The effect of discharge training on quality of life, self-efficacy and reintegration to normal living in stroke patients and their informal caregivers: A randomized controlled trial

Baykal D., Tulek Z.

NEUROLOGY ASIA, cilt.27, sa.1, ss.73-83, 2022 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.54029/2022wwm
  • Dergi Adı: NEUROLOGY ASIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
  • Sayfa Sayıları: ss.73-83
  • Anahtar Kelimeler: Caregivers, discharge training, quality of life, self-efficacy, stroke, HEALTH-CARE PROFESSIONALS, FAMILY CAREGIVER, SURVIVORS, INTERVENTIONS, GUIDELINES, EDUCATION, BURDEN, UPDATE
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır

Özet

Background & Objectives: This study was carried out to evaluate the effects of discharge training on quality of life and self-efficacy in stroke patients and their informal caregivers; and reintegration to normal living in patients only. Methods: In this randomized, controlled trial, 59 patients and their caregivers were randomly allocated to receive discharge with education (via a webpage or booklet) or a standard of care discharge without intervention (i.e. an additional training). The 12-Item Short-Form Health Survey (SF-12), the General Self-Efficacy Scale (GSES) were applied to patients and caregivers and the Reintegration to Normal Living Index (RNLI) were applied to patients only, before discharge and 3 months after discharge. Results: It was found that, although the quality of life improved by the trainings in the patient intervention groups, compared with the control group (p<0.05); there was no change in self-efficacy parameter (p>0.05). Both self-efficacy and quality of life of the caregivers improved or maintained by the interventions, compared with the controls (p<0.05). In general, there was no significant difference between training methods (webpage versus booklet) (p>0.05). Lastly, the impact of discharge trainings on reintegration to normal living which was assessed in the patients only, was found to be limited. Conclusion: Although discharge training improved the quality of life in both patients and informal caregivers, its effect on self-efficacy in both populations and reintegration to normal living in patients was found to be limited.