Tsai Su-Ju, Li Chia-Chi, Pai Hsiang-Chu
Department of Physical Medicine and Rehabilitation, Chung Shan Medical University School of Medicine, Taichung City, Taiwan.
Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Int J Nurs Pract. 2024 Oct;30(5):e13257. doi: 10.1111/ijn.13257. Epub 2024 Apr 3.
Few studies have evaluated the effectiveness of family functional care interventions among stroke caregiver dyads. This study aimed to examine the effect of a nurse-led therapeutic conversation intervention on resilience, family function, self-efficacy in managing the disease, and quality of life (QoL) in stroke family caregiver dyads.
This study aimed to examine the effect of a nurse-led therapeutic conversation intervention on resilience, family function, self-efficacy in managing the disease, and QoL in stroke-family caregiver dyads.
This study was a single-blind (evaluator) randomized controlled trial. The planned execution time was from August 2021 to December 2022, in the rehabilitation ward of a medical university hospital.
A total of 82 dyads were included in this analysis. Dyads randomized to the intervention group received nurse-led therapeutic conversations intervention one at four weeks after the patient's hospitalization for a stroke. The family caregiver dyads of stroke survivors in the control group received routine care. An effectiveness analysis that included patients' resilience, self-efficacy, and patient-family caregiver dyads' family function and QoL was conducted at one month. We used the CONSORT Checklist for reporting parallel group randomized trials in this study.
The patients in the intervention group showed improvement in resilience and self-efficacy after one month. Furthermore, the effects on resilience (Cohen's d = 0.49) and self-efficacy (Cohen's d = 0.46) were significantly higher than in the control group. Family functioning was significantly higher in patient-family caregiver dyads in the intervention group than in the control group (Cohen's d = 0.55; Cohen's d = 0.50). However, no significant difference in QoL was found between patients and caregivers in either group.
The intervention was effective in promoting family functioning and can also promote patient resilience and self-efficacy in disease management. However, the intervention did not have a significant effect on the QoL of patient-family caregiver dyads.
很少有研究评估家庭功能护理干预对中风患者照顾者二元组的有效性。本研究旨在探讨护士主导的治疗性对话干预对中风家庭照顾者二元组的心理韧性、家庭功能、疾病管理自我效能感和生活质量（QoL）的影响。
本研究旨在探讨护士主导的治疗性对话干预对中风家庭照顾者二元组的心理韧性、家庭功能、疾病管理自我效能感和生活质量的影响。
本研究为单盲（评估者）随机对照试验。计划执行时间为2021年8月至2022年12月，在一所医科大学附属医院的康复病房进行。
本分析共纳入82个二元组。随机分配到干预组的二元组在患者中风住院四周后接受一次护士主导的治疗性对话干预。对照组中风幸存者的家庭照顾者二元组接受常规护理。在一个月时进行了一项有效性分析，包括患者的心理韧性、自我效能感以及患者 - 家庭照顾者二元组的家庭功能和生活质量。本研究使用CONSORT清单报告平行组随机试验。
干预组患者在一个月后心理韧性和自我效能感有所改善。此外，对心理韧性（科恩d值 = 0.49）和自我效能感（科恩d值 = 0.46）的影响显著高于对照组。干预组患者 - 家庭照顾者二元组的家庭功能显著高于对照组（科恩d值 = 0.55；科恩d值 = 0.50）。然而，两组患者和照顾者的生活质量均未发现显著差异。
该干预在促进家庭功能方面有效，还可促进患者在疾病管理中的心理韧性和自我效能感。然而，该干预对患者 - 家庭照顾者二元组的生活质量没有显著影响。
