The impact of home care based on the Continuous Care Model by family caregivers on activities of daily living of stroke patients
Advances in Nursing & Midwifery,
Vol. 27 No. 1 (2018),
3 April 2018
,
Page 39-52
Abstract
Abstract
Background and Aim:
Interventions to support stroke care givers by providing education and Training in skills essential
for the day to day management of disabled stroke survivors have shown a little impact in reducing
the burden of care but there are many recommended to use a more effective skill. We evaluated the
effectiveness of caregiver training by Continuous Care Model to increasing patient’s functional
squeal and improving patient and caregiver outcomes.
Materials and Methods:
This research was a quazi-experimental study. A total number of 90 cases were equally divided into
two groups. Continuous Care Model training was applied to the caregiver in the experimental group
until ten weeks after discharge. In the same time, the control group was treated based on routine
protocol. Main outcome was measured for patients, by Functional Independence Measure, which
measures patient’s functional status. Recovery was quantified by the changes in the Functional
Independence Measure total scores. Caregiver demographic and care home checklist for Caregiver,
was completed by the researcher too.
Finding:
Although Wilcoxon test showed significant differences in the mean scores of Functional
Independence Measure (p<0/001) in each group, We used the Mann-Whitney test to compare
differences in mean of changes Functional Independence Measure between two groups after
intervention and it showed changes in experimental group (P<0/001) was more than control group.
Conclusion:
Training care givers by Continuous Care Model can improve functional recovery, and activities of
daily living of stroke patients.
Keywords:
Home care; Caregivers, Activities of Daily Living; Stroke; Patients
- Home care
- Caregivers
- Activities of Daily Living
- Stroke
- Patients
How to Cite
References
- Addington-Hall J, Lay M, Altmann D and McCarthy M (1998) Community care for stroke
patients in the last year of life: results of a national retrospective survey of surviving family,
friends and officials. Health & Social Care in the Community. 6 (2) 112-9.
- Ahmadi F (2000). [Designing and evaluation of continuous care model in control of coronary
artery disease] Tehran: Tarbiat Modares University. (Persian)
- Allison R, Shelling L, Dennett R, Ayers T, Evans P H and Campbell J L (2011) The effectiveness
of various models of primary care-based follow-up after stroke: a systematic review. Primary
health care research & development. 12 (03) 214-22.
- Brunner L S, Suddarth D S, Smeltzer S C O C and Bare B G (2010) Brunner & Suddarth's
textbook of medical-surgical nursing. 12th edition. Philadelphia ; London, Lippincott Williams
& Wilkins.
- Dai Y T, Chang Y, Hsieh C Y and Tai T Y (2003) Effectiveness of a pilot project of discharge
planning in Taiwan. Research in Nursing & Health. 26 (1) 53-63.
- Evans R L, Hendricks R D, Haselkorn J K, Bishop D S and Baldwin D (1992) The family's role in
stroke rehabilitation. A review of the literature. American Journal of Physical Medicine &
Rehabilitation. 71 (3) 135-9.
‐ Galvin R, Murphy B, Cusack T and Stokes E (2008) The impact of increased duration of exercise therapy on
functional recovery following stroke‐‐what is the evidence? Top Stroke Rehabil. 15 (4) 365‐77.
- Ghanbari A, Yekta Z, Faghihzade S and Hashemi M (2004) [Application of path analysis in
identifying factors affecting quality of life and metabolic status of diabetic patients]. Medical
Daneshvar. 11 (51) 65-74. (Persian)
- Ghavami H, Ahmadi F, Entezami H and Meamarian R (2006) [The Effect of Continuous Care
Model on Diabetic Patients’ Blood Pressure]. Iranian Journal of Medical Education. 6 (2) 87-95.
(Persian)
- Johnson J and Pearson V (2000) The effects of a structured education course on stroke survivors
living in the community. Rehabilitation nursing. 25 (2) 59-65.
- Joolaee S, Hajibabaee F, Jafar Jalal E and Bahrani N (2011) [Assessment of Patient Satisfaction
from Nursing Care in Hospitals of Iran University of Medical Sciences]. Hayat. 7 (1) 35-44.
(Persian)
- Kalra L, Evans A, Perez I, Melbourn A, Patel A, Knapp M and Donaldson N (2004) Training
carers of stroke patients: randomised controlled trial. BMJ. 328 (7448) 1099.
- Kelly-Hayes M, Beiser A, Kase C S, Scaramucci A, D'Agostino R B and Wolf P A (2003) The
influence of gender and age on disability following ischemic stroke: the Framingham study.
Journal of Stroke and Cerebrovascular Diseases. 12 (3) 119-26.
- Mayo N E, Nadeau L, Ahmed S, White C, Grad R, Huang A, Yaffe M J and Wood-Dauphinee S
(2008) Bridging the gap: the effectiveness of teaming a stroke coordinator with patient's personal
physician on the outcome of stroke. Age and Ageing. 37 (1) 32-8.
- Mehdizadeh S (2008). [Review the application of continuous care model on the quality of life in
patients with chemical injuries obstructive bronchiolitis] Tehran: Baqiyatallah University of
Medical Sciences. (Persian)
- Neufeld A and Harrison M (2009) Nursing and Family Caregiving: Social Support and
Nonsupport. 1st. Newyork, Springer Publishing Company.
- Rodgers H, Atkinson C, Bond S, Suddes M, Dobson R and Curless R (1999) Randomized
controlled trial of a comprehensive stroke education program for patients and caregivers. Stroke.
(12) 2585-91.
- Sadeghi Sherme M, Alavi Zerang F, Ahmadi F, Karimi Zarchi A, Babatabar H D and A. E (2009)
[Effect of applying continuous care model on quality of life in heart failure patients]. Journal of
Behavioral Sciences. 3 (1) 3-4. (Persian)
- Taylor C C, Lillis C and LeMone P (2008) Fundamentals of nursing : the art and science of
nursing care. 5th. Philadelphia, Pa. ; London, Lippincott Williams & Wilkins.
- Williams J, Perry L and Watkins C (2010) Acute stroke nursing. Chichester, Wiley-Blackwell.
- Yaghmaie F (2007) [Measuring Behavior in Research by Valid and Reliable Instruments]. Tehran,
Shaheed Beheshti University of Medical Sciences and Health Services. (Persian)
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