Research Article

Effects of a Supportive Training on Caregiving Burden of Stroke Patients’ Caregivers after Discharge from an Intensive Care Unit (ICU)

Abstract

Background: The caregivers of stroke patients experience a sense of confusion and stress after the patients are discharged from the hospital. Such that after a while, they experience a sense of inability to provide care and an increased caregiving burden. Therefore, this research aims to study the effects of a supportive training program on the caregiving burden of stroke patients’ caregivers after discharge from the Intensive Care Unit (ICU).
Methods: In this randomized clinical trial, the study population consisted of 60 caregivers of stroke patients. The sampling method was purposive based on the inclusion criteria. The intervention was performed in 6 supportive training program sessions. Data were collected using demographic questionnaires and the Novak and Guest Caregiver Burden Inventory. Data were analyzed using the paired t-test, independent t-test, and ANCOVA.
Results: There was no significant difference in the caregiving burden before the intervention between the two groups (intervention: 81.13 ± 13.99, control: 70.66 ± 14.61, P value= 0.030). After the post-test, the caregiving burden reduced significantly in the intervention group compared to before the intervention (56.46 ± 10.52) and compared with the control group (72.33 ± 15.86, (P value< 0.001).
Conclusion: According to the findings, the caregiving burden of stroke patients' caregivers can be alleviated through the intervention of supportive training, which is an effective and cost-effective method. As nurses play a key role in training and supporting these patients as primary caregivers, they should take this program seriously.

[1] Sacco R.L., Kasner S.E., Broderick J.P., Caplan L.R., Connors J., Culebras A., et al. An Updated Definition of Stroke for the 21st Century. Stroke. 2013; 44(7): 2064-89.
[2] Mardom M.A., Fatemi M., Moradi A., Alazmani-Noodeh F., Farahani M. The Necessity of Educating Cares of Stroke Patients - A Review Study. Q J Nurs Manag (IJNV). 2021; 10(2).
[3] Lopez-Bastida J., Moreno J., Cerezo M., Perez L., Serrano-Aguilar P., Montón-Álvarez F. Social and economic costs and health-related quality of life in stroke survivors in the Canary Islands, Spain. BMC Health Serv Res. 2012; 12(1): 315.
[4] Jolfaei R., Baghaei R., Khorami Markani A., Alinejad V. The effect of education based on encourage Autonomous self-enrichment (ease) program on Medication adherence of the patients with stroke. Nurs Midwifery J. 2022; 20(7): 580-8.
[5] Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation. 2017; 135(10): e146.
[6] Dehghan Nayeri N., Mohammadi S., Pedram Razi S., Arazi T.M., Kazemnejad A. Effectiveness of family empowerment program on level of adherence to treatment regimens in stroke patients; a randomized controlled trial. Q J Evid Based Care. 2015; 5(14).
[7] Rohani H., Eslami A., Jafari-Koshki T., Raei M., Abrishamkarzadeh H., Mirshahi R., et al. The factors affecting the burden of care of informal caregivers of the elderly in Tehran. J Kermanshah Univ Med Sci. 2015; 18(12): 726-33.
[8] Bani Ardalan H., Motalebi S., Shahrokhi A., Mohammadi F. Effect of Education and Telephone Follow-Up on Care Burden of Caregivers of Older Patients with Stroke. Iran J Ageing. 2022; 17(2): 290-303.
[9] Bhattacharjee M., Vairale J., Gawali K., Dalal P. Factors affecting burden on caregivers of stroke survivors: Population-based study in Mumbai (India). Ann Indian Acad Neurol. 2012; 15(2): 113.
[10] Safaeian Z., Hejazi S., Delavar E., Hoseini Azizi T., Haresabadi M. The relationship between caregiver burden, and depression, anxiety and stress in family caregivers of cancer patients referred to Imam Reza Hospital in Bojnurd city. J Nurs Educ. 2017; 5(3): 7-14.
[11] Hoseini Joveini M., Rezaie K., Janbabaei Molla G., Nejat N. The Impact of an Educational Program on Supportive Care Needs of Family of Patients with Colorectal Cancer: A Randomized Clinical Trial. Iran J Cancer Care (IJCA). 2023; 2(1): 27-37.
[12] Janmshidi F. The effect of supportive - educative interventions on self-care behaviors & readmission of patients with heart failure: A randomized controlled trial. Tabriz Univ Med Sci. 2012.
[13] Hudson P., Quinn K., Kristjanson L., Thomas T., Braithwaite M., Fisher J., et al. Evaluation of a psycho-educational group programme for family caregivers in home-based palliative care. J Palliat Med. 2008; 22(3): 270-80.
[14] Tong A., Palmer S., Manns B., Craig J., Ruospo M., Gargano L., et al. The Beliefs and Expectations of Patients and Caregivers about Home Hemodialysis: An interview study. BMJ Open. 2013; 3(1): e002148.
[15] Pourshaban Z., Moghimian M., Jouzi M. The Effect of Continuous Care Model on the Burden Care of Family Caregivers of Stroke Patients. J Nurs Educ (JNE). 2023; 12(1): 27-35.
[16] Heydari M., et al. The Effectiveness of Self-Management Program Based on 5A Model on patient care burden for stroke patients. Iran J Rehabil Res. 2020; 6(4): 1-9.
[17] Hall J.F., et al. Supporting carers of stroke survivors to reduce carer burden: development of the Preparing is Caring intervention using Intervention Mapping. BMC Public Health. 2019; 19(1): 1-16.
[18] Khatiban M., Kheirollahi A., Oshvandi K., Alhani F., Kh O., Feradmal J. The effect of family-based education on knowledge and self-esteem of caregiver of patients with stroke: a randomized controlled trial. J Mazandaran Univ Med Sci. 2014; 23(110): 237-43.
[19] Bhattacharjee M., Vairale J., Gawali K., Dalal P. Factors affecting burden on caregivers of stroke survivors: Population-based study in Mumbai (India). Ann Indian Acad Neurol. 2012; 15(2): 113-20.
[20] Faravi K., Amelia C., Mary J. Designing a curriculum to meet the needs of caregivers of patients who had a cerebral vascular accident (CVA) living in local communities in Zimbabwe. Internet J Allied Health Sci Pract. 2016; 14(1): 6.
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Stroke Caregiver Caregiving Burden Training-Supportive Program

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Dahmardeh M, Dahmardeh H, Sadeghi NK, Ansari Moghaddam A. Effects of a Supportive Training on Caregiving Burden of Stroke Patients’ Caregivers after Discharge from an Intensive Care Unit (ICU). Arch Anesth & Crit Care. 2024;.