Effects of information and training provision in satisfaction of patients and carers in stroke rehabilitation

Abstract

BACKGROUND: Active information and training improves patient and carer knowledge of stroke and aspects of patient satisfaction, as well as reduces patient depression. OBJECTIVE: To evaluate the effect of a post-stroke information and carer training intervention provided in the rehabilitation hospital setting on patient and carers' satisfaction. METHODS: Nonrandomized, controlled trial with 241 patients consecutively admitted in a post-stroke rehabilitation unit and their carers. The first 140 underwent a standard rehabilitation program (control group) and the 131 following attended an additional class (intervention group). Satisfaction was assessed with the Satisfaction Pound Scale administered by telephone 6 months after stroke in 74 patients and 85 carers from the control group and in 76 patients and 73 carers from the intervention group. RESULTS: Over 80% of patients in both groups were satisfied with information, care and therapy during hospitalization. The amount of therapy and support at discharge were the issues that arouse greater dissatisfaction. Patient and carers' satisfaction with information, support and accessibility to rehabilitation team after hospital discharge improved after the intervention (p < 0.001). CONCLUSIONS: Systematic active information, training and community support provision for stroke patients and carers improves satisfaction with stroke rehabilitation programs and support received after hospital discharge.

Magnitude of Satisfaction and Associated Factors Among Caregivers of Children with Disabilities Towards Community-Based Rehabilitation Service in Central and North Gondar Zone, Northwest Ethiopia: A Community-Based Cross-Sectional Study

“…According to our study, the overall satisfaction of caregivers with CBR service utilized in the study area is 60.9% (95% CI 55-66%). This result is similar to the previous study conducted in Ethiopia (62.1%), 34 And, it is lower than the study done in Ethiopia (72%), 33 Spain (74.1%), 35 and Malaysia (89%). 16 In contrast it is higher than the previous study done in Ethiopia (37.4%).…”

Developing a complex intervention programme for informal caregivers of stroke survivors: The Caregivers’ Guide

“…Comparing target group specific intervention programmes, they appeared very heterogeneous regarding their timing over the stroke trajectory. Some support programmes start in the acute phase , while others start much later in the rehabilitation phases , or only address home care . Two German studies on programmes for stroke caregivers were published internationally; both addressed only the home care phase .…”

“…Two German studies on programmes for stroke caregivers were published internationally; both addressed only the home care phase . The length of the interventions also varies greatly, ranging from only 2 hours to 15 months . One programme indicated the benefit of supporting caregivers through all rehabilitation phases .…”

Intensive rehabilitation programme for patients with subacute stroke in an inpatient rehabilitation facility: describing a protocol of a prospective cohort study

“…This information and training intervention has been shown to have a positive impact on patients’ and caregivers’ satisfaction and perceived support. 36 …”

“…This information and training intervention has been shown to have a positive impact on patients' and caregivers' satisfaction and perceived support. 36 Since every patient has an assigned therapist for each discipline, this allows the establishment of therapeutical relationships and patients can express their concerns and feelings during their hospital stay. Importantly, all members of the team are trained to provide emotional support to the patient and caregivers.…”