Azizi Azim, Khatiban Mahnaz, Mollai Zhale, Mohammadi Younes
PhD, Assistant Professor, Chronic Diseases (Home Care) Research Centre, Malayer Nursing School, Hamadan University of Medical Sciences, Hamadan, Iran.
PhD, Professor, Mother & Child Care Research Center. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105020. doi: 10.1016/j.jstrokecerebrovasdis.2020.105020. Epub 2020 Jun 16.
Brain stroke causes physical and mental disabilities, as well as dependence on one's family. In such cases, the families suffer from severe crisis and anxiety due to the unexpected incidence of the disease and unawareness of the associated consequences.
The aim of the present study was to evaluate the effectiveness of informational support on the level of anxiety in family caregivers of hemiplegic stroke patients.
This quasi-experimental study was performed on 78 family caregivers of hemiplegic stroke patients admitted to the Neurology Department of Farshchian Hospital in Hamadan, Iran, over 8 months. The subjects were selected through convenience sampling method and divided into two groups of intervention (n = 40) and control (n = 38). Intervention started from the third day of hospitalization and continued until the eleventh day. During this period, information about the ward, equipment, patient status, and care procedure at home, was provided for the intervention group individually and in groups. On the other hand, the control group only received the routine care. Anxiety level of caregivers was measured through the Spielberger scale both before and after the intervention. Data analysis was performed in SPSS software (version 16).
Based on the results, both groups were similar in terms of demographic variables (P > 0.05). Moreover, there was no significant difference between the two groups regarding the mean level of state and trait anxiety before the intervention (P > 0.05). However, after intervention, the mean level of state and trait anxiety of the intervention group showed a significant reduction in comparison to that of the control group (P < 0.05).
According to the findings, it can be concluded that informational support is effective in reducing the state and trait anxiety in family caregivers of stroke patients. Therefore, it is suggested that nurses consider informational support as an important nursing intervention during hospitalization.
脑卒中会导致身体和精神残疾,以及对家人的依赖。在这种情况下,由于疾病的意外发生以及对相关后果的不了解,患者家庭会遭受严重的危机和焦虑。
本研究旨在评估信息支持对偏瘫脑卒中患者家庭照顾者焦虑水平的有效性。
这项准实验研究对伊朗哈马丹法尔希安医院神经科收治的78名偏瘫脑卒中患者的家庭照顾者进行了为期8个月的研究。通过便利抽样法选取研究对象,分为干预组(n = 40)和对照组(n = 38)。干预从住院第三天开始,持续到第十一天。在此期间,针对干预组,以个体和小组形式提供了有关病房、设备、患者状况以及家庭护理程序的信息。另一方面,对照组仅接受常规护理。在干预前后,通过斯皮尔伯格量表测量照顾者的焦虑水平。在SPSS软件(版本16)中进行数据分析。
根据结果,两组在人口统计学变量方面相似(P > 0.05)。此外,干预前两组在状态焦虑和特质焦虑的平均水平上没有显著差异(P > 0.05)。然而,干预后,干预组的状态焦虑和特质焦虑平均水平与对照组相比有显著降低(P < 0.05)。
根据研究结果,可以得出结论,信息支持在降低脑卒中患者家庭照顾者的状态焦虑和特质焦虑方面是有效的。因此,建议护士在住院期间将信息支持视为一项重要的护理干预措施。