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巴西南部老年脑卒中幸存者照顾者的生活质量:一项随机临床试验。

Quality of life in caregivers of aged stroke survivors in southern Brazil: Arandomized clinical trial.

机构信息

Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

University of Alberta, Faculty of Nursing, Edmonton, AB, Canada.

出版信息

Rev Lat Am Enfermagem. 2023 Jan-Dec;31:e3657. doi: 10.1590/1518-8345.5935.3657.

Abstract

OBJECTIVE

to evaluate the effect of nursing home care interventions on the quality of life in family caregivers of aged stroke survivors.

METHOD

a Randomized Clinical Trial, blinded for outcome evaluation. Forty-eighty family caregivers of aged stroke survivors participated in the study. The Intervention Group received three home visits by nurses one month after hospital discharge to provide stroke-related education (i.e., how to access health services and perform care activities) and emotional support. The Control Group received the usual guidance from the health services. Quality of life was assessed using the World Health Organization Quality of Life Assessment (WHOQOL-BREF) instrument and the Old Module(WHOQOL-OLD) 1 week, 2 months, and 1 year after discharge.

RESULTS

the caregivers were mainly women, children, or spouses. The caregivers in the Intervention Group and Control Group did not significantly differ in terms of their Overall Quality of Life at baseline. There was no interaction effect between group allocation and Overall Quality of Life(p=0.625) over time. However, there was an interaction effect for Social Relations(p=0.019) and Autonomy (p=0.004).

CONCLUSION

the intervention exerted a statistically significant effect on the quality of life of family caregivers with respect to social relationships and autonomy.

TRIAL REGISTRATION

NCT02807012.

摘要

目的

评价养老院护理干预对老年卒中幸存者家庭照顾者生活质量的影响。

方法

一项随机临床试验,对结果评估进行盲法处理。48 名老年卒中幸存者的家庭照顾者参与了这项研究。干预组在出院后一个月内接受护士的三次家访,提供与卒中相关的教育(即如何获得卫生服务和进行护理活动)和情感支持。对照组接受卫生服务的常规指导。使用世界卫生组织生活质量评估量表(WHOQOL-BREF)和旧模块(WHOQOL-OLD)在出院后 1 周、2 个月和 1 年评估生活质量。

结果

照顾者主要是女性、子女或配偶。干预组和对照组在基线时的总体生活质量方面没有显著差异。组间分配与总体生活质量之间没有交互作用(p=0.625)。然而,社会关系(p=0.019)和自主性(p=0.004)存在交互作用。

结论

该干预对家庭照顾者的生活质量在社会关系和自主性方面具有统计学意义。

试验注册

NCT02807012。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0235/9886075/ed964d95aaa6/1518-8345-rlae-31-e3657-gf1.jpg

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