Nursing Policy and Research Institute, College of Nursing, Yonsei University, Department of Nursing, Yonsei University Health System, Seoul, Korea.
Int Nurs Rev. 2012 Sep;59(3):369-75. doi: 10.1111/j.1466-7657.2011.00967.x. Epub 2012 Feb 2.
The purpose of this study was to develop effective intervention programmes that can reduce family caregiver burden as they provide care to stroke patients so that family caregivers can adapt to and deal with the new circumstances from the early stages of stroke. We also intended to verify the effectiveness of the developed programme.
This study employed a quasi-experimental design with a repeated-measures analysis. We included five hospitals specialized in stroke care in Seoul Metropolitan areas. Seventy-three patients from these hospitals agreed to participate in this study.
The score of family caregiver burden decreased by 8.07 (±18.67) in the experimental group and increased by 1.65 (±7.47) in the control group, which was a significant difference (t=2.257, P=0.027) between pre- and post-intervention. The family caregiver burden of experimental group was significantly lower than the control group (F=3.649, P=0.033).
The home-based individual tele-care intervention, in addition to the hospital-based group programme, was cost-effective and supportive in reducing family caregivers' burden by providing relevant information for their needs in timely manner.
本研究旨在制定有效的干预方案,以减轻家庭照顾者在照顾中风患者时的负担,使他们能够在中风早期适应和应对新情况。我们还旨在验证所开发方案的有效性。
本研究采用准实验设计和重复测量分析。我们纳入了首尔大都市地区专门治疗中风的五家医院。这些医院的 73 名患者同意参与本研究。
实验组家庭照顾者负担评分下降 8.07(±18.67),对照组评分增加 1.65(±7.47),干预前后差异有统计学意义(t=2.257,P=0.027)。实验组家庭照顾者负担明显低于对照组(F=3.649,P=0.033)。
除了医院为基础的小组方案外,家庭为基础的个体化远程护理干预通过及时提供满足其需求的相关信息,在减轻家庭照顾者负担方面具有成本效益和支持性。