26^th World Nursing Education Conference(10Plenary Forums - 1Event)

Biography

Biography: Patama Vajamun

Abstract

Stroke is a leading cause of long-term disability and the fifth cause of death in Thailand². The important factors induce stroke are smoking, lack of physical activity, alcohol consumption, poor diet intake,  emotion, high cholesterol, blood pressure, age, obesity and uncontrol glucose or hypertension that contribute to stroke.(AHA,,2017). Objective: To describe stroke risk levels and the results of proactive  community –based care to promotion of stroke prevention in  Nonglak subdistrict  Chumpong district Nakhon Ratchasima, Thailand. Quasi-Experimental community-based was conducted from 1/9/2017 to 2/16/2017.  There were 51 participants whose  age of  35 and over  who live in Nonglak village Nonglak subdistrict Chumpong Nakhon Ratchasima,Thailand,.. SUT-SRAS was developed by the fourth  year nursing student under supervision of Assistant professor doctor Naruemol Sing-Dong and it’s reliability was 0.80. Intervention; SUT-SRAS was used for assessment of stroke risk, planning, implementation; focus on group and individual specific risk factors through health education, home health care, training caregivers, village health volunteer and community leader for exercises, advice ,counseling including demonstration, coordination, referred and providing supportive system finally, evaluation. Data was annualized by descriptive; percent, mean, SD, and compared SUT-SRAS risk factors pre and post intervention by paired t-test. There were 17 male, 34 female, mean of age was 65 (36-98). Most of them educated in Primary school 44(86.27%) , most of them  are farmers and employee 23(25.10%). SUT-SRAS risk in level 1,2 and 3 were 46(90.20%), 4(7.84%) and1(1.94%) respectively. After intervention all of  people in level 2 were decrease risk factors and a man in level 3 was referred for treatment including  improved health behaviors. While 95% of them had decreased their risk factors and significantly decrease of cigarettes smoking (p<0.05).

SUT-SRAS tool was useful for assessment to provided  proactive community-based care to prevent stroke by decrease poor health behaviors. Non of them developed stroke. Further evidence-based approaches to changing behaviors by community-based care as a proactive prevention activities for the risk groups and individuals are required to achieve the goals of decrease incidence and prevalence rate of stroke