A clinical trial of an individualised intervention programme for family caregivers of older stroke victims in Taiwan

Shyu, Yea‐Ing Lotus; Kuo, Li Min; Chen, Min Chi; Chen, Sien Tsong

doi:10.1111/j.1365-2702.2009.03124.x

Cited by 58 publications

(97 citation statements)

References 36 publications

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“…Thus, focused on clinical spheres and preparatory, prior or subsequent circumstances (terms used in the search: discharge planning; length of stay; after stroke), we can state, just like S 1 (7) , that the best health care results are obtained with more attention dedicated to the hospital-home transition process, with lower probability of re-hospitalization, despite having no direct impact on the QoL of the patient or caregiver. Moreover, S 2 (8) does not present significant differences in the five domains analyzed when comparing two replicable health care models; of these domains, only the one related to knowledge and lifestyle improved with the model, always ensuring discharge planning and follow-up.…”

Section: Discussionmentioning

confidence: 99%

Patient with stroke: hospital discharge planning, functionality and quality of life

Nunes

Queirós

2017

Rev. Bras. Enferm.

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Stroke still causes high levels of human inability and suffering, and it is one of the main causes of death in developed countries, including Portugal. Objective: analyze the strategies of hospital discharge planning for these patients, increasing the knowledge related to hospitalhome transition, discharge planning processes and the main impact on the quality of life and functionality. Method: integrative literature review using the PICOD criteria, with database research. Results: 19 articles were obtained, using several approaches and contexts. For quality of life, the factors related to the patient satisfaction with care and the psychoemotional aspects linked with functionality are the most signifi cant. Conclusion: during the hospitalization period, a careful hospital discharge planning and comprehensive care to patients and caregivers -in particular the functional and psychoemotional aspects -tend to have an impact on the quality of life of patients. Descriptors: Stroke; Quality of Life; Patient Discharge; Rehabilitation; Nursing.RESUMO O acidente vascular cerebral ainda origina elevados níveis de incapacidade e sofrimento humano, sendo das primeiras causas de morte nos países desenvolvidos, incluindo em Portugal. Objetivo: analisar as estratégias adotadas no planeamento da alta destes doentes, aprofundando o conhecimento inerente à transição hospital-domicílio, aos processos de preparação de alta assim como às principais repercussões na qualidade de vida e funcionalidade. Método: revisão integrativa de literatura, pelos critérios orientadores PICOD, com pesquisa em base de dados. Resultados: obtidos 19 artigos, com diversas abordagens e contextos. Para a qualidade de vida importa a satisfação com os cuidados recebidos e a consideração dos aspetos psico-emocionais, ligados à funcionalidade. Conclusão: no tempo de internamento, o planeamento cuidado da alta, o cuidado abrangente a doentes e cuidadores -nomeadamente aspectos funcionais e psico-emocionais -tendem a ter impacto na qualidade de vida dos doentes. Descritores: Acidente Vascular Cerebral; Qualidade de Vida; Alta do Paciente; Reabilitação; Enfermagem. RESUMENEl accidente cerebrovascular todavía lleva a elevados niveles de incapacidad y sufrimiento humano, y es una de las primeras causas de muerte en los países desarrollados, incluido Portugal. Objetivo: analizar las estrategias adoptadas en la planifi cación del alta de estos pacientes profundizando en el conocimiento inherente a la transición del hospital al domicilio, a los procesos de preparación del alta, así como a las principales repercusiones en la calidad de vida y la funcionalidad. Método: revisión integradora de la literatura por los criterios orientadores PICOD con una búsqueda en bases de datos. Resultados: se obtuvieron 19 artículos con diversos enfoques y contextos. Para la calidad de vida importa la satisfacción con los cuidados recibidos y la consideración de los aspectos psicoemocionales ligados a la funcionalidad. Conclusión: en el tiempo de internamiento, la planifi cación...

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Section: Discussionmentioning

confidence: 99%

Patient with stroke: hospital discharge planning, functionality and quality of life

Nunes

Queirós

2017

Rev. Bras. Enferm.

