be followed up 1 year after stroke. At the first follow-up, patients graded their health, replied to the EuroQol-5 Dimensions (EQ-5D) health outcome questions, health problems were assessed, and supportive counseling was provided in the IG. Health problems requiring medical interventions were primarily referred to a general practitioner (GP). One year after stroke, 391 survivors were followed up. Systolic blood pressure (BP) had decreased in IG (n = 194) from median 140 to 135 (P = .05), but about half were above the limit 139 in both groups. A larger proportion (22%) had systolic BP >155 in the CG (n = 197) than in the IG (14%; P = .05). In the IG, 62% needed referrals compared with the 75% in the CG (P = .009). Forty percent in the IG and 52.5% in the CG (P = .04) reported anxiety/depression. In the IG, 75% and 67% in the CG rated their general health as fairly good or very good (P = .05). Although nurse-led interventions could have some effect, the results were not optimal. A more powerful strategy could be closer collaboration between the SN and a stroke clinician, before referring to primary care.}},
author = {{Jönsson, Ann-Cathrin and Höglund, Peter and Brizzi, Marco and Pessah-Rasmussen, Hélène}},
issn = {{1532-8511}},
language = {{eng}},
number = {{9}},
pages = {{2287--2295}},
publisher = {{Elsevier}},
series = {{Journal of Stroke & Cerebrovascular Diseases}},
title = {{Secondary Prevention and Health Promotion after Stroke: Can It Be Enhanced?}},
url = {{http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.04.021}},
doi = {{10.1016/j.jstrokecerebrovasdis.2014.04.021}},
volume = {{23}},
year = {{2014}},
}