Effect of Informational Support on Anxiety in Family Caregivers of Patients with Hemiplegic Stroke

Azizi, Azim; Khatiban, Mahnaz; Mollai, Zhale; Mohammadi, Younes

doi:10.1016/j.jstrokecerebrovasdis.2020.105020

Cited by 6 publications

(11 citation statements)

References 29 publications

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“…According to statistics, the incidence of stroke in China is 120180/100000 and about 2 million new cases occur every year, of which about 80% are left with motor dysfunction of the lower extremities. Patients often show abnormal walking gait in the early stage of the disease [ 22 ]. Moreover, due to the decrease of muscle strength and muscle tension of the affected lower limbs, the active control ability of the patients is weakened, which seriously affects the motor function of the patients and leads to the decline of self-care ability.…”

Section: Discussionmentioning

confidence: 99%

Effects of Acupuncture Combined with Biofeedback Therapy on Limb Motor Rehabilitation in Patients with Acute Stroke: Systematic Review and Meta-Analysis

Song

Yan

Liu

et al. 2022

BioMed Research International

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Objective. The purpose of the systematic review is to verify the effect of biofeedback therapy on limb motor rehabilitation in patients with acute stroke and to provide evidence-based medicine for the promotion and use of biofeedback therapy. Methods. The randomized controlled trials (RCT) of biofeedback therapy in the treatment of cerebral palsy were searched in PubMed, EMBASE, ScienceDirect, Cochrane Library, China National Knowledge Infrastructure (CNKI), China VIP Database, Wanfang Database, and Chinese Biomedical Literature Database (CBM). The starting time and ending time of this study are from the time of building the database of the number of pieces to October 31, 2018. The data included in this study were extracted by two independent researchers and evaluated the bias risk of all the literature included in the study according to the Cochrane manual 5.1.0 criteria. RevMan5.4 statistical software was used to analyze the collected data by meta. Results. This systematic review included 9 RCT studies with a total of 1410 patients. The results of meta-analysis showed that there were significant differences in the improvement of lower limb muscle tension, comprehensive spasm scale score, EMG score, and passive range of motion of ankle joint between biofeedback therapy and routine rehabilitation therapy. Conclusion. Biofeedback therapy can improve lower limb muscle tension, spasticity, EMG integral value, and passive range of motion of ankle joint in children with cerebral palsy and provide better conditions for improving the motor ability of lower extremities in children with cerebral palsy. However, more studies and follow-up with higher methodological quality and longer intervention time are needed to further verify.

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Section: Discussionmentioning

confidence: 99%

Effects of Acupuncture Combined with Biofeedback Therapy on Limb Motor Rehabilitation in Patients with Acute Stroke: Systematic Review and Meta-Analysis

Song

Yan

Liu

et al. 2022

BioMed Research International

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“…Data from the Canadian Resident Assessment Instrument-Homecare indicates that caregiver anxiety begins to rise dramatically once weekly care hours increase beyond 20 h per week [ 23 , 59 ]. Prolonged anxiety is associated with increased disability, reduced quality of life, cognitive impairment, and premature mortality [ 25 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prolonged low-level anxiety reduces concentration and increases fatigue and psychological confusion [ 30 ]. Thus, ongoing anxiety is a risk factor for increased disability, reduced quality of life, cognitive impairment, and premature mortality [ 25 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ]. Recent meta-analyses estimated the pooled anxiety prevalence (pre-COVID-19) at 32.1% for family caregivers of people living with dementia [ 37 ], while Health Quality Ontario [ 17 ] reported considerably higher rates of distress for those caring for people with moderate to severe cognitive impairments (54.5%), extensive assistance with or dependent in some activities of daily living (48.7%), and complex chronic health needs/instability (56.1%).…”

Section: Introductionmentioning

confidence: 99%

A Tale of Two Solitudes: Loneliness and Anxiety of Family Caregivers Caring in Community Homes and Congregate Care

