Effects of Chronic Care Model‐based interventions on self‐management, quality of life and patient satisfaction in patients with ischemic stroke: A single‐blinded randomized controlled trial

Abstract

Aim: This study was designed to evaluate the effect of Chronic Care Model (CCM)-based interventions on primary outcomes (self-efficacy, quality of life/ QoL, patient satisfaction) and secondary outcomes (activities of daily living/ ADL, metabolic control variables, stroke knowledge level, healthy eating habits, physical activity, taking regular medication, measuring blood pressure regularly, living in harmony with the disease, outcomes regarding telephone interviews) in patients with ischemic stroke. Method:The intervention group (IG) received a 12-week StrokeCARE intervention protocol based on the four components of the CCM. The control group (CG) received only routine patient care. Changes between scores at two time points regarding self-efficacy, QoL, ADL, and metabolic control variables were calculated for each group, and then the mean changes were compared between the two groups.Results: The mean ages of the patients were 55.9 ± 11.44 and 58.9 ± 13.82 years (respectively IG; CG), and 64.7% of the patients were male in both groups. Most patients had other chronic diseases accompanying ischemic stroke. No significant differences were found between the two groups with respect to self-efficacy and QoL. Patient satisfaction was significantly higher in the IG. Positive feedback percentages of the patients in the IG regarding stroke knowledge level and consuming whole-grain food at the end of the 12 weeks increased significantly. This protocol had no significant effects on the secondary outcomes. Conclusion: The CCM-based interventions may increase the satisfaction level of the patients and help to raise awareness of the risk of a secondary stroke. More studies are needed to examine the effects of these interventions (ClinicalTrials.gov-Identifier Number:NCT04161820).

A WeChat-based caregiver education program improves satisfaction of stroke patients and caregivers, also alleviates poststroke cognitive impairment and depression: A randomized, controlled study

“…[10] Meanwhile, another recent study discloses that Chronic Care Model-based interventions improve satisfaction in stroke patients. [23] Our results were consistent with this finding that the WBCE program increased caregivers' satisfaction and enhanced ischemic patients' satisfaction, possibly because (1) communicating with trained nurses in time could solve the problems quickly that often occurred in the poststroke period. (2) caregivers could access specialists for consulting at home, rather than having to travel to the hospital, which obviously reduced time costs for caregivers and thus improved satisfaction of patients and caregivers.…”

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

“…After removing duplicates, 7029 titles were screened, of which eight articles were included in the systematic review. [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.…”

“…[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.…”

Improving Management of Non-communicable Chronic Diseases in Primary Healthcare Centres in The Saudi Health Care System

“…Several studies have addressed the satisfaction of patients with NCDs with their treatment with the ultimate goal of improving the quality of delivered care. 30 , 47 …”

“…Several studies have addressed the satisfaction of patients with NCDs with their treatment with the ultimate goal of improving the quality of delivered care. 30,47 It is important to understand the socioeconomic factors that impact a patient's assessment of care when evaluating findings based on the PACIC. A Cochrane review 48 reported that studies of strategies to improve health outcomes in patients with co-morbidities in primary care frequently failed to adequately consider the impact of socio-economic factors.…”