The Effect of a Family-centered Empowerment Model on the Quality of Life of Patients With Stroke

Abstract

Background: Stroke upsets the quality of life of the patients and their families. The participation of the family in caring for these patients is inevitable. Empowerment programs enhance patients' motivation and knowledge and improve their quality of life and self-care. This research aimed to determine the effect of a program based on the family-centered empowerment model on the quality of life of patients with stroke. Methods: This clinical trial study was performed on 100 patients with stroke in Shahid Beheshti Hospital in Kashan City, Iran. The subjects were first recruited purposefully and then were randomly divided into two groups. The experimental group received a family-centered empowerment training in 8 sessions, while the control group received no intervention. The patients in the two groups completed the stroke-specific quality of life scale before the intervention, immediately after the intervention, and one and two months after the last training session. The obtained data were analyzed using the Chi-square test, repeated measures ANOVA, and t-test in SPSS V. 19. Results: Comparison of the experimental and control groups showed that the total score of quality of life significantly changed immediately after the intervention, and one and two months later (P<0.05). Repeated measures ANOVA results reported a significant interaction between time and group in the total quality of life score and some of its dimensions (energy, family role, social role, language, mobility, self-care, upper extremity function, and work/productivity) (P≤0.05). Conclusion: This model of empowerment can improve the quality of life of patients with stroke. This model is recommended to use in the educational program of these patients.

The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke

“…This approach has been increasingly applied in the care of various acute and chronic conditions in recent years and has yielded significant results [18]. It emphasizes understanding patients' psychological and emotional states, listening to their accounts of their illnesses, jointly devising rehabilitation plans, problem-solving, and helping patients take control of their health by fostering self-determination [19,20]. Patients are encouraged to actively acquire disease-related knowledge to enhance their self-management skills.…”

The Effects of Emotional Schema Therapy and Differentiation Training on Emotional Divorce in Women

“…It is the main center for the emergence of human emotions and sincere relationships among individuals, formed following the marriage of a man and a woman. In this regard, marriage has always been approved as the most significant and supreme social tradition to meet adults' emotional and security needs (Izadi-Avanji et al 2020;Brown, Manning & Stykes 2015). Naturally, each individual begins his/her marital relationship with love and affection; intending to maintain and continue such a relationship.…”

Effect of Family Centered Empowerment Program on Self Efficacy, Depression and Quality of Life in Geriatric Patients with Ischemic Stroke: A Quasi-experimental Study

“…Stroke can affect both the patients and their families, who are unprepared to deal with the rehabilitation and disabilities caused by stroke. As a result, many individuals are unable to cope with this situation (Izadi-Avanji et al, 2020). Therefore, the main goal of management of these patients is to minimize disabilities and improve their quality of life.…”

“…Stroke patients and their families usually feel powerless and are worry about disabilities and consequences of stroke (Choliq et al, 2020). In this respect, empowerment after stroke is the best way to regain self confidence, as well as, learn and practice the skills of recovery and gradually restore physical functioning (Izadi-Avanji et al, 2020). Studies in the field of health promotion recommended the essential role of the family in the treatment of the diseases (Park et al, 2018;Qiu et al, 2018;Alhani et al, 2022), particularly elderly people (Masoudi et al, 2010).…”

“…Family centered empowerment provides opportunities for caregivers to acquire information and skills to optimally manage patients' life (Deyhoul et al, 2020). Cooperation between the patient's family and the nurse to manage the patient's problems is one of the main goals of the empowerment model (Izadi-Avanji et al, 2020). Family centered empowerment model was developed by Alhani (2003) to improve chronic diseases patients' outcomes.…”