2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia
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| country | Malaysia |
| date | 2022-07-17 |
| format | General Document |
| id | 15752 |
| institution | UniSZA |
| internalnotes | Sila masukkan subject wajib Dissertations, Academic. Terima kasih... |
| originalfilename | 15752_56d334c40789d86.pdf |
| person | Wong Hui Jie |
| recordtype | oai_dc |
| resourceurl | https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15752 |
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| spelling | 15752 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15752 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Health Sciences English application/pdf 1.5 Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access UNIVERSITI SULTAN ZAINAL ABIDIN SAMBox 2.3.4; modified using iTextSharp™ 5.5.10 ©2000-2016 iText Group NV (AGPL-version) Copyright©PWB2025 391 15752_56d334c40789d86.pdf 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia Wong Hui Jie 2022-07-17 Stroke—Rehabilitation Recurrent strokes are common if no prevention measures are made by stroke survivors. The effectiveness of lifestyle intervention in secondary stroke prevention is inconsistent, possibly due to flaws in the intervention design. This study was conducted to develop and evaluate the effectiveness of a healthy lifestyle education package in improving stroke risk factors and lifestyle practices among stroke survivors. This study was comprised of three phases. Phase I (A) was a cross-sectional survey among 398 stroke survivors attending outpatient departments at Hospital Sultanah Nur Zahirah Terengganu (HSNZ), Hospital Tengku Ampuan Afzan Kuantan (HTAA), and Hospital Sultan Haji Ahmad Shah Temerloh Pahang (HoSHAS). Information on modifiable risk factors, lifestyle practices, nutritional status and health-related quality of life (HRQoL) was acquired. Phase I (B) involved a semi-structured interview among 22 stroke survivors to explore their risk perceptions and experiences in receiving lifestyle education. Phase II developed and assessed the validity and readability of education materials and Stroke Prevention Knowledge (SPK) questionnaire. The validity of the SPK questionnaire was pre-tested among 68 patients in HoSHAS. Phase III was a quasi experimental study involving 54 stroke survivors and their caregivers in the medical wards of HoSHAS and HTAA for three months. Repeated measures analysis of covariance, McNemar and Chi-square test were performed to examine within- and between-groups differences in Phase III. Phase I (A) found that the risk factors control among stroke survivors was unsatisfactory: 52% had elevated blood pressure, 78% had elevated low-density lipoprotein cholesterol, 51% had elevated HbA1c, 46% were overweight and obese, 7% were active smokers, 65% were physically inactive, and many failed to achieve dietary goals, particularly for fibre (96%), saturated fatty acids (80%), and sodium (66%). Further, stroke survivors were presented with high malnutrition risk (40%), poor handgrip strength (59%), and average HRQoL [Visual Analogue Scale (VAS) 60]. They commonly reported problems in different dimensions of HRQoL, namely mobility (84%), usual activities (80%), pain/discomfort (63%), anxiety/depression (52%), and self-care (39%). Phase I (B) showed that a third of patients were uncertain about the cause of stroke, and the misperception of recurrent risk and unmet educational needs was apparent. Phase II demonstrated that the education materials and SPK questionnaire met satisfactory content and face validity (S-CVI / Ave ≥0.83 or S-FVI / Ave ≥0.83) and readability scores equivalent to primary education levels. The Kuder-Richardson Formula 20 of the SPK questionnaire was 0.68. Phase III revealed that the intervention group had significantly lower intake of sugar (P=0.002, effect size=0.50) and sodium (P=0.044, effect size=0.31), lesser active smokers (7% versus 33%, P=0.039), lower sitting time (P=0.012, effect size=0.37), higher SPK scores (P<0.001, effect size=0.54), and lower proportion having pain/discomfort issues (22% versus 63%, P=0.005) than the control group after three months. A healthy lifestyle education package underpinned by the Health Belief Model with caregiver involvement is feasible and potentially beneficial in secondary stroke prevention. It is relevant to use the developed education materials and curriculum as reference materials for healthcare professionals when managing stroke patients. Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Healthy Lifestyle Education Package Stroke Rehabilitation Program Lifestyle Modification After Stroke Thesis |
