Stroke
Conditions
Keywords
complication, depression, follow-up, intervention, nurse-led, outcome, secondary prevention, stroke
Brief summary
The aim of this study was to examine to what extent a one year population of stroke patients at a university hospital had well regulated risk factors and health problems one year after stroke, and if a structured nurse-led previous follow-up in the intervention group including referrals if needed could influence health outcome and risk factors one year after stroke.
Detailed description
The follow-up protocol was categorized into Risk factors, Patients' self-reports, and Other health problems. Referral was sent to a physician if medical interventions were needed regarding risk factors measured above the limits as stated in the follow-up protocol in accordance with guidelines,and/or if any self-reported health problems were stated by the patients, or had been detected by the Specialist Nurse. Primary outcome was comparison between the intervention group and control group at one year after stroke regarding proportion of regulated risk factors, and self-reports on health outcome. Results of the two follow-ups of the intervention group were also compared.
Interventions
OTHERSecondary prevention, supportive counselling
Patients' self-reports on Mobility, Self Care, Usual activities, Pain/Discomfort, Anxiety/Depression, Health Outcome were registered. Health problems were assessed. Secondary prevention was controlled by measuring blood pressure, Cholesterol levels, HbA1c, Weight to estimate nutritional status. Functional status was assessed. Supportive counselling was provided. Referral was sent to physician if medical interventions were needed.
OTHERStandard care until one year follow-up
No intervention three months after stroke. Assessment one year after stroke and comparison with the intervention group.
Sponsors
Skane University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
WHO criteria for definition of stroke Signed consent
Exclusion criteria
Other diagnosis causing neurological symptoms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors and health outcome compared between intervention group and control group | Baseline to one year after stroke for both groups. | Outcome for both groups after one year was measured as the proportion of risk factors sufficiently treated, the patients' self-reports on health outcome and comparison between the intervention group and the control group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors and health outcome at two follow-ups. | Baseline to one year after stroke | Comparison of health outcome at three months and one year after stroke in the intervention group. |
Countries
Sweden
Outcome results
None listed