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Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Clinical Trial

Effect of Telenursing on the Quality of Life of Caregivers of Older Patients with Stroke

Author(s): Fatemeh Mohammadi, Hoda Bani Ardalan, Leila Dehghankar and Seyedeh Ameneh Motalebi*

Volume 18, Issue 4, 2023

Published on: 24 August, 2023

Page: [275 - 281] Pages: 7

DOI: 10.2174/1574887118666230522163725

Price: $65

Abstract

Background: Family caregivers of stroke patients suffer from a high caregiving burden that affects their quality of life. Telenursing can provide caregivers and patients with services at the lowest cost and full access. Therefore, the aim of this study was to investigate the impact of telenursing on the quality of life of caregivers of older stroke patients.

Methods: A total of 79 family caregivers of older stroke patients participated in this randomized clinical trial. The samples were selected from caregivers of older stroke patients admitted to a teaching hospital in Qazvin, Iran. They were randomly divided into two groups. The intervention group participated in an educational intervention for 12 weeks through telephone follow-up and social media. The Barthel Scale and the 36-item Short Form Survey (SF-36) were used for data collection. The chi-square and independent and paired t-tests were used to analyze the data.

Results: The mean age of 79 caregivers participating in the study was 46.16 ± 11.32 years. No significant differences were found between the two groups at baseline. However, the independent ttest showed significant differences in the psychological subscale (p <0.001) between the intervention and control groups after the intervention. In addition, the results of the paired t-test showed significant improvements in the intervention group in physical (p <0.001) and psychological (p <0.001) subscales.

Conclusion: The results of the current study support the effectiveness of telenursing in improving the quality of life of caregivers of older stroke patients.

