Assessment of Nurses' Knowledge Regarding Patient Education Post-Stroke in Allied Hospital Faisalabad: A Cross-Sectional Study Nurses' Knowledge on Post-Stroke Education
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Abstract
Background: Stroke is a leading cause of death and long-term disability worldwide, placing a significant burden on healthcare systems. Nurses play a critical role in stroke care, particularly in educating patients post-stroke to prevent recurrence and complications.
Objective: To assess the level of knowledge nurses possess regarding patient education after stroke at a tertiary care hospital.
Methods: A descriptive, cross-sectional study was conducted from May to July 2024. A total of 249 nurses from various departments at Allied Hospital Faisalabad were included. Data were collected using a structured questionnaire that evaluated nurses' knowledge of stroke definitions, causes, risk factors, and post-stroke interventions. SPSS version 25 was used for data analysis, including descriptive statistics and one-way ANOVA.
Results: Of the 249 participants, 98% were female, and 56.2% held a bachelor's degree. Most nurses (81.5%) correctly defined stroke, and 95.6% knew the types of strokes. A significant association was found between higher education levels and knowledge (p = 0.013). However, gaps in knowledge regarding stroke causes and interventions were identified.
Conclusion: Nurses demonstrated moderate to high knowledge of post-stroke education, with formal education being a significant predictor. Further training is needed to address knowledge gaps
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References
Krishnamurthi, R.V., Ikeda, T., Feigin, V.L., 2020. Global, Regional and Country-Specific Burden of Ischaemic Stroke, Intracerebral Haemorrhage and Subarachnoid Haemorrhage: A Systematic Analysis of the Global Burden of Disease Study 2017. Neuroepidemiology 54, 171–179. https://doi.org/10.1159/000506396
Katan, M., Luft, A., 2018. Global Burden of Stroke. Semin. Neurol. 38, 208–211. https://doi.org/10.1055/s-0038-16495
Melnikov, S., 2020. The need for knowledge and skills in the care of post-stroke patients. Eur. J. Cardiovasc. Nurs. 19, 456–457. https://doi.org/10.1177/1474515120923498
Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, Chen J, He J. Global disparities of hypertension prevalence and control. Circulation. 2016 Aug 9;134(6):441-50. doi: 10.1161/circulationaha.115.018912.
Tichenor, M., Sridhar, D., 2020. Metric partnerships: global burden of disease estimates within the World Bank, the World Health Organisation and the Institute for Health Metrics and Evaluation. Wellcome Open Res. 4, 35. https://doi.org/10.12688/wellcomeopenres.15011.2
Coupland, A.P., Thapar, A., Qureshi, M.I., Jenkins, H., Davies, A.H., 2017. The definition of stroke. J. R. Soc. Med. 110, 9–12. https://doi.org/10.1177/0141076816680121
Dharma, K.K., Damhudi, D., Yardes, N., Haeriyanto, S., 2018. Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model. Int. J. Nurs. Sci. 5, 357–364. https://doi.org/10.1016/j.ijnss.2018.09.002
Shakir, R., Norrving, B., 2017. Stroke is a brain disease. J. Neurol. Sci. 379, 281–282. https://doi.org/10.1016/j.jns.2017.05.036
Ma, Q., Li, R., Wang, L., Yin, P., Wang, Y., Yan, C., Ren, Y., Qian, Z., Vaughn, M.G., McMillin, S.E., Hay, S.I., Naghavi, M., Cai, M., Wang, C., Zhang, Z., Zhou, M., Lin, H., Yang, Y., 2021. Temporal trend and attributable risk factors of stroke burden in China, 1990–2019: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health 6, e897–e906. https://doi.org/10.1016/S2468-2667(21)00228-0
Afrin, M., Khan, S.U., Das, S.C., Huq, K.A.T.M.E., Moriyama, M., 2023. Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial. JMIR Res. Protoc. 12, e51178. https://doi.org/10.2196/51178
Clare, C.S., 2018. Role of the nurse in stroke rehabilitation. | Nursing Standard | EBSCOhost [WWW Document]. https://doi.org/10.7748/ns.2018.e11194
Zidan, S., Elfeky, H., Yossif, W., Abd Allah, F., n.d. Abstract WP356: Impact of a Designed Acute Stroke Nursing Management Protocol on Nurse’s Knowledge and Practices. Stroke 49, AWP356–AWP356. https://doi.org/10.1161/str.49.suppl_1.WP356
Alizai, M.H.K., Tasleem, S., Hashim, H., Afzal, K., Tahir, M., Farooq, S., 2023. Incidence and Association of Seizures in Stroke Patients Undergoing Endovascular Therapies. Pak. J. Med. Health Sci. 17, 565–565. https://doi.org/10.53350/pjmhs2023174565
Shehata, H., Ahmed, S., Abdelalim, A., El Sherbiny, N., 2016. Knowledge and attitude towards stroke among workers in Cairo University Hospitals. Egypt. J. Neurol. Psychiatry Neurosurg. 53, 54. https://doi.org/10.4103/1110-1083.176374
Zych, J., Korzekwa, P., 2017. Involvement of the Nurse in the Treatment of Ischemic Stroke — Knowledge of Nurses from the Stroke Unit. J. Neurol. Neurosurg. Nurs. 6, 150–156. https://doi.org/10.15225/PNN.2017.6.4.3
Akca, O., Nichols, J., Stewart, B., Elliott, C., Remmel, K., Lenhardt, R., 2020. Association of Early Oxygenation Levels with Mortality in Acute Ischemic Stroke – A Retrospective Cohort Study. J. Stroke Cerebrovasc. Dis. 29, 104556. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104556
Jin, C., Chen, S., Vaidya, A., Wu, Y., Wu, Z., Hu, F.B., Kris-Etherton, P., Wu, S., Gao, X., 2017. Longitudinal Change in Fasting Blood Glucose and Myocardial Infarction Risk in a Population Without Diabetes. Diabetes Care 40, 1565–1572. https://doi.org/10.2337/dc17-0610
Shehata, H., Ahmed, S., Abdelalim, A., El Sherbiny, N., 2016. Knowledge and attitude towards stroke among workers in Cairo University Hospitals. Egypt. J. Neurol. Psychiatry Neurosurg. 53, 54. https://doi.org/10.4103/1110-1083.176374
Minani J. Assessment of knowledge regarding care of patients with stroke among registered nurses at Muhimbili National Hospitals, Dar es Salaam Tanzania (Doctoral dissertation, Muhimbili University of Health and Allied Sciences).
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association | Stroke [WWW Document], n.d. URL https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000158 (accessed 8.15.24).
Zych, J., Korzekwa, P., 2017. Involvement of the Nurse in the Treatment of Ischemic Stroke — Knowledge of Nurses from the Stroke Unit. J. Neurol. Neurosurg. Nurs. 6, 150–156. https://doi.org/10.15225/PNN.2017.6.4.3
Sherief, wafaa, Abo El-Ata, A., Assal, R., 2022. EFFECT OF AN EDUCATIONAL PROGRAM ON NURSES’ KNOWLEDGE REGARDING CARE OF PATIENTS WITH CEREBRAL STROKE. Port Said Sci. J. Nurs. 9, 326–346. https://doi.org/10.21608/pssjn.2023.130969.1188
Sheha, E.A.A.E.M., Soultan, A.A.A., Malk, R.N., Elsherbeny, E.M.M., 2020. Effect of a Planned Health Teaching on Improving Knowledge and Competence of Home Care Practice of Post Stroke Patient Among Caregivers’ Achievement. Int. J. Stud. Nurs. 5, 51. https://doi.org/10.20849/ijsn.v5i2.761