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KMID : 1022320170110020150
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Asian Nursing Research
2017 Volume.11 No. 2 p.150 ~ p.157
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A Community Based Program for Family Caregivers for Post Stroke Survivors in Thailand
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Pitthayapong Sararin
Thiangtam Weena
Powwattana Arpaporn
Leelacharas Sirirat
Waters Catherine M.
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Abstract
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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.
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KEYWORD
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stroke, recovery, family caregivers, skills, community
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