Guidetti Susanne, Andersson Karin, Andersson Magnus, Tham Kerstin, Von Koch Lena
Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden.
Scand J Occup Ther. 2010 Dec;17(4):276-85. doi: 10.3109/11038120903281169. Epub 2010 Feb 27.
The aim of the study was to evaluate the effect of client-centred, self-care intervention (CCSCI) on (i) activities of daily living (ADL) and life satisfaction in persons with stroke, (ii) caregiver burden, use of informal care and home-help services, and (iii) the feasibility of the study design.
Randomized controlled trial, a pilot study of an intervention group (IG) receiving CCSCI or a control group (CG) receiving ordinary training.
Forty persons with stroke (IG n = 19, CG n = 21) were included: non-demented, able to follow instructions, dependent regarding self-care and referred for rehabilitation, and their significant others (IG n = 8, CG n = 8).
Data were collected at baseline and three months later using established instruments regarding ADL, life satisfaction, caregiver burden, and use of health services from medical records, the county register, and by interviews.
There were no differences in ADL, life satisfaction, caregiver burden, or use of services at three months. Both groups improved significantly and clinically important improvements were achieved by 86% in IG and 63% in CG.
The CCSCI appears promising for the recapturing of self-care after stroke and a large randomized controlled trial is warranted, in which the present design and methods with some modification will be feasible.
本研究旨在评估以患者为中心的自我护理干预（CCSCI）对以下方面的影响：（i）中风患者的日常生活活动（ADL）和生活满意度；（ii）照顾者负担、非正式护理和家庭帮助服务的使用情况；（iii）研究设计的可行性。
随机对照试验，对接受CCSCI的干预组（IG）或接受常规训练的对照组（CG）进行的一项试点研究。
纳入40名中风患者（IG组n = 19，CG组n = 21）：非痴呆患者，能够听从指令，在自我护理方面存在依赖且被转介接受康复治疗，以及他们的重要他人（IG组n = 8，CG组n = 8）。
在基线时和三个月后使用既定工具收集数据，这些工具涉及ADL、生活满意度、照顾者负担以及从医疗记录、县登记册和访谈中获取的健康服务使用情况。
三个月时，两组在ADL、生活满意度、照顾者负担或服务使用方面均无差异。两组均有显著改善，IG组86%、CG组63%实现了具有临床意义的改善。
CCSCI对于中风后恢复自我护理似乎很有前景，有必要进行一项大型随机对照试验，在该试验中，目前的设计和方法经一些修改后将是可行的。
