Nursing Home Care Intervention Post Stroke (SHARE) 1 year effect on the burden of family caregivers for older adults in Brazil: A randomized controlled trial.

Autor: Day CB; School of health and life sciences, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil., Bierhals CCBK; Nursing Graduate Program, Nursing School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil., Mocellin D; Conceição Hospital Group, Porto Alegre, Brazil., Predebon ML; Nursing Graduate Program, Nursing School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil., Santos NO; Nursing Department, Franciscan University Center (UNIFRA), Santa Maria, Brazil., Dal Pizzol FLF; Nursing Graduate Program, Nursing School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil., Fuhrmann AC; Nursing Graduate Program, Nursing School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil., Aires M; Health of Science Department, Integrated Regional University of Alto Uruguai and Missões, Itapajé, Brazil., Paskulin LMG; Nursing Graduate Program, Nursing School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Jazyk: angličtina
Zdroj: Health & social care in the community [Health Soc Care Community] 2021 Jan; Vol. 29 (1), pp. 56-65. Date of Electronic Publication: 2020 Jun 30.
DOI: 10.1111/hsc.13068
Abstrakt: The purpose of this study is to evaluate the effect of home-care nursing intervention on the burden of family caregivers for older adults surviving a stroke. A randomised clinical trial blinded for outcome evaluation. Forty-eight family caregivers of older adults surviving a stroke took part in the study. The intervention group (IG) received three home visits by nurses in 1 month after hospital discharge for guidance on the disease and care activities for the elderly people. The control group (CG) relied on the service network that had access. The Caregiver Burden Scale was applied to assess the burden outcome 1 week, 60 days and 1 year after hospital discharge. The caregivers of the intervention and CGs had no difference regarding baseline data. There was an interaction effect between the CG and the IG in the isolation domain (p = 0.037) and in the emotional involvement domain (p = 0.003) over time. These findings provide support for strengthening a care line for the elderly people after a stroke, with adequate discharge planning, indicating the importance of integrating care network services such as primary care, home care and hospital care with a view to achieving an effective care transition. It is also necessary to construct a specific instrument to evaluate other outcomes, such as the knowledge and learning of caregivers in relation to the care activities taught. This study is registered in the Clinical Trials with name Nursing Home Care Intervention Post Stroke (SHARE) and under number NCT02807012.
(© 2020 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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