The effect of discharge training on quality of life, self-efficacy and reintegration to normal living in stroke patients and their informal caregivers: A randomized controlled trial

Abstract

Background & Objectives: This study was carried out to evaluate the effects of discharge training on quality of life and self-efficacy in stroke patients and their informal caregivers; and reintegration to normal living in patients only. Methods: In this randomized, controlled trial, 59 patients and their caregivers were randomly allocated to receive discharge with education (via a webpage or booklet) or a standard of care discharge without intervention (i.e. an additional training). The 12-Item Short-Form Health Survey (SF-12), the General Self-Efficacy Scale (GSES) were applied to patients and caregivers and the Reintegration to Normal Living Index (RNLI) were applied to patients only, before discharge and 3 months after discharge. Results: It was found that, although the quality of life improved by the trainings in the patient intervention groups, compared with the control group (p<0.05); there was no change in self-efficacy parameter (p>0.05). Both self-efficacy and quality of life of the caregivers improved or maintained by the interventions, compared with the controls (p<0.05). In general, there was no significant difference between training methods (webpage versus booklet) (p>0.05). Lastly, the impact of discharge trainings on reintegration to normal living which was assessed in the patients only, was found to be limited. Conclusion: Although discharge training improved the quality of life in both patients and informal caregivers, its effect on self-efficacy in both populations and reintegration to normal living in patients was found to be limited.

Effectiveness of self-management interventions during the peri-hospitalization period in patients with stroke: A systematic review and meta-analysis

“…[23][24][25][26][27][28][29][30] Finally, five studies were included in the quantitative analysis. 24,[27][28][29][30] Table 1 summarizes the participants' characteristics (n = 1030), and study details of the studies included such as the sample size, design, country, or the number of groups. All the articles had two groups, [23][24][25][26][27][28]30 except the manuscript of Baykal et al 29 which had four groups.…”

“…24,[27][28][29][30] Table 1 summarizes the participants' characteristics (n = 1030), and study details of the studies included such as the sample size, design, country, or the number of groups. All the articles had two groups, [23][24][25][26][27][28]30 except the manuscript of Baykal et al 29 which had four groups. The participants were aged between 55 and 69 in the self-management group and 58 and 72 in the control group.…”

“…However, all of the studies included, the treatment plan was based on the specific goals and needs of the patients. [23][24][25][26][27][28][29][30] In most of the studies, internal strategies (managing emotions, proactive orientation, etc. ), 23,[26][27][28][29][30] disease control (using medication, participation in rehabilitation, etc.…”

“…[23][24][25][26][27][28][29][30] In most of the studies, internal strategies (managing emotions, proactive orientation, etc. ), 23,[26][27][28][29][30] disease control (using medication, participation in rehabilitation, etc. ), [23][24][25][26] health behavior strategies (adopting healthy behaviors, exercising, etc.)…”

“…), [23][24][25][26] health behavior strategies (adopting healthy behaviors, exercising, etc.) 24,25,[28][29][30] and social interaction strategies (self-advocacy, social participation, etc.) 24,26,27 were considered according to the TEDDS.…”