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1.
Clin Nurs Res ; : 1054773820905083, 2020 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-32008373

RESUMO

The purpose is to determine the effect of video-based information provision using a smart pad on uncertainty, anxiety, physiological parameters, pain, and educational satisfaction among patients hospitalized for a bone marrow biopsy. This study was done with a pre-/posttest nonequivalent control group design. The subjects were 65 patients in the hematology-oncology ward of a university hospital in Cheongju, South Korea, who underwent a bone marrow biopsy between August 2017 and May 2018. Thirty volunteers were allocated to the control group and 35 volunteers to the intervention group. The experimental group showed significantly lower uncertainty and significantly greater satisfaction with education than did the control group. No significant difference was observed in anxiety, systolic and diastolic blood pressure, pulse, and pain. Video-based information provision using a smart pad was effective for lowering uncertainty among patients receiving a bone marrow biopsy, as well as for boosting their sense of educational satisfaction.

2.
J Nurs Res ; 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31904736

RESUMO

BACKGROUND: Compared with older adults, young adults exhibit poor treatment and control of hypertension. However, little is known about the factors affecting the treatment and control of hypertension in young adults. PURPOSE: This study was aimed to identify the factors affecting the treatment and control of hypertension in early adulthood by gender in South Korea. METHODS: This secondary data analysis study used a data set from the Korean National Health and Nutrition Examination Survey. The inclusion criteria were as follows: (a) 19-44 years old and (b) having an indicator of hypertension (systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg, or taking antihypertensive drugs). Seven hundred eighty participants were included in this study. The odds ratios and 95% confidence intervals were derived using composite-sample multiple logistic regression. RESULTS: In men, age, marital status, family history of hypertension, treatment of hyperlipidemia, abdominal obesity, high-sodium diet, cholesterol, and aerobic exercise were found to be associated with hypertension treatment and control. In women, age, employment status, cardiovascular risk factors, body mass index, high-sodium diet, and drinking were found to be associated with hypertension treatment and control. CONCLUSIONS: The factors affecting the treatment and control of hypertension differed between the two genders. Therefore, healthcare providers should consider the differences in the factors between the two genders in early adulthood. To improve the treatment and control of hypertension, the guidelines for treatment interventions and management should be gender-specific from early adulthood. Nurses should actively suggest health-related behavioral modifications such as performing aerobic exercise for young adult men and reducing alcohol consumption for women.

3.
Jpn J Nurs Sci ; 17(1): e12257, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31161727

RESUMO

AIM: This study was conducted to identify the prevalence and factors associated with age-related macular degeneration (AMD) in Korean elderly. METHODS: The study population of this cross-sectional survey was the Korean Health and Nutrition Examination Survey (KHANES) 2010 through 2012, the fifth population-based study. RESULTS: Analysis of 2,767 elderly (above age 65) from 23,376 participants showed the prevalence of any AMD to be 17.6% in the Korean elderly. Factors that were significantly positively associated with AMD included age, sex, occupation, low socioeconomic status, liver cirrhosis and physical activity (p < .01). Significantly negatively associated with AMD were cardiovascular disease, obesity, and beta-carotene intake (p < .05). CONCLUSIONS: This study estimated the prevalence rate and assessed factors associated with AMD in the elderly. This can be used to build a strategy for elderly eye health, and provides valuable information for screening for putative risks in the elderly.

4.
J Exerc Rehabil ; 15(2): 275-281, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31111013

RESUMO

This study aimed to provide evidence for the development of an algorithm to identify older adults with a high risk for repeated falls, along with strategies to prevent repeated falls, by analyzing the known physical, psychological, and environmental factors related to falls in older adults. One hundred fifty-seven community-dwelling older adults aged 65 years or older who experienced a fall within the past year were enrolled in this study. Participants' physical, psychological, environmental, and fall prevention-related characteristics were surveyed using structured questionnaires to identify the risk factors for repeated falls. The use of antidepressants, depression score, and compliance with fall prevention behaviors were found to differ significantly between the two groups, and the use of antidepressants and depression were found to be significant predictors of repeated falls. Depression should be considered as a major variable when developing an algorithm to identify the risk of repeated falls among older adults living at home. Also, the practice of fall prevention behaviors was higher in the repeated-falls group, likely due to that group's efforts to prevent additional falls.

