Family Stroke Education

Background: Stroke is the second leading cause of death in Korea and the prevalence of acute ischemic stroke among older adults continues to grow, which is known to be related to delayed hospital arrival after the onset of symptoms. Thus, decreasing the incidence of elderly stroke is a major health promotion objective in Korea, yet little is reported about the factors associated with the delayed medical care seeking behavior among elderly stroke patients in Korea. Purpose: The purpose of this study was to understand factors of delayed medical care seeking among elderly stroke patients in order to develop intervention strategies to improve the health of this population. Methods: A cross-sectional, descriptive study was conducted in a convenience sample of 233 hospitalized elderly patients with acute ischemic stroke using a self-administered survey. Descriptive statistics and chi-square test were used for data analysis. Results: More than half of them were male (60.5%) with age of 61 and older (76.9%), and relied on the opinion of their children or friends when deciding medical care for stroke (58.3%). Regarding the reasons of seeking medical care, there was no statistical significance between individuals who arrived at a hospital within three hours of the onset of symptoms and who arrived after three hours. Reasons for delayed hospital arrival were significantly different between groups (individuals of hospital arrival within three hours vs. individuals with hospital arrival after three hours), which include lack of knowledge about the severity of stroke and unawareness of symptoms (χ2 = 24.1), or inconvenience of a hospital visit, waiting for the effects of alternative medications, and stroke during sleep (χ2 = 55.1) with p <0.001. Conclusions: In conclusion, this study helped identify factors delaying hospital arrival after the onset of symptoms among Korean elderly stroke patients. Interventions should include stroke education focusing on the severity of stroke and related symptoms. The stroke education should target not only elderly stroke patients but their family members and friends. It may result in overall national health by decreasing prevalence of stroke among Korean elderly population.

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Abstract WP164: An Assessment of Stroke Knowledge in the Coulee Region Community

Stroke ◽

10.1161/str.47.suppl_1.wp164 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Mouhammed Kabbani ◽

Katherine Riley ◽

Angela L Smith ◽

Andrew Borgert ◽

John Gabbert ◽

...

Keyword(s):

Delayed Presentation ◽

Gis Technology ◽

Exact Test ◽

Demographic Groups ◽

Level Of Knowledge ◽

Stroke Education ◽

Low Levels ◽

Middle Aged Adults ◽

Stroke Knowledge ◽

Targeted Approach

Introduction: Delayed presentation to the hospital persists as a significant barrier to early intervention of stroke with tPA treatment. Community knowledge about stroke symptoms is moderate at best and not parallel with behavior. Objective: To assess our community’s level of knowledge about stroke to direct the development of targeted educational efforts. Methods: Members of communities in our regional stroke alert locations were asked to complete a 15-item survey that included questions about basic demographics, stroke symptoms, behavior actions and interest in and barriers to attending stroke education. Surveys were collected from local businesses, online and in public venues. Overall scores were calculated by summing the number of correct responses and, with the exception of questions pertaining to the BEFAST mnemonic, subtracting the number of incorrect or unmarked responses. Reported metrics include overall survey scores and demographics of survey respondents. Total scores were compared between demographic groups via the Wilcoxon Rank Sum, while question level comparisons utilized the χ2 or Fisher’s exact test. GIS technology was applied to identify geographic clusters of different knowledge levels. Results: Among 1118 participants, 86% had low levels of stroke knowledge as defined by a survey score of ≤ 70% accuracy (medium = 71-89%; high ≥ 90-100%). Knowledge was low throughout most of our community with isolated pockets of higher knowledge in outlying areas. Awareness was highest (though still low) among females, middle-aged adults (36-55 yo), those with post-high school degrees, and those with previous formal stroke education. In case of stroke, older adults (55+ yo) were least likely to call 9-1-1. Only 21.6% of participants were likely or highly likely to attend stroke education. Conclusions: The level of stroke knowledge in our community is low. People tend to not be interested in attending formal stroke education outside of their regular day. Efforts must be made to raise awareness about stroke symptoms and treatment in order to increase more positive outcomes following stroke. Incorporating stroke education into work and school curriculums will be our targeted approach.

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Delivering Knowledge of Stroke to Parents Through Their Children Using a Manga for Stroke Education in Elementary School

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2016.10.005 ◽

2017 ◽

Vol 26 (2) ◽

pp. 431-437 ◽

Cited By ~ 7

Author(s):

Akiko Ishigami ◽

Chiaki Yokota ◽

Kunihiro Nishimura ◽

Satoshi Ohyama ◽

Shinya Tomari ◽

...

Keyword(s):

Elementary School ◽

Stroke Education

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Abstract W P364: Advanced Stroke Life Support: Making a Difference in Stroke Care

Stroke ◽

10.1161/str.46.suppl_1.wp364 ◽

2015 ◽

Vol 46 (suppl_1) ◽

Author(s):

Amy Jones ◽

Gladys Campbell

Keyword(s):

Student Satisfaction ◽

Life Support ◽

Treatment Options ◽

Educational Experience ◽

Practice Session ◽

Value Analysis ◽

Hands On ◽

Post Test ◽

Stroke Education ◽

Stroke Knowledge

Background and Purpose: A Comprehensive Stroke Center provides many opportunities for interactions with smaller facilities. Needs identified by our community facility partners was a standardized and effective neurological assessment of the stroke patient that could be performed by all staff and staff stroke education. Investigation into the Advanced Stroke Life Support (ASLS) course provided information that would serve as a blueprint to resolve both education needs. Method: Six staff members were certified as ASLS Instructors. ASLS course has been provided using didactic and hands on participation for scoring of patients with the Miami Emergency Neurologic Deficit (MEND) exam and stroke education. Participants were given a pre-test at the beginning of the educational experience, followed by a post test at the conclusion of class. Lectures included overview of five major stroke syndromes, basic MEND exam knowledge and scoring requirements, followed by review of treatment options and care provided once hospitalized. The learning opportunity was enhanced by interactive hands on session by each participant through performing the MEND exam on fellow participants and scoring of the MEND exam on scenario based test patients. Use of the interactive practice session with immediate feedback from instructors was key elements of student satisfaction and perceived learning during the educational experience. Results: Initial class evaluations and changes in pre and post test scores indicate an increase in participant stroke knowledge. 47 of 50 failed the pre-test with scores ranging from 35 to 85. Upon posttest all participants passed with scores ranging from 80 to 100. There was an increase in proficiency using the MEND exam from the initial practice session to use during the test patient scenarios. Additional survey results will be obtained using post class value analysis survey at least three months after class completion to demonstrate participants’ ability to apply knowledge to practice setting. Conclusion: Completion of ASLS course provides an increase of stroke knowledge that promotes application of information learned to care of stroke patients in practice settings.

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