The efficiency of secondary stroke prevention program based on the theory of goal attainment

This study is a secondary stroke prevention program based on The Theory of Goal Attainment of Imogene KING for first time stroke patients. The aim of this study is to investigate the effect of stroke patient training on prevention of stroke recurrence, control of stroke risk factors, life style changes, compliance to treatment and quality of life. This study is an experimental study with prospective, pretestposttest and control group. The study population consisted of patients diagnosed stroke who were hospitalized at neurology clinics of İzmir Kâtip Çelebi University Atatürk Research and Education Hospital between March 2017 and July 2018; The sample consisted of a total of 115 stroke patients, 58 in the intervention group and 57 in the control group, who met the inclusion criteria and who agreed to participate in the study. Randomisation criteria is age, sex and type of stroke and used simple random sampling. Stroke Training Booklet was proposed based on evidence based guidelines, the opinion of the experts was taken for booklet and revised according to recommendations of experts. In the process of data collection; individualized predischarge education and booklet were given to the intervention group and only standart care and booklet were given to the control group. Groups were called by telephone at the end of first month after discharge and their questions answered. The patients who were called for outpatient follow-up at the end of third month after discharge were filled the followup forms after the doctor's check. And individualized stroke prevention training was given to the control group. Informed Consent Form, Patient Assessment Form, Turkish Versions of Illness Perception Questionnaire, Modified Rankin Scale, Morisky Medication Adherence Questionnaire, Stroke Impact Scale 3.0 were used for data collection in this study. Pearson Chi-square test, independent samples t test and paired samples t test were used for statistical analysis. At the end of study, there was no difference between two groups stroke recurrence, stroke related deaths, hospitalisation and drug compliance; There was significant decrease in blood pressure, HbA1c, triglyceride, LDL levels and waist circumference of the patients in the intervention group compared to the control group. As a result of the training, it has been concluded that healthy lifestyle changes and control of stroke risk factors are effective. It was determined that the desired results could not be achieved in terms of quality of life, drug compliance, and stroke recurrences, and improvements need in these areas. Suggestions were made about the solution of problems experinced during stroke prevention training and dissemination of stroke prevention programs. Key Words: Nursing; Secondary Stroke Prevention; Imogene KING- The Theory of Goal Attainment; The Control of Stroke Risk Factors.