5.
J Nurs Manag ; 26(8): 1002-1014, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30136329

RESUMO

AIM: This study aimed to explore the association between paediatric nursing-sensitive outcomes and nurse staffing levels. BACKGROUND: Although previous studies have reported an association between low nursing-sensitive outcomes and high nurse staffing levels in adult populations, there are few studies on paediatric nursing-sensitive outcomes. METHODS: This study used electronic Health insurance review and assessment data for all children under 18 years old admitted at 46 tertiary hospitals in Korea between 2013 and 2014. Multiple logistic regression was used to examine relationships among nurse staffing levels and 11 paediatric nursing-sensitive outcomes. RESULTS: Nurse staffing levels had a clear relationship with the occurrence of lower respiratory tract infection and gastrointestinal infection. Five paediatric nursing-sensitive outcomes (pneumonia, sepsis, arrest / shock / respiratory failure, wound infection and postoperative cardiopulmonary complication) showed weak relationships with nurse staffing levels. Pressure ulcers and failure to rescue had the lowest incidences in hospitals with the lowest nurse staffing levels. CONCLUSIONS: We demonstrated evidence for the relationships of nurse staffing levels with seven paediatric nursing-sensitive outcomes. IMPLICATIONS FOR NURSING MANAGEMENT: For quality paediatric nursing care, nurse staffing improvement is required. The study results could be useful evidence for appropriateness of nursing staffing in paediatric facilities.


Assuntos
Erros Médicos/estatística & dados numéricos , Enfermagem Pediátrica/normas , Admissão e Escalonamento de Pessoal/normas , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Seguro Saúde/estatística & dados numéricos , Modelos Logísticos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/provisão & distribução , Enfermagem Pediátrica/estatística & dados numéricos , República da Coreia , Estudos Retrospectivos , Centros de Atenção Terciária/organização & administração , Centros de Atenção Terciária/normas
6.
J Tissue Viability ; 27(3): 130-134, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29773438

RESUMO

AIM: The purpose of this study was to examine the relationship of subepidermal moisture and early stage pressure injury by visual skin assessment in elderly Korean. METHODS: Twenty-nine elderly participated at a particular nursing home. Data were collected for 12 weeks by one wound care nurse. Visual skin assessment and subepidermal moisture value were measured at both buttocks, both ischia, both trochanters, sacrum, and coccyx of each subject once a week. RESULTS: Subepidermal moisture value of stage 1 pressure injury was significantly higher than that of no injury and blanching erythema. After adjustment with covariates, odds ratios of blanching erythema to normal skin and stage 1 pressure injury to blanching erythema/normal skin were statistically significant (p < 0.05). Odds ratio of blanching erythema to normal skin was 1.003 (p = .047) by 1-week prior subepidermal moisture value, and that of concurrent subepidermal moisture value was 1.004 (p = .011). Odds ratio of stage 1 pressure injury to normal skin/blanching erythema was 1.003 (p = .005) by 1-week prior subepidermal moisture value, and that for concurrent subepidermal moisture value was 1.007 (p = .030). Subepidermal moisture was associated with concurrent and future (1 week later) skin damage at both trochanters. CONCLUSION: Subepidermal moisture would be used to predict early skin damage in clinical nursing field for the effective pressure injury prevention.


Assuntos
Água Corporal/fisiologia , Exame Físico/métodos , Lesão por Pressão/classificação , Pele/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Água Corporal/metabolismo , Feminino , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Lesão por Pressão/fisiopatologia , Fatores de Risco , Pele/metabolismo
7.
J Wound Care ; 27(5): 342-349, 2018 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-29738293

