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

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

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...

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Bibliographic Details
Published in:Health & social care in the community Vol. 29; no. 1; pp. 56 - 65
Main Authors: Day, Carolina B., Bierhals, Carla C. B. K., Mocellin, Duane, Predebon, Mariane L., Santos, Naiana O., Dal Pizzol, Fernanda L. F., Fuhrmann, Ana Cláudia, Aires, Marinês, Paskulin, Lisiane M. G.
Format: Journal Article
Language:English
Published: England Hindawi Limited 01-01-2021
Subjects:
Caregiver burden
Caregivers
Clinical nursing
Clinical research
clinical trial
Clinical trials
Discharge
Discharge planning
Domiciliary visits
elderly people
Families & family life
family caregiver
Home health care
Intervention
Nurses
nursing
Nursing homes
Older people
Primary care
Stroke
clinical trial
family caregiver
elderly people
nursing
stroke
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Summary: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.
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ISSN:0966-0410
1365-2524
DOI:10.1111/hsc.13068