The Effect of Home Care for Stroke Patients and Education of Caregivers on the Caregiver Burden and Quality of Life

Abstract

SUMMARYThe aim of this study was to determine the effect of home care provided for stroke patients and education of caregivers on the caregiver burden and quality of life. The study was conducted by using a true experimental method with pre-test and post-test control group. The study included 43 experimental and 43 control patients and their caregivers. The Patient and Caregiver Description Form, Patient Problem Identifying Form, Caregiving Burden Scale and SF-36 Quality of Life Scale were used to collect data in the study. Nursing care was provided to the experimental group patients according to the model of daily living activities, while their caregivers received training and consultancy. In the control group, there was no such intervention. Percentage distribution, χ2, independent sample t-test, paired t-test, Mann-Whitney U test, and Wilcoxon signed-rank tests were used on statistical analyses. There was no significant difference in pre-test score means between experimental and control group caregivers. However, a statistically significant difference was found in all sub-dimensions of the quality of life scale between pre-test and post-test score means in the experimental group caregivers. This study results indicated that home care provided for stroke patients and education of caregivers decreased the caregiver burden and increased their quality of life.

Difference in Patient Quality of Life after Hip Arthroplasty with a Minimally Invasive Approach or Classic Approach

“…This questionnaire has been translated into different languages, including Croatian, and its metric characteristics are satisfactory. It is proven to be very applicable in the evaluation of the quality of life of orthopedic patients, as well as in many other scientific fields ( 15 , 16 ). SF-36 is a questionnaire used to assess general condition of subjects, which consists of 36 questions distributed in eight domains, as follows: physical functioning, limitation due to physical problems, limitations due to emotional problems, social functioning, mental health, vitality and energy, physical pain, and general health perception.…”

Práticas educativas em saúde sobre responsabilidades pelo cuidado do idoso dependente

“…Assumir tal atribuição, e, na maioria das vezes, de forma quase repentina, tem ocasionado tensão excessiva aos cuidadores. [16][17] Isto porque, cuidar de idosos não é uma tarefa fácil; esta atividade, por vezes, vai além do desejo do familiar, e circunstâncias e/ou necessidades variadas têm influenciado a decisão da assunção pelo cuidado do idoso dependente.…”

“…9 O enfermeiro, ao realizar assistência domiciliar, educação em saúde e consulta periódica aos idosos, favorece a diminuição da sobrecarga de cuidado e melhoria da qualidade de vida (QV) dos cuidadores. 17 É sabido que a prática educativa é promissora, e pode ser realizada pelos membros da equipe de saúde da ESF, como enfermeiros e ACS. Como visto neste estudo, as PES influenciaram na qualidade do cuidado ofertado ao idoso, minimizando a insegurança e sanando dúvidas dos familiares, assim como reafirmam a responsabilidade para com as ações de promoção da saúde.…”

Indicators of integrated care for patients with chronic cardiovascular disease in ambulatory care

“…[36][37][38][39] For many CVD patients, religious practices and beliefs are highly personal and noteworthy features of their disease, and provide critical management strategies. 40 Cardiovascular disease impairs mobility and limits social activities and work, thus becoming a cause of isolation for patients. The condition can lead to chronic anxiety and a depressed mood, resulting in the development or exacerbation of anxiety-depression syndrome.…”

“…[12][13][14][15] There are some studies, but they focus on clinically homogeneous populations. 40,43,44 The central role of PHC is evident in almost all integration models studied so far. 3 Given the role that PHC plays in improving the healthcare system, it is essential to identify indicators that can be used to assess the process maturity of integrated CVD care.…”