RESUMO

OBJECTIVE: To investigate the relationship between sub-epidermal moisture (SEM) and visual skin assessment (VSA) in pressure ulcers (PU) patients with jaundice in Korea. METHOD: This is a longitudinal observational study. Data was collected by a wound care nurse, at a tertiary hospital, for six weeks beginning in June 2013. Once a week for the six weeks, the nurse assessed VSA and measured SEM, for each subject, on seven anatomical sites (both buttocks, both ischial tuberosities, both trochanters, and the sacral coccyx), using a NOVA Petite dermal phase meter for SEM. The measurements ranged from 0 to 999, and higher SEM indicates higher water content in the tissue. RESULTS: There were 22 adults participated in the study. The SEMs in category I PU were significantly higher than those in patients who had no injury, or blanching erythema. The SEM difference between category I PU and either blanching erythema or no injury was more than 60 points at the sacral coccyx, and the difference between blanching erythema and no PU was more than 100 points at the trochanters. After the covariates were adjusted for, the odds ratios (ORs) for blanching erythema were statistically significant. The ORs for blanching erythema versus normal skin was 1.016 higher than the concurrent SEMs. Also, The ORs of 1-point concurrent SEMs for blanching erythema versus normal skin at Sacral coccyx, right and left ischial tuberosity and left trochanter were 1.015, 1.128, 1.137 and 1.051 respectively (p<0.05). CONCLUSION: SEM was associated with concurrent early skin damage, specifically blanching erythema with jaundice. Therefore, SEM may be used to predict early skin damage in patients with jaundice in clinical nursing for effective PU prevention and management.


Assuntos
Água Corporal/fisiologia , Diagnóstico Precoce , Eritema/diagnóstico , Eritema/etiologia , Icterícia/complicações , Exame Físico/métodos , Lesão por Pressão/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , República da Coreia , Fatores de Risco
8.
Int J Nurs Stud ; 80: 155-164, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29455061

RESUMO

BACKGROUND: Nurse staffing level is an important factor on nursing sensitive outcome. The relationships of nurse staffing level with nursing sensitive outcomes such as mortality, upper gastrointestinal bleeding and pressure ulcer have been explored in the United States, Canada, Australia, and New Zealand. Lower level of hospital nurse staffing seems associated with more adverse outcomes, especially mortality. However, there is insufficient evidence of the nurse staffing level-outcome relationship in other indicators. OBJECTIVES: This study was conducted to describe the status and prove the relationships of nurse staffing level with nursing sensitive outcome indicators for adult medical and surgical inpatients in Korea. Patient and hospital characteristics as covariates on nurse sensitive outcome were also explored. DESIGN: This was a retrospective observational study. SETTING: The study setting was all 46 tertiary hospitals in Korea. PARTICIPANTS: We selected all anonymized patients aged 19 years or older and admitted at tertiary hospitals for two years (2013-2014) using electronic reimbursement claims data. METHOD: Multiple logistic regression was used to examine relationships of nurse staffing level (accounted for full-time registered nurses in general ward only) with Nursing-sensitive outcomes (NSOs) adjusted for patient and hospital characteristics. NSOs included urinary tract infection, upper gastrointestinal tract bleeding, deep vein thrombosis, hospital-acquired pneumonia, pressure ulcer, sepsis, shock/cardiac arrest, CNS complication, in-hospital death, wound infection, physiologic/metabolic derangement and pulmonary failure. RESULTS: The total number of patients in 46 tertiary hospitals in Korea for two years was 3,665,307. Among these, number of patients who had at least one nursing-sensitive outcome was 338,369 (9.23%). The significant relationships of nurse staffing level with six nursing-sensitive outcome rates (urinary tract infection, upper gastrointestinal tract bleeding, hospital-acquired pneumonia, shock/cardiac arrest, in-hospital death, and wound infection) were shown. These six nursing-sensitive outcomes showed an increasing trend as nurse staffing level degraded even after adjusting for patient and hospital characteristics. When the nursing-sensitive outcomes between those of group 1 (bed-to-nurse ratio < 2:1) and group 3 (between 2.5:1 and 3:1) were compared, the adjusted incidence rate of shock/cardiac arrest showed the highest difference (1.06%). CONCLUSION: We demonstrated strong evidence for the relationships of nurse staffing level with six nursing-sensitive outcomes. We can use this study to improve nursing quality and to inform patients of the nursing quality of hospitals so they can choose hospitals with better nursing quality. The nurse staffing level should be optimized for better outcomes.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Admissão e Escalonamento de Pessoal , Centros de Atenção Terciária/organização & administração , Adulto , Humanos , Pacientes Internados , República da Coreia , Estudos Retrospectivos
9.
Aging Clin Exp Res ; 28(4): 687-97, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26462845