| spellingShingle | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| state | Terengganu |
| subject | Stroke—Rehabilitation Dissertations, Academic |
| summary | Recurrent strokes are common if no prevention measures are made by stroke survivors. The effectiveness of lifestyle intervention in secondary stroke prevention is inconsistent, possibly due to flaws in the intervention design. This study was conducted to develop and evaluate the effectiveness of a healthy lifestyle education package in improving stroke risk factors and lifestyle practices among stroke survivors. This study was comprised of three phases. Phase I (A) was a cross-sectional survey among 398 stroke survivors attending outpatient departments at Hospital Sultanah Nur Zahirah Terengganu (HSNZ), Hospital Tengku Ampuan Afzan Kuantan (HTAA), and Hospital Sultan Haji Ahmad Shah Temerloh Pahang (HoSHAS). Information on modifiable risk factors, lifestyle practices, nutritional status and health-related quality of life (HRQoL) was acquired. Phase I (B) involved a semi-structured interview among 22 stroke survivors to explore their risk perceptions and experiences in receiving lifestyle education. Phase II developed and assessed the validity and readability of education materials and Stroke Prevention Knowledge (SPK) questionnaire. The validity of the SPK questionnaire was pre-tested among 68 patients in HoSHAS. Phase III was a quasi experimental study involving 54 stroke survivors and their caregivers in the medical wards of HoSHAS and HTAA for three months. Repeated measures analysis of covariance, McNemar and Chi-square test were performed to examine within- and between-groups differences in Phase III. Phase I (A) found that the risk factors control among stroke survivors was unsatisfactory: 52% had elevated blood pressure, 78% had elevated low-density lipoprotein cholesterol, 51% had elevated HbA1c, 46% were overweight and obese, 7% were active smokers, 65% were physically inactive, and many failed to achieve dietary goals, particularly for fibre (96%), saturated fatty acids (80%), and sodium (66%). Further, stroke survivors were presented with high malnutrition risk (40%), poor handgrip strength (59%), and average HRQoL [Visual Analogue Scale (VAS) 60]. They commonly reported problems in different dimensions of HRQoL, namely mobility (84%), usual activities (80%), pain/discomfort (63%), anxiety/depression (52%), and self-care (39%). Phase I (B) showed that a third of patients were uncertain about the cause of stroke, and the misperception of recurrent risk and unmet educational needs was apparent. Phase II demonstrated that the education materials and SPK questionnaire met satisfactory content and face validity (S-CVI / Ave ≥0.83 or S-FVI / Ave ≥0.83) and readability scores equivalent to primary education levels. The Kuder-Richardson Formula 20 of the SPK questionnaire was 0.68. Phase III revealed that the intervention group had significantly lower intake of sugar (P=0.002, effect size=0.50) and sodium (P=0.044, effect size=0.31), lesser active smokers (7% versus 33%, P=0.039), lower sitting time (P=0.012, effect size=0.37), higher SPK scores (P<0.001, effect size=0.54), and lower proportion having pain/discomfort issues (22% versus 63%, P=0.005) than the control group after three months. A healthy lifestyle education package underpinned by the Health Belief Model with caregiver involvement is feasible and potentially beneficial in secondary stroke prevention. It is relevant to use the developed education materials and curriculum as reference materials for healthcare professionals when managing stroke patients. |
| title | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| title_full | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| title_fullStr | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| title_full_unstemmed | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| title_short | 2022_Development, Implementation, and Evaluation of a Healthy Lifestyle Education Package Among Stroke Survivors in East Coast Hospitals in Malaysia |
| title_sort | 2022_development, implementation, and evaluation of a healthy lifestyle education package among stroke survivors in east coast hospitals in malaysia |