Purpose: This study aimed to investigate the effects of the educational secondary stroke prevention on the health risk indicators and self care compliance of stroke patients. Methods: Non-equivalent control group pretest-posttest design was used to select the participants. Fifty-four patients who were first diagnosed with Ischemic Stroke or Transient Ischemic Stroke participated in this study. Data were collected from July 1 to September 16, 2015. Of the participants, 27 were assigned to the experimental group and 27 to the control group. Health risk indicators and self care compliance were measured both for the baseline, as well as after intervention. The educational secondary stroke prevention program consisted of an 5-week telephone counseling session following face-to-face education. The control group received only the face-to-face education. The data were statistically analyzed using X²-test, paired t-test, ANCOVA and multi-variate regression analysis using the SPSS 21 program.
Results: There were significant differences in systolic blood pressure(F=53.55, p=.000),diastolic blood pressure(F=12.09,p=.001),fasting blood sugar(F=24.22, p=.000),weight(F=14.68,p=.000) and self care compliance(F=848.54,p=.000). The significant factors influencing on systolic blood pressure indicator was obesity(β=11.59,p=0.34), body mass index was also obesity(β=4.62,p=0.00). Sex(β=-14.87,p=0.00),work status(β=-7.77,p=0.14),diabetes(β=-5.46, p=0.28), hyperlipidemia(β=-6.88,p=0.07),obesity(β=13.89, p=0.00) were the predictor of weight. Ability to pay medical bills(β=-4.01, p=0.37) was the only predictor of self care compliance.
Conclusion: The results of the study indicate that educational secondary stroke prevention program is effective for the health risk indicators and self care compliance. Therefore it can be used as an efficient nursing intervention in clinical practice.