RESUMO

BACKGROUND: Falls in older people commonly cause morbidity and mortality, loss of independence, and poor quality of life. Differences in residential environments might influence falls experienced by elderly people in urban and rural areas. AIM: The purpose of this study was to provide data through the comparative analysis of physical and environmental factors influencing falls in the frail elderly individuals in urban and rural areas, which might be used for developing the fall prevention program. METHODS: A total of 534 frail elderly individuals living in regional communities were assessed over 2 months. Discomfort when walking, avoiding falls, awareness of falls, physical activity, fear of falling, depression, and a safety score for the home environment were measured. RESULTS: Frail elderly individuals in urban and rural areas had significant differences in terms of their prior experience of falls; the number of falls; the intake of hypertension medication, arthritis medication, and painkillers, respectively, discomfort when walking; physical activity; and the safety score of their home environments. There were significant differences between the frail elderly individuals living in urban and rural areas with the highest incidence of falls with regard to their education level, marital status, residential types, the intake of arthritis medication and painkillers, walking discomfort, physical activity, and the safety score of their home environments. In the factors influencing falls of frail elderly individuals in urban areas, stroke, visual impairment, and the fear of falling were significant explanatory variables. In the factors influencing falls of frail elderly individuals in rural areas, dizziness, walking discomfort and the fear of falling were significant explanatory variables. DISCUSSION: These results indicate that different factors influence falls among the elderly living in different residential areas. CONCLUSION: Based on these results, a multidimensional customized fall prevention program should be considered by various factors according to residential environments to effectively prevent falls among elderly adults.


Assuntos
Acidentes por Quedas , Idoso Fragilizado , Acidentes por Quedas/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , População Rural , População Urbana
10.
J Korean Acad Nurs ; 43(5): 613-25, 2013 Oct.
Artigo em Coreano | MEDLINE | ID: mdl-24351993

RESUMO

PURPOSE: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. METHODS: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. RESULTS: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. CONCLUSION: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.


Assuntos
Acidentes por Quedas/prevenção & controle , Idoso Fragilizado/psicologia , Avaliação de Programas e Projetos de Saúde , Idoso , Idoso de 80 Anos ou mais , Depressão , Exercício , Feminino , Educação em Saúde , Humanos , Masculino , Massagem , Força Muscular , Fatores de Risco , População Rural , Autocuidado , Autoeficácia
11.
J Korean Acad Nurs ; 43(4): 526-35, 2013 Aug.
Artigo em Coreano | MEDLINE | ID: mdl-24071757

RESUMO

PURPOSE: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). METHODS: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. RESULTS: The overall mean score for correct answers was 14.5 (±3.2) in PUCS & IAD KT and 11.15 (±4.9) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. CONCLUSION: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.


Assuntos
Dermatite/classificação , Enfermeiras e Enfermeiros/psicologia , Lesão por Pressão/classificação , Adulto , Dermatite/complicações , Dermatite/patologia , Educação Continuada , Avaliação Educacional , Incontinência Fecal/complicações , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Lesão por Pressão/patologia , Inquéritos e Questionários , Incontinência Urinária/complicações
12.
World J Gastroenterol ; 18(31): 4175-81, 2012 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-22919251

RESUMO

AIM: To evaluate the impact of surgical volume on nationwide hospital mortality after pancreaticoduodenectomy (PD) for periampullary tumors in South Korea. METHODS: Periampullary cancer patients who underwent PD between 2005 and 2008 were analyzed from the database of the Health Insurance Review and Assessment Service of South Korea. A total of 126 hospitals were divided into 5 categories, each similar in terms of surgical volume for each category. We used hospital mortality as a quality indicator, which was defined as death during the hospital stay for PD, and calculated adjusted mortality through multivariate logistic models using several confounder variables. RESULTS: A total of eligible 4975 patients were enrolled in this study. Average annual surgical volume of hospitals was markedly varied, ranging from 215 PDs in the very-high-volume hospital to < 10 PDs in the very-low-volume hospitals. Admission route, type of medical security, and type of operation were significantly different by surgical volume. The overall hospital mortality was 2.1% and the observed hospital mortality by surgical volume showed statistical difference. Surgical volume, age, and type of operation were independent risk factors for hospital death, and adjusted hospital mortality showed a similar difference between hospitals with observed mortality. The result of the Hosmer-Lemeshow test was 5.76 (P = 0.674), indicating an acceptable appropriateness of our regression model. CONCLUSION: The higher-volume hospitals showed lower hospital mortality than the lower-volume hospitals after PD in South Korea, which were clarified through the nationwide database.