Graphical Abstract

[1]
Gafourzadeh B, Tabari F, Malemir S, Abolfazli M, Rostami S, Eslami Z. Look at the phenomenon of rehabilitation in the elderly: A Review study. Iran J Nursing Res 2016; 11(2): 52-60.
[2]
Organization WH. Ageing and health. World Health Organization. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
[3]
Mirzaie M, Darabi S. Population aging in Iran and rising health care costs. Salmand Iran J Ageing 2017; 12(2): 156-69.
[http://dx.doi.org/10.21859/sija-1202156]
[4]
Iran SCo. Available from: https://www.amar.org.ir
[5]
Miri M, Salehiniya H, Tiyuri A, Bahlgerdi M, Taghizadeh A. Prevalence of mental disorders and its related factors among elderly of Birjand, 2014. J Geriatr Nurs 2016; 2(2): 94-103.
[6]
Smeltzer SCC, Bare BG. Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia: JB Lippincott 1992.
[7]
Kazemi A, Azimian J, Mafi M, Allen KA, Motalebi SA. Caregiver burden and coping strategies in caregivers of older patients with stroke. BMC Psychol 2021; 9(1): 51.
[http://dx.doi.org/10.1186/s40359-021-00556-z] [PMID: 33794995]
[8]
Pourshirvani A, Saieedi JA, Nekozad N, Zandi M. The impact of home care based on the Continuous Care Model by family caregivers on activities of daily living of stroke patients. Advances in Nursing & Midwifery 2015; 27(1): 39-52.
[9]
Karakurt P, Unsal A, Tanriverdi D. Evaluation of Care Burden and Quality of Life of Caregivers of Patients with Stroke. Int J Caring Sci 2018; 11(1): 529-42.
[10]
Kheirollahi N, khatiban M, oshvandi K, alhani F, feradmal J. The effect of family-centered empowerment intervention on perceived severity of threat in caregivers of patients with stroke: a semi experimental study. Avicenna J Nurs Midwifery Care 2014; 22(3): 73-82.
[11]
Hekmatpou D, Baghban EM, Dehkordi LM. The effect of patient care education on burden of care and the quality of life of caregivers of stroke patients. J Multidiscip Healthc 2019; 12: 211.
[12]
Ogunlana MO, Dada OO, Oyewo OS, Odole AC, Ogunsan MO. Quality of life and burden of informal caregivers of stroke survivors. Hong Kong Physiother J 2014; 32(1): 6-12.
[http://dx.doi.org/10.1016/j.hkpj.2013.11.003]
[13]
Valcárcel-Nazco C, Ramallo-Fariٌña Y, Linertová R, Ramos-Goٌñi JM, García-Pérez L, Serrano-Aguilar P. Health-related quality of life and perceived burden of informal caregivers of patients with rare diseases in selected european countries. Int J Environ Res Public Health 2022; 19(13): 8208.
[http://dx.doi.org/10.3390/ijerph19138208] [PMID: 35805867]
[14]
Soleimani MA, Zarabadi-Pour S, Motalebi SA, Allen KA. Predictors of quality of life in patients with heart disease. J Relig Health 2020; 59(4): 2135-48.
[http://dx.doi.org/10.1007/s10943-019-00968-7] [PMID: 31894523]
[15]
Hong SE, Kim CH, Kim E, et al. Effect of a caregiver’s education program on stroke rehabilitation. Ann Rehabil Med 2017; 41(1): 16-24.
[http://dx.doi.org/10.5535/arm.2017.41.1.16] [PMID: 28289631]
[16]
Heydari M, Arsalani N, Dalvandi A, Noroozi M, Daneshvar R. The Effectiveness of Self-Management Program Based on 5A Model on patient care burden for stroke patients. Iran J Rehabilitation Res in Nursing 2020; 6(4): 1-9.
[http://dx.doi.org/10.29252/ijrn-06041]
[17]
jafari , Kerman Saravi F, Yaghoubi Nia F. Effect of home-based rehabilitation intervention on quality of life of patients with cerebral stroke. Payesh 2021; 20(1): 81-90.
[http://dx.doi.org/10.29252/payesh.20.1.81]
[18]
Kamei T. Information and communication technology for home care in the future. Jpn J Nurs Sci 2013; 10(2): 154-61.
[http://dx.doi.org/10.1111/jjns.12039] [PMID: 24373438]
[19]
Kamrani F, Nikkhah S, Borhani F, Jalali M, Shahsavari S, Nz K. The Effect of patient education and tele-follow-up by nurse on adherence to treatment in patients with acute coronary syndrome. Iran J Cardiovasc Nurs 2015; 16(3): 16-24.
[20]
Larson-Dahn ML. Tel-eNurse Practice. J Nurs Adm 2000; 30(11): 519-23.
[http://dx.doi.org/10.1097/00005110-200011000-00006] [PMID: 11098250]
[21]
Najafi M, Shahrokhi A, Mohammadpoorasl A. Effect of tele-nursing on quality of life of patients with atrial fibrillation referred to the teaching hospitals in Qazvin. J Qazvin Univ Med Sci Health Serv 2016; 20(1): 56-62.
[22]
Pourbalouch O, Navidian A, Askari H. Assessing the impact of telenursing on self-care in hemodialysis patients: A clinical trial study. Medsurg Nurs 2019; 8(4): e101292.
[23]
Ashghali Farahani M, Najafi Ghezeljeh T, Haghani S, Alazmani-Noodeh F. The effect of a supportive home care program on caregiver burden with stroke patients in Iran: an experimental study. BMC Health Serv Res 2021; 21(1): 346.
[http://dx.doi.org/10.1186/s12913-021-06340-4] [PMID: 33858400]
[24]
Meichsner F, Tِöpfer NF, Reder M, Soellner R, Wilz G. Telephone-based cognitive behavioral intervention improves dementia caregivers’ quality of life. Am J Alzheimers Dis Other Demen 2019; 34(4): 236-46.
