Implementação de um programa de autogerenciamento personalizado para controle de fatores de risco em AVC
Introduction: After the first stroke event, the chance of having a subsequent episode increases by 13%. The high rate of recurrence is linked to inadequate control of risk factors, reinforcing the importance of secondary prevention. Objective: to evaluate the effectiveness in changing risk factors a...
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| Formato: | bachelorThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/51866 |
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| Resumo: | Introduction: After the first stroke event, the chance of having a subsequent episode increases by 13%. The high rate of recurrence is linked to inadequate control of risk factors, reinforcing the importance of secondary prevention. Objective: to evaluate the effectiveness in changing risk factors after implementing the program based on self-management “Personal Stroke”. Methods: This is a non-randomized, uncontrolled, single-arm clinical trial with a convenience sample. The target audience were individuals who had a clinical diagnosis of stroke, from 18 years old, attended at the Physiotherapy clinic of FACISA/UFRN. Patients were allocated into a group and assessed using the following scales: Mini Mental State Examination, Modified Rankin Scale, Post-CVA Self-Efficacy Scale, Stroke Riskometer. The intervention lasted 4 months, with individual monthly follow-up sessions, which were reassessed at the end of the program using the Riscometer of AVC application. Results: Eight participants completed the program, the majority being male, mean age 64 years and predominance of ischemic stroke. The sample is parametrically characterized by the Shapiro-Wilk test and, regarding the effect of the intervention, the Student's t test indicated that there was no statistical difference in risk factors 5 and 10 years before and after the intervention. Final considerations: The present study showed that self-management was not enough to change risk factors. The result of this specific sample cannot be generalized, as it is a study with a convenience sample. The intervention time may not be sufficient for the expected effect. |
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