Assuntos
Ampola Hepatopancreática/cirurgia , Neoplasias do Ducto Colédoco/cirurgia , Mortalidade Hospitalar/tendências , Hospitais com Alto Volume de Atendimentos , Hospitais com Baixo Volume de Atendimentos , Pancreaticoduodenectomia/mortalidade , Idoso , Neoplasias do Ducto Colédoco/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , República da Coreia , Estudos Retrospectivos , Resultado do Tratamento
13.
J Korean Acad Nurs ; 42(1): 136-47, 2012 Feb.
Artigo em Coreano | MEDLINE | ID: mdl-22410610

RESUMO

PURPOSE: This study was conducted to compare the degree of depression between men and women and to identify factors influencing their depression. METHODS: Participants in this cross-sectional descriptive study were 263 persons over 65 years old (men: 103, women: 160). Data were collected through face to face interviews using questionnaires and were done in two urban areas in 2010. Research instruments utilized in this study were SGDS, MMSE-K, SRH, FILE, sleep pattern scale, family and friend support scale, and social support scale. Multivariate regression analysis was performed to identify factors influencing depression in elders. RESULTS: The proportions of participants with depression were significantly different between men and women (52.4% vs. 67.5%). Regression model for depression in elderly men significantly accounted for 54%; disease stress (32%), economic stress (10%), perceived health status (4%), and family support, educational level, age, and hypertension. Regression model for depression in elderly women significantly accounted for 47%; disease stress (25%), perceived social loneliness (8%), friend support (5%), family stress (4%), and sleep satisfaction, and family support. CONCLUSION: Results demonstrate that depression is an important health problem for elders, and show gender differences for factors influencing depression. These results could be used in the developing depression prevention programs.


Assuntos
Depressão , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Relações Familiares , Feminino , Nível de Saúde , Humanos , Hipertensão/patologia , Entrevistas como Assunto , Solidão , Masculino , Características de Residência , Fatores de Risco , Fatores Sexuais , Sono , Apoio Social , Estresse Psicológico , Inquéritos e Questionários
14.
J Surg Oncol ; 104(2): 116-23, 2011 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-21520095

RESUMO

OBJECTIVES: To assess the relationship between hospital volume and in-hospital mortality of patients undergoing four surgical procedures for gastrointestinal cancers in Korea. METHODS: Using the database of the Health Insurance Review and Assessment Service, we identified 66,201 patients who underwent the four types of gastrointestinal resection during the period 2005-2006. Participating hospitals were divided into five groups according to their surgical volume. The primary outcome was in-hospital mortality, defined as death from any cause before discharge. Multivariate logistic regression analysis was performed to determine the effect of hospital volume on risk-adjusted in-hospital mortality. RESULTS: We observed a significant relationship between hospital volume and in-hospital mortality rate for patients undergoing the four types of cancer-related gastrointestinal surgeries. The in-hospital mortality rate was lower for high-volume than for low-volume hospitals after adjusting for patient characteristics. The differences between very-high-volume and very-low-volume hospitals ranged from 0.94% to 2.77% for the four procedures, with the largest difference observed for pancreatic resection (3.75% vs. 0.98%). CONCLUSION: High-volume hospitals had better short-term surgical outcome than low-volume hospitals. We confirmed the volume-outcome relationship for four cancer-related gastrointestinal resections in Korea.


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/estatística & dados numéricos , Neoplasias Gastrointestinais/mortalidade , Neoplasias Gastrointestinais/cirurgia , Mortalidade Hospitalar , Hospitais/estatística & dados numéricos , Bases de Dados Factuais , Procedimentos Cirúrgicos do Sistema Digestório/mortalidade , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , República da Coreia , Risco Ajustado , Fatores de Risco , Resultado do Tratamento
15.
J Korean Acad Nurs ; 41(1): 47-60, 2011 Feb.
Artigo em Coreano | MEDLINE | ID: mdl-21515999

RESUMO

PURPOSE: This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention. METHODS: A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group. RESULTS: Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time. CONCLUSION: Web-based and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a web-based education program for secondary stroke prevention.


Assuntos
Internet , Educação de Pacientes como Assunto/métodos , Acidente Vascular Cerebral/prevenção & controle , Idoso , Pressão Sanguínea , Cuidadores/psicologia , Cotinina/urina , Demografia , Feminino , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Acidente Vascular Cerebral/psicologia
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