Format

Send to

Choose Destination
J Neurol Sci. 2017 Jun 15;377:116-120. doi: 10.1016/j.jns.2017.04.005. Epub 2017 Apr 7.

Short-term pilot feasibility study of a nurse-led intervention to improve blood pressure control after stroke in Nigeria.

Author information

1
Department of Medicine, University of Ilorin, Ilorin, Nigeria. Electronic address: wahab.kw@unilorin.edu.ng.
2
Department of Medicine, University of Ibadan, Ibadan, Nigeria.
3
Department of Nursing, Medical University of South Carolina, Charleston, USA.
4
Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria.
5
Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria.
6
Department of Public Health Sciences, Medical University of South Carolina, Charleston, USA.
7
Department of Neurology, Medical University of South Carolina, Charleston, USA.

Abstract

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 14days. 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-intervention (127±12.88/78.13±19.26mmHg versus 137.50±23.05/84.06±9.67mmHg; 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.

KEYWORDS:

Blood pressure; Nurse-led group clinic; Stroke; Sub-Saharan Africa; Task shifting

PMID:
28477678
DOI:
10.1016/j.jns.2017.04.005
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center