Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China

Chu, Kun; Bu, Xiaoqing; Sun, Zhenxing; Wang, Yuan; Feng, Wenqin; Xiao, Li; Fu-yan, Jiang; Tang, Xiaojun

doi:10.1016/j.jstrokecerebrovasdis.2020.105382

Cited by 15 publications

(33 citation statements)

References 13 publications

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“…This means that more than 90% will present some activity limitation which could be trained by the figure of an occupational therapist in order to pursue activity execution success and therefore reduce their dependence and improve their quality of life. These data demonstrate the importance of rehabilitation to facilitate relearning for these patients, which has been shown in previous studies to be useful in the recovery of the user in terms of functional autonomy as well as increasing the frequency of returning home and reducing the hospital stay [ 5 , 6 , 7 , 8 ]. Likewise, a caregiver-mediated program has been shown to have the potential to improve the body function, activity, and participation outcomes of people with stroke.…”

Section: Introductionsupporting

confidence: 65%

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

García-Pérez

Rodríguez-Martínez

Lara

et al. 2021

IJERPH

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Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge—the patient’s level of independence being the main focus of this research. Data will be collected on readmissions to hospitals, mortality, returns to work and returns to driving, as well as an economic health analysis. This is a prospective, randomized, controlled clinical trial. The sample size will be made up of 60 patients who suffered a stroke and were discharged from the neurology unit of a second-level hospital in west Malaga (Spain), who were then referred to the rehabilitation service by the joint decision of the neurology and rehabilitation department. The patients and caregivers assigned to the experimental group were included in an early occupational therapy intervention program and compared with a control group that receives usual care.

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Section: Introductionsupporting

confidence: 65%

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

García-Pérez

Rodríguez-Martínez

Lara

et al. 2021

IJERPH

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“…Of the 13 studies included in the review, 6 of them included the role of the occupational therapist and were conducted in Denmark, Sweden, Germany, Norway, and South Africa, highlighting the resurgent importance of occupational therapy in Northern European countries [ 42 , 43 , 44 , 45 , 46 , 47 ]. However, of the seven included studies that did not name OT, six of them were conducted in China [ 48 , 49 , 50 , 51 , 52 , 53 ] and one in Australia [ 54 ]. The year of publication of the studies varies, with 2016 the year when more studies were published (three of them), followed by 2019, 2020, and 2021, with two studies published in each of these years.…”

Section: Resultsmentioning

confidence: 99%

“…Occupational therapy in stroke involves working with the patient, the caregiver, and the family unit. All of the interventions focused on improvements in the functional ability of the person with stroke (n = 1803), whereas the caregiver was considered an important factor in patient rehabilitation in 85% of studies (the study included, for example, the psychoeducation of the caregiver with the aim of improving knowledge, skills, and confidence) [ 43 , 44 , 45 , 46 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

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Interventions within the Scope of Occupational Therapy in the Hospital Discharge Process Post-Stroke: A Systematic Review

et al. 2022

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Stroke is one of the main causes of disability in adulthood. Its rehabilitation is a complex process that requires a multidisciplinary team of specialised professionals. The main goal of this review was to determine the impact of occupational therapy intervention post-stroke on the home discharge process. A systematic search was carried out of the following databases: Pubmed, Web of Science, PsycINFO, Scopus, Otseeker, and Dialnet. A screening was performed taking into account the type of article, including exclusively RCT, and type of intervention, only including interventions within the scope of occupational therapy that take place during the process of hospital discharge post-stroke. A total of 2285 citations were identified in the search from which 13 articles met the inclusion criteria. Comparisons of the groups indicated that early occupational therapy intervention during the process of hospital discharge can be effective in terms of functional recovery and can lead to the caregiver seeing improvements in self-efficacy and fatigue. In addition, the inclusion of a caregiver in the intervention influences the patient’s adherence to treatment, leading to a reduction in the cost of treatment and rehabilitation.

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“…It is the nurses who have the most contact with families and realize what is most needed by the survivor's family in terms of care and assistance (Dreyer et al, 2016). Upon hospital discharge, nurses often support caregivers in assisting stroke survivors to continue their rehabilitation at home by providing caregiver training and follow‐up phone calls to check on the rehabilitation progress and provide problem‐solving advice (Zhou et al, 2019; Chu et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of caregiver‐mediated exercise interventions on activities of daily living, anxiety and depression post‐stroke rehabilitation: A systematic review and meta‐analysis

Choo

Jiang

Chan

et al. 2022

Journal of Advanced Nursing

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Aims: This review aims to examine updated evidence to evaluate the effectiveness of caregiver-mediated exercise interventions on basic and extended activities of daily living (ADL), anxiety and depression of post-stroke rehabilitation individuals. Design: A systematic review and meta-analysis. Data sources: Six electronic databases, including CINAHL, CENTRAL, Embase, PubMed, PsycINFO and Scopus, grey literature and trial registry were searched from inception until February 2021. Methods: Only randomized controlled trials written in English were included. Metaanalyses were conducted for basic and extended ADL, anxiety and depression outcomes using RevMan software. Overall quality of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation framework. Results: A total of 11 randomized controlled trials comprising 2120 participants were identified, with 10 trials meta-analysed. Meta-analyses indicated statistically significant effects favouring caregiver-mediated exercise interventions for basic ADL. Subgroup analyses revealed significant effects for exercise-only interventions mediated by caregivers for basic ADL. No significant effects were found for extended ADL, anxiety and depression for stroke survivors. Conclusion: Caregiver-mediated exercise interventions appear to have beneficial impacts on basic ADL for stroke survivors, suggesting caregiver-mediated exercise interventions as a potentially feasible way to improve functional independence.Impact: Caregiver-mediated intervention with exercises as a major component could be a promising approach to augment stroke rehabilitation. Future research should include high-quality studies with focus on specific intervention components or to explore caregiver outcomes.

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Feasibility of a Nurse-Trained, Family Member-Delivered Rehabilitation Model for Disabled Stroke Patients in Rural Chongqing, China

Cited by 15 publications

References 13 publications

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

Interventions within the Scope of Occupational Therapy in the Hospital Discharge Process Post-Stroke: A Systematic Review

Effectiveness of caregiver‐mediated exercise interventions on activities of daily living, anxiety and depression post‐stroke rehabilitation: A systematic review and meta‐analysis

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