J Korean Acad Nurs.  2013 Jun;43(3):331-340. 10.4040/jkan.2013.43.3.331.

The Lifestyle Modification Coaching Program for Secondary Stroke Prevention

• Kim H
• Kim O

• KMID: 1707123
• DOI: http://doi.org/10.4040/jkan.2013.43.3.331

Abstract

PURPOSE
The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke.
METHODS
Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education.
RESULTS
There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted.
CONCLUSION
The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

Keyword

Lifestyle; Stroke; Secondary prevention

MeSH Terms

Aged
Alcohol Drinking
Blood Pressure
Body Mass Index
Diet
Female
Humans
*Life Style
Lipids/blood
Male
Middle Aged
Motor Activity
Patient Education as Topic
*Program Evaluation
Self Efficacy
Smoking
Stroke/*prevention & control
Telephone
Waist-Hip Ratio
Lipids