Conclusion : We found that interventions in which nurses had a primary role were effective on improving medical and behavioral risk factors , as well as knowledge of risk factors as part of secondary prevention of stroke
Background and purpose : Among members of the health care team , nurses play a large role in actively engaging stroke survivors in secondary stroke prevention programs .
This systematic review and meta- analysis examines the effectiveness of interventions in which nurses have a primary role on modification of risk factors among stroke survivors .
Specific antismoking advice after stroke.
INTRODUCTION Many stroke survivors would benefit from modification of their lifestyle in order to reduce their risk of recurrent stroke . We investigated if tailored smoking cessation advice would yield a higher smoking cessation rate and a higher rate with sustained abstinence in  ex-smokers in the intervention group than among controls . MATERIAL AND METHODS Patients admitted with an acute stroke or a transient ischaemic attack were included in a r and omised controlled trial focusing on control of lifestyle risk factors and hypertension . Here , we report the intervention focused on  smoking cessation .  We used multiple logistic regression analysis to identify patient characteristics associated with smoking cessation . Analyses were by intention to treat excluding those who died or suffered severe disease . RESULTS We included 254 patients with a history of smoking . Two years after inclusion , 15 of 57 ( 26 % ) baseline smokers in the intervention group had stopped smoking versus eight of 56 ( 14 % ) among controls ( p = 0.112 ) . Living with a partner ( p = 0.012 ) , having at least ten years of education ( p = 0.012 ) , and not being exposed to smoking at home ( p = 0.036 ) were independent predictors of smoking cessation . CONCLUSION We did not achieve our aim of higher smoking cessation rates in the intervention group . Future smoking cessation interventions should be more intensive , focus on patients ' social circumstances and , if possible , involve patients ' relatives . FUNDING This study was supported by the Ludvig and Sara Elsass Foundation , the Lundbeck Foundation and The Danish Heart Foundation ( Grant 07 - 4-B703-A1378 - 22384F ) . TRIAL REGISTRATION This protocol is registered with Clinical Trials.gov ( NCT 00253097 )
Conclusion : We found that interventions in which nurses had a primary role were effective on improving medical and behavioral risk factors , as well as knowledge of risk factors as part of secondary prevention of stroke
Background and purpose : Among members of the health care team , nurses play a large role in actively engaging stroke survivors in secondary stroke prevention programs .
This systematic review and meta- analysis examines the effectiveness of interventions in which nurses have a primary role on modification of risk factors among stroke survivors .