Miller Elaine Tilka, King Keith A, Miller Rosie, Kleindorfer Dawn
University of Cincinnati, College of Nursing, Cincinnati, OH, USA.
J Neurosci Nurs. 2007 Aug;39(4):236-42. doi: 10.1097/01376517-200708000-00009.
This pilot study evaluated the effects of FAST Stroke Prevention Educational Program for Middle School Students, a 2-month stroke prevention educational program targeted to middle school students. The FAST program focused on improving knowledge of stroke signs and symptoms; risk factors; treatment-seeking behaviors (call 911); overall attitude toward stroke, including perceived self-efficacy in identifying stroke warning signs and dealing with a stroke victim; stroke risk-reduction behaviors; and other risk factors for stroke, such as hypertension and diabetes. The FAST program evaluation consisted of a pretest, an educational intervention, immediate posttest, and a long-term posttest at 2 months. A convenience sample of 72 students with a mean age of 13.25 years was used. After obtaining school, parental, and student consent, the FAST program was implemented by the school nurse, health teachers, and research nurses. Results indicated significant increases in knowledge of stroke risk factors and warning signs and in attitudes of self-efficacy among middle school students that were sustained from pretest to long-term posttest; data supported the effectiveness of this novel intervention. Additional research using a variety of educational strategies and a longer time frame of intervention is recommended to further expand use of this program.
这项试点研究评估了面向中学生的快速中风预防教育项目的效果，这是一个为期2个月、针对中学生的中风预防教育项目。快速项目专注于提高对中风体征和症状、风险因素、寻求治疗行为（拨打911）、对中风的总体态度（包括识别中风警示信号和应对中风患者的自我效能感）、中风风险降低行为以及其他中风风险因素（如高血压和糖尿病）的认知。快速项目评估包括一次预测试、一次教育干预、即时后测试以及2个月后的长期后测试。使用了一个由72名平均年龄为13.25岁的学生组成的便利样本。在获得学校、家长和学生的同意后，快速项目由学校护士、健康教师和研究护士实施。结果表明，中学生对中风风险因素和警示信号的认知以及自我效能感态度从预测试到长期后测试均有显著提高；数据支持了这一新型干预措施的有效性。建议采用多种教育策略并延长干预时间框架进行进一步研究，以进一步推广该项目的应用。