[http://dx.doi.org/10.1177/1533317518822100] [PMID: 30636429]
[25]
WhatsApp. WhatsApp status Available from: http://blog.whatsapp.com/
[26]
Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res 2005; 14(3): 875-82.
[http://dx.doi.org/10.1007/s11136-004-1014-5] [PMID: 16022079]
[27]
Tagharrobi Z, Sharifi K, Sooky Z. Psychometric evaluation of Shah version of modified Barthel index in elderly people residing in the Kashan Golabchi nursing home. KAUMS J 2011; 15(3): 213-24.
[28]
Madadkar S, Noorian K. Effect of multimedia education based on the family-centered approach and telephone follow-up (tele-nursing) on the quality of life of patients with myocardial infarction after discharge. J Clinic Nurs Midwifery 2020; 8(4): 500-10.
[29]
Fallahi-Khoshknab M, Goudarzian M, Dalvandi A, Delbari A, Biglarian A. Effect of telenursing on levels of depression and anxiety in caregivers of patients with stroke: A randomized clinical trial. Iran J Nurs Midwifery Res 2018; 23(4): 248-52.
[http://dx.doi.org/10.4103/ijnmr.IJNMR_242_16] [PMID: 30034482]
[30]
McHutchison CA, Backhouse EV, Cvoro V, Shenkin SD, Wardlaw JM. Education, socioeconomic status, and intelligence in childhood and stroke risk in later life. Epidemiology 2017; 28(4): 608-18.
[http://dx.doi.org/10.1097/EDE.0000000000000675] [PMID: 28410350]
[31]
Gh Y. The effect of E-learning on the quality of life of patients with stroke. Journal of Health and Care 2017; 19(1): 30-8.
[32]
Motamedzadeh M, Sarvary MH, Ebadi A. comparison of quality nursing safe care in corona and non-corona wards. Paramed Sci Military Heal 2021; 16(2): 34-41.
[33]
Andrades-González I, Romero-Franco N, Molina-Mula J. e-Health as a tool to improve the quality of life of informal caregivers dealing with stroke patients: Systematic review with meta-analysis. J Nurs Scholarsh 2021; 53(6): 790-802.
[http://dx.doi.org/10.1111/jnu.12699] [PMID: 34405528]
[34]
Behzad Y, Bastani F, H H . Effect of empowerment program with the telephone follow-up (tele-nursing) on self-efficacy in self-care behaviors in hypertensive older adults. Nurse Midwifery J 2016; 13(11): 1004-15.
[35]
Javanmardifard S, Ghodsbin F, Kaviani MJ, Jahanbin I. The effect of telenursing on self-efficacy in patients with non-alcoholic fatty liver disease: a randomized controlled clinical trial. Gastroenterol Hepatol Bed Bench 2017; 10(4): 263-71.
[PMID: 29379590]
[36]
Ajalli A, Fallahi-Khoshknab M. Tele-nursing care in chronic patients/a systematic review. Iran J Rehabilitation Res 2015; 1(3): 76-86.
[37]
Kimman ML, Dirksen CD, Voogd AC, et al. Nurse-led telephone follow-up and an educational group programme after breast cancer treatment: Results of a 2×2 randomised controlled trial. Eur J Cancer 2011; 47(7): 1027-36.
[http://dx.doi.org/10.1016/j.ejca.2010.12.003] [PMID: 21237636]
[38]
Beaver K, Williamson S, Chalmers K. Telephone follow-up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses. J Clin Nurs 2010; 19(19-20): 2916-24.
[http://dx.doi.org/10.1111/j.1365-2702.2010.03197.x] [PMID: 20649914]
[39]
Nurian K, Kazemian A, Aslani U. Effectiveness of rehabilitation programme on quality of life of stroke survivors. Zanjan Medical University 13(50): 22-7.
[40]
Myaskovsky L, Amanda Dew M, Switzer GE, McNulty ML, DiMartini AF, McCurry KR. Quality of life and coping strategies among lung transplant candidates and their family caregivers. Soc Sci Med 2005; 60(10): 2321-32.
[http://dx.doi.org/10.1016/j.socscimed.2004.10.001] [PMID: 15748679]
[41]
Hosseini A, Sharifi N, Dehghanrad F, Sharifipour E. Effect of telenursing on caregiver burden of care and incidence of some complications in patients with acute stroke discharged from neurological wards: A Randomized Control Trial. Shiraz E Med J 2022; 23(8): e123479.
[http://dx.doi.org/10.5812/semj-123479]
[42]
Chiang LC, Chen WC, Dai YT, Ho YL. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study. Int J Nurs Stud 2012; 49(10): 1230-42.
[http://dx.doi.org/10.1016/j.ijnurstu.2012.04.013] [PMID: 22633448]
[43]
NasrAbadi T, Sharafi SH, Fallah TB, Vaezi AA, MR H. Investigating the effect of continuous care model on the social health status of family caregivers in hospitalized patients undergoing coronary artery bypass graft surgery. J Shahid Sadoughi Univ Med Sci 2016; 24(6): 513-23.
[44]
Salehi Nejad S, Azami M, Motamedi F, Sedighi B. A S. The effect of web-based information intervention in caregiving burden in caregivers of patients with dementia. J Health Biomed Inform 2017; 4(3): 181-91.
[45]
Solli H, Hvalvik S. Nurses striving to provide caregiver with excellent support and care at a distance: a qualitative study. BMC Health Serv Res 2019; 19(1): 893.
[http://dx.doi.org/10.1186/s12913-019-4740-7] [PMID: 31771566]

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