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“…The training program achieved its goal of caregiver preparation. [27] There were few limitations of the study, which included the fact that a relatively small number of caregivers were studied at a single institution. It limits the applicability of the findings related to our specific training program to other centers.…”

Section: Discussionmentioning

confidence: 99%

Effect of an intervention on performance regarding change of tracheostomy tube among the caregivers of the patient

Nagi

Kapoor

Kaur

et al. 2017

IJNS

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Background Majority of the stable patients after neurosurgery requiring long-term care are discharged with tracheostomy tube (TT) in situ. The caregivers need to learn the technique of change of TT at home. Aims The current study talks about the effect of an intervention on the performance regarding change of TT among the caregivers of the patients who are going to be discharged with a TT in situ. Materials and Methods The study was carried out in the Department of Neurosurgery of a tertiary care hospital. Sixty-four subjects were purposely selected. The tools used were identification data sheet and an observation checklist on the change of TT. First, the caregivers were observed during change of TT. Then, each subject was demonstrated the right technique of change of tube. Statistical Analysis and Results Majority of the subjects (89.1%) were male 70.3% were married. Age of the subject was in the range of 18-60 years, with a mean age of 30.7 ? 8.9 years. The maximum attainable performance score of the change of TT was 16. Before demonstration, only one subject had some knowledge about the change of TT. After 72 h of demonstration, the score was 12.34 ? 1.6 (77.2%). Conclusion It is recommended that the caregivers should be properly trained regarding changing the TT in order to prevent any complication while performing the procedure. The results of this study provide further strategies for other caregiver guidance programmes.

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“…In studies in which data were collected from survivors, their cognitive/language skills and ability to respond to questionnaires were not reported. 25,40,53 Many of the studies used simple bivariate statistics rather than multivariate analyses to report findings, and few reported intention-to-treat analyses. There was also emphasis placed on significance of findings, with little attention to effect sizes or clinical significance.…”

mentioning

confidence: 99%

“…Future studies should be responsive and tailored to both the needs of the care of the survivor and the unique needs of the family caregiver. 25,27,38,40,41,[44][45][46][47][48][49][50][51][52][53][54][55][56][58][59][60][61] 17 (53.1) 4 (23.5) 16 (94) Stroke survivor-caregiver dyad 26,[28][29][30][31][32][33][35][36][37]39,42,43,57,62,63 15 ( Psycho-educational 26,29,33,37,39,42,58 7 (21.9) 6 (85.7) 6 (85.7)Skill building and psycho-educational 25,27,28...…”

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confidence: 99%

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Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas¹,

Clark²,

Kelly-Hayes³

et al. 2014

Stroke

202

178

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S troke is one of the leading causes of severe, long-term disability, 1 with a majority of stroke survivors requiring the assistance of a family caregiver.2 A family caregiver is defined in this context as a relative, partner, personal friend, or neighbor who provides assistance to an adult with a chronic or disabling condition such as stroke.3 Although family members may not consider themselves caregivers, this term is commonly used in the literature to represent family or informal (unpaid) caregivers.Family caregiver stress is commonly associated with longterm institutionalization of stroke survivors, resulting in significant costs to the healthcare system. [4][5][6][7][8] Family caregiver stress can also result in other negative outcomes for both survivors and their caregivers. 7 For example, caregiver stress has been shown to interfere with rehabilitation of the survivor 7 and can result in social isolation, declining health, and increased risk of mortality for the caregivers. 9,10 Depression is especially prevalent in stroke family caregivers, 7,11,12 with some studies reporting higher depression rates in the caregivers than in the survivors for whom they provide care. 11,13 Miller and colleagues 14 made recommendations for family caregiver education and support across inpatient, outpatient, and chronic care settings based on clinical practice guidelines and existing research. These recommendations involved (1) caregivers serving as integral members of interdisciplinary teams, (2) assessment of caregiver needs and concerns, (3) follow-up contacts and referrals, (4) counseling focused on problem solving and social support, (5) provision of strokerelated information, and (6) attention to the emotional and Abstract-Stroke is a leading cause of severe, long-term disability. Most stroke survivors are cared for in the home by a family caregiver. Caregiver stress is a leading cause of stroke survivor institutionalization, which results in significant costs to the healthcare system. Stroke family caregiver and dyad intervention studies have reported a variety of outcomes. A critical analysis of 17 caregiver intervention studies and 15 caregiver/stroke survivor dyad intervention studies was conducted to provide evidence-based recommendations for the implementation and future design of stroke family caregiver and dyad interventions. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on March 26, 2014. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or ...

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A clinical trial of an individualised intervention programme for family caregivers of older stroke victims in Taiwan

Abstract: Older Chinese patients with stroke and their family caregivers can benefit from an individualised programme that prepares caregivers for patient discharge. Similar programmes may be applicable to other countries with Chinese populations.

Cited by 58 publications

References 36 publications

Patient with stroke: hospital discharge planning, functionality and quality of life

Patient with stroke: hospital discharge planning, functionality and quality of life

Effect of an intervention on performance regarding change of tracheostomy tube among the caregivers of the patient

Evidence for Stroke Family Caregiver and Dyad Interventions

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