Research Service, North Florida/South Georgia Veterans Health System, Gainesville, FL, USA.
Department of Anthropology, College of Liberal Arts and Sciences, University of Florida, Gainesville, FL, USA.
Clin Rehabil. 2023 Aug;37(8):1062-1073. doi: 10.1177/02692155231157301. Epub 2023 Feb 27.
To test for effects of a problem-solving intervention for stroke caregivers on stroke survivor activities of daily living.
Two-arm parallel randomized clinical trial with repeated measures at 11 weeks and 19 weeks.
Medical centers for US military Veterans.
Caregivers of stroke survivors.
A registered nurse guided caregivers in using problem-solving strategies emphasizing creative thinking, optimism, planning, and expert information to address challenges associated with caregiving. Caregivers in the intervention completed one telephone orientation session followed by eight online, asynchronous messaging center sessions. The messaging center sessions involved (a) education on the Resources and Education for Stroke Caregivers' Understanding and Empowerment website (https://www.stroke.cindrr.research.va.gov/en/), (b) supportive communication between the nurse and caregiver, (c) nurse and caregiver interactions to improve problem-solving, and (d) maintain adherence to discharge planning instructions.
The Barthel Index was used to measure activities of daily living.
174 participants (standard care = 88, intervention = 86) were enrolled at baseline. There were no significant differences between groups at baseline. Change scores in activities of daily living between baseline and 11 weeks were significantly higher in the intervention group than the standard care group (group difference = 6.43, 95% confidence interval: 1.28, 11.58). Group differences in change scores between baseline and 19 weeks were not statistically significant (group difference = 3.89, 95% confidence interval: -3.58, 11.36).
This web-based caregiver intervention improved stroke survivor activities of daily living by 11 weeks, but intervention effects were undetectable after 19 weeks.
检验针对卒中照护者的问题解决干预对卒中幸存者日常生活活动能力的影响。
双臂平行随机临床试验，11 周和 19 周时进行重复测量。
美国退伍军人医疗中心。
卒中幸存者的照护者。
注册护士指导照护者使用问题解决策略，强调创造性思维、乐观、计划和专业信息，以应对照护相关的挑战。干预组的照护者完成一次电话定向会议，然后参加 8 次在线异步消息中心会议。消息中心会议包括：(a) 在 Resources and Education for Stroke Caregivers' Understanding and Empowerment 网站（https://www.stroke.cindrr.research.va.gov/en/）上提供教育，(b) 护士与照护者之间的支持性沟通，(c) 护士与照护者互动以提高问题解决能力，以及 (d) 保持对出院计划指令的遵守。
采用 Barthel 指数评估日常生活活动能力。
174 名参与者（标准护理组 = 88 人，干预组 = 86 人）在基线时入组。两组在基线时无显著差异。干预组与标准护理组相比，日常生活活动能力的变化评分在基线至 11 周时显著更高（组间差异 = 6.43，95%置信区间：1.28，11.58）。两组在基线至 19 周时的变化评分差异无统计学意义（组间差异 = 3.89，95%置信区间：-3.58，11.36）。
该基于网络的照护者干预措施在 11 周时提高了卒中幸存者的日常生活活动能力，但在 19 周时干预效果无法检测到。
