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Short-term pilot feasibility study of a nurse-led intervention to improve blood pressure control after stroke in Nigeria
Background: Given the paucity of neurologists in Sub-Saharan Africa (SSA), task-shifting post-stroke care to nurses could be a viable avenue for enhancing post-stroke outcomes. This pilot study assessed the feasibility and short-term impact of a nurse-led intervention to manage blood pressure (BP) c...
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2017
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/12487 | ||
| 042 | |a dc | ||
| 720 | |a Wahab K. W. |e author | ||
| 720 | |a Owolabi M. |e author | ||
| 720 | |a Akinyemi R. |e author | ||
| 720 | |a Jenkins C. |e author | ||
| 720 | |a Arulogun O. |e author | ||
| 720 | |a Akpa O. |e author | ||
| 720 | |a Gebregziabher M. |e author | ||
| 720 | |a Uvere E. |e author | ||
| 720 | |a Saulson R. |e author | ||
| 720 | |a Ovbiagele B. |e author | ||
| 260 | |c 2017 | ||
| 520 | |a Background: Given the paucity of neurologists in Sub-Saharan Africa (SSA), task-shifting post-stroke care to nurses could be a viable avenue for enhancing post-stroke outcomes. This pilot study assessed the feasibility and short-term impact of a nurse-led intervention to manage blood pressure (BP) control in recent stroke survivors in Nigeria. Methods: A randomized pilot trial allocated patients within one month of an index stroke from two participating hospitals in Nigeria to either nurse-led group clinic or standard care for 14 days. Key study endpoints were successful execution of the protocol, subject retention, and short-term BP effects. Results: There were no significant differences between the intervention (n = 17) and control (n = 18) groups at baseline. At the post-intervention clinic, patient retention rate was 100%. In the intervention group, both the systolic and diastolic BPs measured at home were lower than the clinic BPs post-interven tion (127 ± 12.88/78.13 ± 19.26 mmHg versus 137.50 ± 23.05/84.06 ± 9.67 mmHg; p = 0.05). However, there was no significant change in clinic blood pressure (BP) recordings in both the intervention and control groups. Conclusion: It is possible to initiate a nurse-led group clinic intervention to address BP management among stroke survivors in SSA with good early retention of participants. A larger and longer-term trial is being planned. | ||
| 024 | 8 | |a 1878-5883 | |
| 024 | 8 | |a ui_art_wahab_short_2017 | |
| 024 | 8 | |a Journal of the Neurological Science 377, pp. 116-120 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/12487 | |
| 653 | |a Stroke | ||
| 653 | |a blood pressure | ||
| 653 | |a task shifting | ||
| 653 | |a nurse-led group clinic | ||
| 653 | |a Sub-Saharan Africa | ||
| 245 | 0 | 0 | |a Short-term pilot feasibility study of a nurse-led intervention to improve blood pressure control after stroke in Nigeria |