A Community Based Program for Family Caregivers for Post Stroke Survivors in Thailand.
10.1016//j.anr.2017.05.009
- Author:
Sararin PITTHAYAPONG
1
;
Weena THIANGTAM
;
Arpaporn POWWATTANA
;
Sirirat LEELACHARAS
;
Catherine M WATERS
Author Information
1. Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand. weena.thi@mahidol.ac.th
- Publication Type:Original Article
- Keywords:
stroke;
recovery;
family caregivers;
skills;
community
- MeSH:
Activities of Daily Living;
Caregivers*;
Humans;
Motivation;
Non-Randomized Controlled Trials as Topic;
Stroke*;
Survivors*;
Thailand*
- From:Asian Nursing Research
2017;11(2):150-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study was to evaluate the effectiveness of the post-stroke care program within the community setting in Thailand. METHODS: This quasi-experimental study was a nonequivalent control group pre-test and post-test design. A total of 62 pairs of post-stroke patients and their family caregivers were recruited to the study (31 pairs per group). The intervention consisted of a four-week program that included distributing pertinent information, providing skill practice during post-stroke care sessions and utilizing strategies to enhance motivation and behavioral skills of family caregivers based on the information-motivation-behavioral skills model. The family caregivers' post-stroke care skills were evaluated. The patients' activities of daily living (ADLs) and complications were evaluated at baseline and immediately and 2-month post-intervention. Statistical analysis included chi-square test, Fisher's exact test, independent t-test, and two-way repeated measures' analysis of variance. RESULTS: After participating in the program, family caregivers in the experimental group significantly improved their post-stroke care knowledge and skills as compared to those in the control group (F = 585.81, p < .001). ADLs among post-stroke patients in the experimental group significantly increased over time and were higher than those in the control group (F = 46.01, p < .001). Moreover, complications among patients in the experimental group were less than those in the control group. CONCLUSIONS: The post-stroke care program improved family caregivers' post-stroke care skills which resulted in improved functional status and decreased complications among post-stroke patients.
