Impact of a Nursing Educational Consultation on the Patient's Adherence to Their Post-stroke Care Plan.

Stroke is the leading cause of acquired disability in adults and represents a public health problem in terms of frequency, severity, and cost.

In France, the prevalence of stroke is estimated at 1.6%, with about 150,000 new cases each year. The risk of recurrence after a stroke remains high, nearly 6% at 1 year and 13% at 5 years. Some strokes and their recurrences are preventable through targeted prevention, particularly addressing cardiovascular risk factors.

The care pathway for a patient suffering from a stroke or TIA in a medical service includes:

* acute care in stroke units, which allows more than half of patients to return home * a post-stroke consultation, 3 to 6 months after the stroke. According to the WHO, 50% of patients with chronic illnesses poorly adhere or adhere little to their treatments. Interventions are necessary to improve adherence to drug and rehabilitation therapies. They raise awareness of the risks of relapse through a better understanding of the disease and control of risk factors. Increased efforts to enhance awareness of stroke and secondary prevention drug treatments are warranted.

In the stroke care pathway, therapeutic education is an integral part of secondary prevention. It is an essential complement to the management of patients following a stroke and should be initiated as early as possible after the acute phase, hence during the stay in the neurological intensive care unit. However, ETP programs are scarce within general hospitals. Of about twenty programs listed in Nouvelle Aquitaine, only a quarter are accessible in general hospitals. The implementation of a nursing educational consultation, at the end of the acute management of the stroke, will allow for conveying the key messages of secondary prevention.

The investigators of this research propose to study the impact of this nursing educational consultation on the patient's adherence to their post-stroke care plan.

• Description of the specfic therapeutic adherence [Срок оценки: 4 & 12 months]
• Evaluation of Patient adherence to the post-stroke care plan (1) [Срок оценки: 4 & 12 months]
• Evaluation of Patient adherence to the post-stroke care plan (2) [Срок оценки: 4 & 12 months]
• Evaluation of Patient adherence to the post-stroke care plan (3) [Срок оценки: 4 & 12 months]
• Evaluation of Patient adherence to the post-stroke care plan (4) [Срок оценки: 4 & 12 months]
• Assessment of the patient's knowledge about stroke [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (1) [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (2) [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (3) [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (4) [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (5) [Срок оценки: 4 & 12 months]
• Evaluation of secondary prevention and vascular risk factors (6) [Срок оценки: 4 & 12 months]