Investigating the effects of a family-centered care program on stroke patients‘ adherence to their therapeutic regimens

Abstract

Background: Stroke survivors have residual neurological impairment, which requires long-term support and care. In this situation family involvement in care process is necessary. However, as the family caregivers of stroke survivors are not necessarily supported by the health-care professionals, and they often feel inadequately prepared to deal with the physical, cognitive and emotional needs of the stroke survivors. Aim: The aim of this study was to investigate the effects of a family-centered care program on stroke patients' adherence to their therapeutic regimens. Methods: This is a posttest-only randomized controlled trial study, conducted on stroke patients and their family care-givers. The control group (n = 30) received only routine hospital services and the experimental group (n = 30) received routine hospital services plus a family-centered care program consisting of four steps; need assessment, educating families based on patients' needs, follow-ups by short phone interviews, and referral service. The data were collected via a demographic data form and "Adherence to the therapeutic regimens" Questionnaire between July 2011 to March 2012 and lasted two months for each subject. Data were assessed and analyzed with SPSS version 18. Findings: Study findings showed that the levels of adherence to the different components of the therapeutic regimens, including rehabilitations, medications and dietary regimen are significantly higher in the experimental group compared to the control group (P value< 0.001). Conclusion: By empowering patients' families and improving their adherence to the therapeutic regimens, family-centered care programs will be able to play an important role in management of physical and mental health of stroke patients.

Medication Adherence Interventions for Cardiovascular Disease in Low- and Middle-Income Countries: A Systematic Review

“…Four studies were conducted in Africa: two in Nigeria, 19,20 one in Ghana, 21 and one in South Africa 22 Eight of the studies were conducted in the Americas: Brazil, [23][24][25][26][27] Argentina, 28 Portugal, 29 and Chile. 30 Thirty-three of the studies were conducted in Asia: Jordan, 31,32 Iran, [33][34][35][36][37][38][39][40][41] Philippines, 42 Malaysia, 43 China, [44][45][46][47][48][49][50] Taiwan, 51 India, [52][53][54][55][56][57] Vietnam, 58 Pakistan, [59][60][61] and Thailand 62,63 (Table 1). Also, 35 of the studies were randomized clinical trials and nine articles were non-randomized studies; one study was a cohort study; others were quasiexperimental and pre-post studies.…”

Profil des patients post-AVC volontaires à un programme d’éducation thérapeutique à l’activité physique : étude descriptive

“…Chez les patients post-AVC, il a été montré que le fort soutien de l'entourage favorise la récupération fonctionnelle, en particulier après le retour à domicile [29]. De plus, Nayeri et al [30] montrent qu'un suivi de soins axé autour de la famille du patient permet une meilleure adhésion aux séances de rééduca-tion, traitements, et régimes alimentaires. La motivation extrinsèque du patient, abordée dans notre étude par le soutien de l'entourage, semble donc être un facteur essentiel d'investissement dans les programmes ETP pour cette population particulière.…”

Analyse Du Concept De « clientèle Multiproblématique » Dans Le RSSS

“…Les personnes présentant de multiples problèmes de santé et de bienêtre sont confrontées à de grands défis et inégalités d'accès aux services quant à leur situation particulière (Nayeri, Mohammadi, Razi et Kazemnejad, 2014). On observe d'ailleurs que depuis plusieurs années, l'utilisation du concept « clientèle multiproblématique » a pris de l'importance dans le réseau de la santé et des services sociaux (RSSS) (Moreau et Léveillée, soumis).…”