It has been reported that stroke is the first cause of becoming bedridden, and its cumulative recurrence rate in 5 years is approximately 35%. There is a high probability that patients reduce or discontinue medications by self-determination, leading to a high risk of stroke recurrence in these patients. Comprehensive and long-term patient educations ameliorating their self-management are important making patients possible to be managed according to the guidelines for their risk factors. Using disease management programs created for each of risk factors according to clinical practice guidelines, the influence of those programs were evaluated for the prevention of stroke recurrence in this Disease Management Program Stroke Trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
321
disease management program include self management education
usual care group receive regular outpatient treatment
Hiroshima University
Hiroshima, Hiroshima, Japan
Framingham Risk Score: general cardiovascular disease 10 year risk
Use score of Framingham Risk Score: general cardiovascular disease 10 year risk
Time frame: 2.5 years
Cumulative incidence rate of stroke recurrence and the complication (cardiovascular disease)
Questionnaire to a patient, and checking it by a nurse
Time frame: 2.5 years
All-cause mortality
Questionnaire to a patient, and checking it by a nurse
Time frame: 2.5 years
body weight
Questionnaire to a patient
Time frame: 2.5 years
body mass index
Calculation of height and the weight of the patient
Time frame: 2.5 years
blood pressure
Questionnaire to a patient
Time frame: 2.5 years
cholesterol
total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride The patient mails the copy of the blood test result
Time frame: 2.5 years
serum creatinine
The patient mails the copy of the blood test result
Time frame: 2.5 years
blood urea nitrogen
The patient mails the copy of the blood test result
Time frame: 2.5 years
glycated hemoglobin (HbA1c)
The patient mails the copy of the blood test result
Time frame: 2.5 years
blood glucose
The patient mails the copy of the blood test result
Time frame: 2.5 years
prothronbin time international rate
only as for the necessary paticipant The patient mails the copy of the blood test result
Time frame: 2.5 years
Mental Depression degree
Using score of The Center for Epidemiologic Depression Scale (CES-D)
Time frame: 2.5 years
self-efficacy degree
Using score of self-efficacy scale on health behavior in patient with chronic disease
Time frame: 2.5 years
Qiality of Life (QOL) degree
Using score of MOS 36-item short form (SF-36)
Time frame: 2.5 years
Evaluated subject frequency of checking blood pressure
Questionnaire to a patient
Time frame: 2.5 years
Evaluated subject frequency of taking medicine
Questionnaire to a patient
Time frame: 2.5 years
Evaluated subject frequency of keeping the prescribed diet
Questionnaire to a patient
Time frame: 2.5 years
Evaluated subject frequency of exercising
Questionnaire to a patient
Time frame: 2.5 years
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