Nazari Amir Mohamad, Abbaszadeh Abbas, Kazemi Rouzbeh, Yousofvand Vahid, Zandi Mitra
Medical-Surgical Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Dec 30;23(1):958. doi: 10.1186/s12912-024-02629-x.
Stroke is considered one of the leading causes of both mortality and morbidity on a global scale. The significant impact on the health and quality of life of stroke survivors and their caregivers is well-acknowledged due to the stressful consequences of dependency and the need for home care. This study aims to examine the impact of online training utilizing a stroke educational program on the patient's quality of life and their caregivers' care burden.
From March to August 2024, a randomized, controlled trial was conducted. In this study, a total of 60 dyads consisting of stroke patients and their caregivers participated. Participants were selected by convenient sampling method and then randomly allocated into intervention and control groups using research randomizer software. The participants in the intervention group received the educational content through the WhatsApp application during a series of fifteen sessions, each lasting between 45 and 60 min. The control group was given standard hospital education. The data collection and analysis process entailed the utilization of questionnaires, which encompassed demographics, the Stroke Specific Quality of Life Scale (SS-QOL), and the Zarit burden of care questionnaires.
In the intervention group, the average age of patients and caregivers was 60.23 ± 12.41 and 51.56 ± 10.42, respectively, while in the control group, it was 61.73 ± 12.61 and 53.60 ± 9.03, respectively. The intervention group demonstrated a statistically significant difference in the mean score of patient's quality of life, comparing the baseline with the post-intervention periods (134.73 ± 33.51 vs. 90.56 ± 6.51 and 130.46 ± 30.67 vs. 90.56 ± 6.51; p < 0.05). Furthermore, a statistically significant difference in the mean score of caregiver's care burden was noted between the baseline and post-intervention periods (80.23 ± 7.99 vs. 65.43 ± 16.52 and 80.23 ± 7.99 vs. 60.53 ± 21.34; p < 0.05).
The implementation of an online training program focused on stroke education, resulted in an improvement in the quality of life for stroke patients, as well as a reduction in the care burden for their caregivers. As a result, it is essential to provide education to patients and their caregivers to improve patient care and minimize stroke complications.
IRCT20240609062065N1, 2024/08/31.
中风被认为是全球范围内导致死亡和发病的主要原因之一。由于依赖带来的压力后果以及家庭护理的需求，中风幸存者及其护理人员的健康和生活质量受到的重大影响已得到广泛认可。本研究旨在探讨利用中风教育项目进行在线培训对患者生活质量及其护理人员护理负担的影响。
2024年3月至8月进行了一项随机对照试验。在本研究中，共有60对由中风患者及其护理人员组成的样本参与。采用方便抽样法选取参与者，然后使用研究随机化软件将其随机分为干预组和对照组。干预组的参与者在15节课程中通过WhatsApp应用程序接收教育内容，每节课程持续45至60分钟。对照组接受标准的医院教育。数据收集和分析过程使用了问卷，包括人口统计学、中风特异性生活质量量表（SS-QOL）和扎里特护理负担问卷。
干预组患者和护理人员的平均年龄分别为60.23±12.41岁和51.56±10.42岁，而对照组分别为61.73±12.61岁和53.60±9.03岁。干预组在患者生活质量平均得分方面，干预前与干预后相比有统计学显著差异（134.73±33.51对90.56±6.51以及130.46±30.67对90.56±6.51；p<0.05）。此外，护理人员护理负担平均得分在基线期和干预后期之间也有统计学显著差异（80.23±7.99对65.43±16.52以及80.23±7.99对60.53±21.34；p<0.05）。
实施以中风教育为重点的在线培训项目，可改善中风患者的生活质量，并减轻其护理人员的护理负担。因此，为患者及其护理人员提供教育以改善患者护理并减少中风并发症至关重要。
IRCT20240609062065N1，2024年8月31日。
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