The Effect of Health Education on Taiwanese Hypertensive Patients' Knowledge and Cognition of Stroke

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Abstract

Background:

Hypertension is a risk factor for stroke. Increasing patient knowledge and cognition about stroke among hypertensive patients is essential.

Aims:

To explore the effect of a health education intervention on the knowledge and cognition of stroke in hypertensive patients.

Methods:

A quasi-experimental design was used with 103 patients with hypertension. The sample was recruited from a cardiologist's outpatient office at a medical center in Kaohsiung city, southern Taiwan. Half the patients (experimental group, n = 52) received health education, whereas the others received only conventional general outpatient care (control group, n = 51). All patients underwent a pretest followed by posttests at 4 and 8 weeks after the intervention. A stroke knowledge scale and stroke cognition scale were used for data collection.

Results:

The experimental group scored significantly higher than the control group in level of knowledge and cognition of stroke.

Discussion:

This study supports that a health education CD-ROM and printed information provided in the outpatient clinical improves knowledge of and cognition of stroke among hypertensive patients.

Implications for Practice:

In outpatient clinical practice, nurses can help improve patients' knowledge and cognition of the risks of stroke by playing the health education CD-ROM and providing printed information during the patients' wait time before appointments.

Conclusions:

Further studies with a longer follow-up (6 months or 1 year) are needed to evaluate the long-term effects of health education on stroke knowledge and cognition among patients with hypertension.

Linking Evidence to Action:

An outpatient health education program using a CD-ROM and printed information for hypertensive patients can improve the patients' knowledge and cognition of stroke.

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