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Objective: This quasi-experimental research aimed to examine the effects of a self-management promoting with family support program on recurrence-prevention behaviors and blood pressure for Muslim elderly with ischemic stroke. The sample comprised Muslims with ischemic stroke from the chronic disease clinic in a tertiary hospital. Methods: Samples were purposively recruited and divided into control and experimental groups, with 25 participants in each group, and followed for eight weeks. Research instruments included the self-management promoting program with family support (content validity index: CVI = .96), the recurrence-prevention behaviors questionnaire (Cronbach alpha coefficient = .83) and digital blood pressure monitor. Data were analyzed using descriptive statistics, paired t-test and independent t-test.
Results: The mean score of the recurrence-prevention behaviors in Muslim elderly with ischemic stroke at eight weeks was higher than that before receiving the program and was significantly higher than that in the control group (p < .001). Systolic blood pressure and diastolic blood pressure in Muslim elderly with ischemic stroke were lower at eight weeks than before receiving the program (p < .001, p < .05 respectively) and were statistically significant lower than those in the control group (p < .001). Conclusion: The results of this study indicate that the self-management promoting with family support program led to better control of blood pressure levels among Muslim elderly with ischemic stroke. Therefore, elderly Muslims with ischemic stroke should receive additional knowledge and skill on self-management with support from the family to improve their recurrence-preventive behaviors.
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Neurological institute of Thailand. Clinical nursing practice guidelines for stroke. Bangkok: Tana press & graphic company limited; 2015: Thai.
Health Data Center. Statistics of illnesses with noncommunicable diseases [Internet]. 2017 [cited 2017 Jan 16]. Available from: http://hdcservice.moph.go.th/hdc/main/index_pk.php
Kocaman G, Duruyen H, Kocer A, et al. Recurrent ischemic stroke characteristics and assessment of sufficiency of secondary stroke prevention. Noro Psikiyatr Ars. 2015; 52(2): 139-44. doi: 10.5152/npa.2015.7499.
National Stroke Association. Recovery after stroke: Recurrent stroke [Internet]. 2013 [cited 2018 Jan 16]. Available from: http://www.stroke.org/
Cappellari M, Moretto G, Bovi P. Repeated intravenous thrombolysis after recurrent stroke. A case series and review of the literature. J Neurol Sci. 2014; 345(1): 181-3. doi: 10.1016/j.jns. 2014.07.039.
Kok W.G, Björck L, Ståhl CH, et al. Trends in risk of recurrence after the first ischemic stroke in adults younger than 55 years of age in Sweden. Int J Stroke. 2016; 11(1): 52-61. doi: 10.1177/1747493015607519.
Tiamkao S. Recurrent ischemic stroke in Srinagarind Hospital. North-Eastern Thai Journal of Neuroscience. 2012; 6(3): 31-8. Thai.
Suangpo P, Srisanpang P, Sangsuwan J. Self-care behaviors of older persons with recurrent stroke. North-Eastern Thai Journal of Neuroscience. 2014; 30(2): 9-25. Thai.
Skulpunyawat S. Health promotion behaviors of Muslim elders in case of Okarak district Nakornnayork province. JRTAN 2014; 15(3): 353-60. Thai.
Mahamad P. Development of behavior modification program of dietary consumptions and physical activities for Thai Muslim women with metabolic syndromes [master’s minor thesis]. [Songkhla]: Prince of Songkla University; 2012. 163 p.
Billinger SA, Arena R, Bernhardt J, et al. Physical activity and exercise recommendations for stroke survivors: A statement for healthcare professionals from the American heart association/American stroke association. Stroke. 2014; 45(8): 2532-53. doi: 10.1161/STR.0000000000000022.
Kanfer FH, Gaelick-Buys L. Self-management methods. In: Kanfer FH Goldstein AP, Editors. Helping people change: A textbook of methods. 4 th ed, New York: Pergamon press; 1991.
Japakeya I. Guideline to patients and management in Islam. 2nd ed. Yala: Office of the secretariat of Yala Islamic University; 2013. Thai.
Hemmam M. Muslim caregivers’ experiences in caring for patients with end-stage renal disease receiving palliative care. [master' s thesis]. [Songkhla]: Prince of Songkla University; 2016. 110 p.
Wangji N. Effect of behavioral modification program on medical adherence and blood pressure for Muslim elderly with uncontrolled hypertension [master’s minor thesis]. [Songkhla]: Prince of Songkla University; 2015. 139 p.
Kronish IM, Goldfinger JZ, Negron R, et al. Effect of peer education on stroke prevention: The prevent recurrence of all inner-city strokes through education randomized controlled trial. Stroke. 2014; 45(11): 3330-6. doi: 10.1161/STROKEAHA.114.006623.
Wan LH, Zhang XP, Mo MM, et al. Effectiveness of goalsetting telephone follow-up on health behaviors of patients with ischemic stroke: A randomized controlled trial. J Stroke Cerebrovasc Dis. 2016; 25(9): 2259-70. doi: 10.1016/j.jstrokecerebrovasdis.2016.05.010.
Tepsuwan J, Leehakul V, Torsaakulkeaw T. The effects of recurrent prevention program for stroke patients at a tertiary level hospital in Nakhon Pathom Province. J Thai Stroke Soc. 2018; 17(1): 5-18. Thai.
Reanthong P, Thongjareon V, Jitmontree N, et al. The effectiveness of empowerment program on health behavior of older adults with stroke. Songklanagarind J Nurs. 2015; 35(Suppl): 143-58. Thai.
Chaikul C. Effects of self-management and family participation enhancing program on health behavior and blood pressure among elderly with hypertension [master’s minor thesis]. [Songkhla]: Prince of Songkla University; 2014. 157 p.
Kim HY. Statistical notes for clinical researchers: Assessing normal distribution (2) using skewness and kurtosis. Restor Dent Endod. 2013; 38(1): 52-4. doi: 10.5395/rde.2013.38.1.52.
Jiang SS, Shen LP, Ruan HF, et al. Family function and health behaviors of stroke survivors. International Journal of Nursing Sciences. 2014; 1(3): 272-6.
Chumchiang P, Supametaporn P, Songthai N. The effects of self-management support program on health behaviors and body mass index in people with pre-diabetes. Nursing Public Health and Education Journal. 2018; 19(1): 108-19. Thai.
Hehduereh S. Effects of Islamic based dyspnea management program on the dyspnea management ability and dyspnea status in Muslim elderly patients with chronic obstructive pulmonary disease [master’s minor thesis]. [Songkhla]: Prince of Songkla University; 2017. 125 p.
Thungtong S. Effects of self-management support program for delayed progression of diabetic nephropathy on selfmanagement
behaviors and clinical outcomes in patients with uncontrolled type 2 diabetes mellitus [master’s minor thesis]. [Songkhla]: Prince of Songkla University; 2014. 148 p.
Patiapinun A. The effects of self–management program of hypertensive patients with chronic kidney disease stage 3 on self-management behaviors and blood pressure at a secondary level hospital in Ratchaburi province [master’s minor thesis]. [Bangkok]: Christian University of Thailand; 2017. 151 p.
Nimo N. Effect of self-management program in breathing exercise and Al-Quran listening on blood pressure in Muslims with uncontrolled hypertension. [master’s minor thesis]. [Bangkok]: Christian University of Thailand; 2018. 115 p.