Anderson

Parmar

Dobbs

et al. 2021

IJERPH

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We surveyed 604 family caregivers residing in the province of Alberta to better understand the impact of the COVID-19 pandemic on anxiety, loneliness, and care work. We assessed anxiety with the Six-Item State Anxiety Scale and loneliness with the DeJong-Gierveld Loneliness Scale. The COVID-19 pandemic created two contexts giving rise to feelings of solitude for family caregivers. Family caregivers of Albertans living in private community homes were overwhelmed with caregiving needs while those caring for Albertans living in congregate settings were restricted from caregiving. The results indicated that before the COVID-19 pandemic, 31.7% of family caregivers were anxious and 53.5% were lonely. The proportions of those who were anxious rose to 78.8% and lonely to 85.9% during the pandemic. The qualitative responses of family caregivers connected being overwhelmed with care work either in community homes or as the designated essential caregiver in congregate living settings, as well as being unable to care in congregate care settings, with anxiety and loneliness. The caregivers reporting improvements in their health and relationships with care-receivers credited spending time with the receiver doing pleasant activities together, rather than purely performing onerous care tasks. Policymakers need to consider organizing health and community services to ensure family caregivers are not overwhelmed with care tasks or excluded from caring in congregate care.

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“…The care burden of stroke patients was significantly related to economic health, marital status, number of children, hours of care, days of care, and the relationship between the caregiver and patients, while the quality of life had a significant relationship with health status. Another study conducted by Azizi et al (2020) focused more on the effectiveness of informational support on the level of anxiety in caregiver stroke patients. The intervention found that the caregiver anxiety level of stroke patients significantly decreased.…”

Section: Resultsmentioning

confidence: 99%

“…Sufficient knowledge and skills can reduce the burden on caregivers in caring for stroke patients. According to Azizi et al (2020), one of the effects of stroke for the caregivers is anxiety in providing care for post-stroke patients. Post-stroke patient care frequently causes anxiety to the stroke caregiver as the incident occurs suddenly and unexpectedly.…”

Section: Education Interventions Increase the Knowledge And Skills Of...mentioning

confidence: 99%

The Effectiveness of Post-Stroke Patient Care Education Intervention in Stroke Caregivers: A Literature Review

Rumiati

Kariasa

Waluyo

2021

IJNP

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Background: Educational interventions about stroke have been carried out by the health workers, one of which is by the nurse. However, the majority of the interventions focus more on the stroke patients than the stroke caregivers. Meanwhile, post-stroke patient care education interventions are urgently needed by the caregivers. Therefore, the author intends to review current literature about post-stroke patient care education interventions on stroke caregivers. Objective: This literature review aims to identify the effectiveness, methods, and impacts of daily care educational interventions for post-stroke patients on stroke caregivers. Methods: The method utilized was by analyzing online databases about the related topics from reputable sources. Seven articles that met the inclusions criteria considering Randomized Controlled Trial (RCT) and Quasi-experimental design, time of publication, and English full text were obtained, and the results were presented. Result: Educational intervention could be carried out by several methods, including direct education at the patient's bedside, lectures followed by questions and answers, and booklets, home visits or telephone follow-up. Educational interventions could improve caregiver knowledge and skills in providing daily care for post-stroke patients, reduce burdens, reduce anxiety and improve the caregiver's quality of life. Educational interventions also positively impacted post-stroke patients, including improving the quality of life, functional abilities and the ability to do daily activities (ADL), reducing cognitive impairment, anxiety, and depression.Conclusion: Daily care education interventions for post-stroke patients can reduce the burden on the caregiver, either physical, psychological or social burdens.

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Effect of Informational Support on Anxiety in Family Caregivers of Patients with Hemiplegic Stroke

Cited by 6 publications

References 29 publications

Effects of Acupuncture Combined with Biofeedback Therapy on Limb Motor Rehabilitation in Patients with Acute Stroke: Systematic Review and Meta-Analysis

Effects of Acupuncture Combined with Biofeedback Therapy on Limb Motor Rehabilitation in Patients with Acute Stroke: Systematic Review and Meta-Analysis

A Tale of Two Solitudes: Loneliness and Anxiety of Family Caregivers Caring in Community Homes and Congregate Care

The Effectiveness of Post-Stroke Patient Care Education Intervention in Stroke Caregivers: A Literature Review

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