The effect of home-based stroke rehabilitation on quality of life of stroke survivors and their family caregiver's strain

Document Type: Original Quantitative and Qualitative Research Paper

Authors

Abstract

Background: Rehabilitation is a main part of stroke treatment. Stroke causes reduced quality of life (QOL) among stroke survivors and significant strain on Caregivers.However, family role on the rehabilitation team andprogram should present on family-based.
Aim: The effect of home-based stroke rehabilitation on quality of life of stroke survivors and their family caregiver strain.
Method: This study was Quasi- Experimental Research. The target populations were all ischemic stroke patients who were admitted to Dr.Shariaati Hospital and their caregiver. Convenience sampling was used in which 30 patients and their caregivers who had entrance criteria were selected; and data were collected based on the demographic characteristic, Stroke specific quality of life scale (SS-QOL) and Caregiver Strain Index (CSI) instruments. The participants received stroke rehabilitation program from hospitalization to 8weeks after discharging from hospital at their home. The study consisted 3 sessions of face to face patient and their family caregiver education in 3 continues day after intensive period of the stroke event. The CSI and SS-QOL were assessed before and after the intervention. The paired t-test, Bunferoni and variance analysis were used for data analyzez.
Results: The mean score for CSI befor intervention was 33/3±15/5 and after intervention was 24/6± 11/1 (p

Keywords


  1.  Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Medical Surgical Nursing. Philadelphia, Lippincott Williams and Wilkins, USA, 2007
  2. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Medical Surgical Nursing. Translated: Moshtagh Z. 1390
  3. Dalvandi A, Heikkila K, Maddah SS, Khankeh HR, Ekman SL. Life Experiences after Stroke among Iranian Stroke Survivors. Int Nurs Rev. 2010; 57(2): 247-53
  4. Mathers CD. Uncertainty and Data Availability for the Global Burden of Disease Estimate 2002. Evidence and Information for Policy Working Paper. 2005. Geneva, World Health organization
  5. Mitchell E, Moore K. Stroke: Holistic Care and Management. Nurs Stand.  2004; 33(18):43-52
  6. Ones k, Yilmaz E, Cetinkaya B, Caglar N .Quality of Life for Patients Post Stroke and the Factors Affecting It. J Stroke Cerebrovasc Dis. 2005 ;14(6): 261-6
  7. Barbotte E, etal. Prevalence of Iimpairment, Disabilities and Handicaps. Bulletin of W.H.O. 2001; 79(11): 1047-54
  8. Heidarzadeh M, Ghahremanian A, Hagigat A, Yoosefi E. Relationship between Quality of Life and Social Support in Stroke. Patients Iran Journal of Nursing (IJN). 2009; 22(59):23-32
  9. Ezzati J, Karimi Rahjerdi H, Nikravan Mofrad M, Alavi Majd H. Quality of Life in Stroke Patients at Hospital Affiliated to Qom University of Medical Sciences. Journal of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences and Health Services. 2008;16(59):33-7 (Persian)
  10. Rosemarie E.R, Ena L.H, WallyJ.B. Caregiver Strain and Caregiver Burden of Primary Caregiver of Stroke Survivors with and without Aphasia. Rehabilitation Nursing. 2006; 31(5):199-209
  11. Ski C, O’Connell B. Stroke: The Increasing Complexity of CarerNeeds. J Neurosci Nurs. 2007; 39 (3): 172 – 9
  12. Bugge C, Alexander H, Hagen, Suzanne C. Stroke Patients' Informal Caregivers: Patient, Caregiver, and Service Factors that Affect Caregiver Strain. Stroke. 1999; 30(8): 1517-23
  13. Sullivan T.Caregiver Strain Iindex. J Gerontol Nurs. 2002; 28(8):4-7
  14. Smith LN, Lawrence M, Kerr SM, Langhorne P, Lees KR. Informal Caregivers’ Experiences of Caring for Stroke Survivors. J Adv Nurs. 2004; 46(3): 235 –44.
  15. Kalra L, Evans A, Perez L, Melbourn A, Patel A, Knapp M, Donaldson N.Training Carers of Stroke Patients: Randomised Controlled Trial. BMJ, 2004; 328:1-5
  16.   Alavi S. The Effect of Home Care on Complication Resulting from Immobility in Musculoskeletal System of Patients with Stroke Stayed at Home. (Thesis MSc).University of Social Welfare and Rehabilitation. 1384
  17. Derstine J, Drayton H. Comprehensive Rehabilitation Nursing.London: W.B sounders Co; 2001; 70
  18. Nurian K, Kazemian A, Aslani U, Delaram M. Effectiveness of Rehabilitation Programme on Quality of Life of Stroke Survivors. Zanjan Medical University. 1384; 13(50): 22-7(Persian)
  19. Mudzi W. Impact of Caregiver Education on Stroke Survivors and Their Caregiver. Johannesburg, University of the Witwatersrand. 2010
  20. Mohammadi SH.F. Theoretical Bases of Rehabilitation Nursing.Tehran: Social Welfare & Rehabilitation Science. 1390
  21. Sullivan MT. Caregiver Strain Index. Best Practice in Nursing Care to Older Adult: From Hartford Institutes for Geriatric nursing. 2007
  22. Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a Stroke-Specifc Quality ofLife Scale. Stroke. 1999; 30(7):1362-9
  23. Hui-Chan CWY, et al. Effectiveness of a Home-Based Rehabilitation Program on Lower Limb Functions after Stroke Hong Kong.  Med J. 2009; 15(3): 4
  24. Jokar Z, Mohammadi F, Khankeh H.R, Fallah Tafti S. Effect of Home-based Pulmonary Rehabilitation on Fatigue in Patients with COPD.HAYAT.2012; 18(5) : 64-72
  25. Hassan S. The Impact of Stroke on the Primary Caregivers of Patients. 2009; Online; Avalible at:www.google.com.scholar.sun.ac.za/bitstream/handle/10019
  26. Rassafiani M. Are Explanatory Randomized Controlled Trials Feasible in Rehabilitation? Int J Ther Rehabil. 2008; 15(11): 1-3