Authors (including presenting author) :
CHU YM (1), CHOI KS (2), LUI HTC (1), TSANG WCS(1), SAN PLJ(1), CHOW WYN(1)
Affiliation :
(1) Department of Medicine, Tseung Kwan O Hospital
(2) Centre for Smart Health, School of Nursing, The Hong Kong Polytechnic University
Introduction :
Stroke occurs so sudden that it is frightening to patient and family members and can cause disability. Some patients, especially those of minor stroke, are not aware that undue activities can diminish cerebral blood flow to the affected brain tissue and eventually lead to irreversible damage. Early education is therefore important for patients and their family to understand the rationales, complying with stroke management required. Patient education on the early acute stroke phase is however a paucity. A self-developed computer education system was specifically developed for this purpose and the functions were evaluated. Through the system, the concept of neuroplasticity can be reinforced to facilitate recovery.
Objectives :
The objectives of the research are to design and develop a customizable interactive computer education system (CIES) for first time minor acute stroke patients, and to evaluate the effect of this system on patients' anxiety level, information satisfaction, illness perception and clinical outcomes .
Methodology :
With the content designed based on physiology, related evidence and education techniques, the proposed CEIS was developed in the form of a touch-screen interactive program using Adobe CS6 software. Patient could select the content that was related to one’s stroke conditions. A pilot study was conducted to evaluate the feasibility of the program and provide groundwork for further study. The study was implemented in the Acute Stroke Unit of the Tseung Kwan O Hospital. Samples were selected to fulfill the following criteria: 1) age ≧ 18, 2) admitted from Accident and Emergency, 3) Diagnosed as acute minor ischaemic stroke, 4) Onset of stroke symptom within 3 days, 6) First time admission to hospital. Convenience sampling method was adopted. The intervention group used the CIES at bedside during hospital stay, while the control group received the same information in form of pictorial booklet. Assessment data were collected at Day 1 and Day 3.
Result & Outcome :
A total 20 subjects (14 male and 6 female, mean age 59.65 years) were recruited according to the selection criteria from October to November 2018. Compared with the control group, the intervention group had a lower score on Day 3 in Hospital Anxiety Level (-1.7; 25.0%), Modified Information Satisfaction Questionnaire (-1.4; 9.9%) and Brief Illness Perception Questionnaire (-3.4; 10.2%). There is no significant difference in other clinical outcomes, such as NIHSS, blood pressure in both groups. The results demonstrated that the program was feasible.
Co-location with:
