School of Nursing, University of Texas Health Sciences Center at San Antonio, San Antonio, TX, USA.
Baptist Health System, San Antonio, TX, USA.
Disabil Rehabil. 2019 Dec;41(26):3192-3197. doi: 10.1080/09638288.2018.1492029. Epub 2018 Jul 24.
To describe control of risk factors after stroke from the perspectives of the stroke survivor, the family, and healthcare professionals. A mixed methods design was used, undertaken in two phases: i) qualitative study using focus group methodology to explore secondary stroke prevention and ii) survey of stroke survivors about use of technology and self-management of blood pressure (BP). From the eight focus groups ( = 33), three themes were identified: i) stroke is a wake-up call to do the right things; ii) challenges to doing the right things; and iii) role of technology in helping you to do the right things. Among survey respondents ( = 82), most participants reported mobile phone ownership (93%), mostly smartphones (66%), and >80% identified a greater role for technology in supporting management of risk factors. Participants who reported monitoring BP at home were significantly more likely to know their target BP than those not monitoring at home (83 vs. 42%; < 0.001) and more adherent with medications (78 vs. 52%; = 0.016). These findings highlight the ongoing challenges with achieving risk factor control after stroke and the potential to utilise health information technology to engage stroke survivors in self-management of their risk factors.Implications for rehabilitationClinicians should be knowledgeable of the challenges that stroke survivors face in managing their risk factors after stroke and the role that they can play in providing tailored education.BP continues to be poorly controlled after stroke and there is opportunity for improvement.Stroke survivors and their families are receptive to using health information technology to support their risk factor control.Rehabilitation clinicians have an opportunity to incorporate different aspects of health information technology into their practice to support self-management of risk factors.
描述从中风幸存者、家庭和医疗保健专业人员的角度对中风后危险因素的控制。使用混合方法设计，分两个阶段进行：i）使用焦点小组方法进行定性研究，探讨二级中风预防；ii）对中风幸存者进行调查，了解他们对技术的使用情况和血压（BP）的自我管理情况。从八个焦点小组（=33）中，确定了三个主题：i）中风是一个警钟，让你做正确的事情；ii）做正确的事情的挑战；iii）技术在帮助你做正确的事情方面的作用。在调查受访者（=82）中，大多数参与者报告拥有手机（93%），大多数是智能手机（66%），超过 80%的人认为技术在支持管理危险因素方面的作用更大。报告在家中监测 BP 的参与者明显比未在家中监测的参与者更了解自己的目标 BP（83%对 42%；<0.001），并且更坚持服用药物（78%对 52%；=0.016）。这些发现突出了中风后实现危险因素控制的持续挑战，以及利用健康信息技术使中风幸存者参与自我管理其危险因素的潜力。
康复的意义
临床医生应该了解中风幸存者在管理中风后危险因素方面面临的挑战，以及他们在提供量身定制的教育方面可以发挥的作用。
BP 在中风后仍然控制不佳，有改进的机会。
中风幸存者及其家属愿意使用健康信息技术来支持他们的危险因素控制。
康复临床医生有机会将健康信息技术的不同方面纳入其实践中，以支持危险因素的自我管理。
