Heejeong Kim; Oksoo Kim

doi:10.4040/jkan.2013.43.3.331

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Original Article
The Lifestyle Modification Coaching Program for Secondary Stroke Prevention: Heejeong Kim, Oksoo Kim; Journal of Korean Academy of Nursing 2013;43(3):331-340.
DOI: https://doi.org/10.4040/jkan.2013.43.3.331
Published online: June 28, 2013

¹Department of Nursing, Baeseok University, Chungnam, Korea.

²Division of Nursing Science, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Kim, Heejeong. Department of Nursing, Baeseok University, 76 Munam-ro, Dongnam-gu, Cheonan, Chungnam 330-704, Korea. Tel: +82-41-550-2261, Fax: +82-41-550-2829, heejeongkim@bu.ac.kr

• Received: September 27, 2012 • Accepted: March 6, 2013

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke.
Methods
Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education.
Results
There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted.
Conclusion
The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.
Keywords: Lifestyle; Stroke; Secondary prevention

This manuscript is a revision of the first author's doctoral dissertation from Ewha Womans University.

REFERENCES

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Table 1

Study Design (N=61)

^*Alcohol drinking, smoking, physical activities; ^†Body Mass Index (BMI), Waist-hip Ratio (WHR), blood lipid, blood pressure.

Table 2

Baseline Characteristics of the Participants (N=61)

Exp.=Experimental group; Cont.=Control group; BMI=Body mass index; WHR=Waist-hip ratio; TC=Total cholesterol; TG=Triglyceride; HDL= High density lipoprotein cholesterol; LDL=Low density lipoprotein cholesterol; SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

^*Fisher's exact test; ^†Wilcoxon rank sum test.

Table 3

Differences of Lifestyle and Physiological Indexes after Intervention between Groups (N=61)

Exp.=Experimental group; Cont.=Control group; BMI=Body mass index; WHR=Waist-hip ratio; TC=Total cholesterol; TG=Triglyceride; HDL=High density lipoprotein cholesterol; LDL=Low density lipoprotein cholesterol; SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

^*Wilcoxon signed rank test.

Table 4

Effects of the Lifestyle Modification Coaching Program on Blood Pressure of Patients with Stroke (N=61)

SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

Figure & Data

REFERENCES

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The Lifestyle Modification Coaching Program for Secondary Stroke Prevention

J Korean Acad Nurs. 2013;43(3):331-340. Published online June 28, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.3.331

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The Lifestyle Modification Coaching Program for Secondary Stroke Prevention

Table 1

Study Design (N=61)

^*Alcohol drinking, smoking, physical activities; ^†Body Mass Index (BMI), Waist-hip Ratio (WHR), blood lipid, blood pressure.

Table 2

Baseline Characteristics of the Participants (N=61)

^*Fisher's exact test; ^†Wilcoxon rank sum test.

Table 3

Differences of Lifestyle and Physiological Indexes after Intervention between Groups (N=61)

Exp.=Experimental group; Cont.=Control group; BMI=Body mass index; WHR=Waist-hip ratio; TC=Total cholesterol; TG=Triglyceride; HDL=High density lipoprotein cholesterol; LDL=Low density lipoprotein cholesterol; SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

^*Wilcoxon signed rank test.

Table 4

Effects of the Lifestyle Modification Coaching Program on Blood Pressure of Patients with Stroke (N=61)

SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

Table 1 Study Design (N=61)

^*Alcohol drinking, smoking, physical activities; ^†Body Mass Index (BMI), Waist-hip Ratio (WHR), blood lipid, blood pressure.

Table 2 Baseline Characteristics of the Participants (N=61)

^*Fisher's exact test; ^†Wilcoxon rank sum test.

Table 3 Differences of Lifestyle and Physiological Indexes after Intervention between Groups (N=61)

Exp.=Experimental group; Cont.=Control group; BMI=Body mass index; WHR=Waist-hip ratio; TC=Total cholesterol; TG=Triglyceride; HDL=High density lipoprotein cholesterol; LDL=Low density lipoprotein cholesterol; SBP=Systolic blood pressure; DBP=Diastolic blood pressure.

^*Wilcoxon signed rank test.

Table 4 Effects of the Lifestyle Modification Coaching Program on Blood Pressure of Patients with Stroke (N=61)