The Effect of a Nurse-led Program on Psychosocial Problems and Quality of Life in Stroke Patients
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Change in Pittsburgh Sleep Quality Index scores
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this study is to examine the effectiveness of nurse- led program on psychosocial problems and quality of life in stroke patients. This randomized controlled trial will be conducted in Stroke Center in Istinye University Liv Hospital-Bahcesehir. Eligible participants will be randomly allocated to either the control group (receiving usual care/ routine follow-up group) or the intervention group (receiving nurse-led psychosocial program). A nurse- led program will be implemented for the management of psychosocial problems following a comprehensive evaluation. Then, the effect of this program on psychosocial problems and quality of life will be evaluated in the 1st and 3rd months after discharge.
Detailed Description
The aim of this study is to examine the effectiveness of nurse- led program on psychosocial problems and quality of life in stroke patients. This randomized controlled trial will be conducted in Stroke Center in Istinye University Liv Hospital- Bahcesehir. Patients who meet the criteria will be randomized into the intervention group or control group. All patients will be assessed at discharge by use of following tools: National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale, Functional Independence Measure (FIM), Montreal Cognitive Assessment (MoCA), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI). A nurse coordinated multidisciplinary program aiming to improve psychosocial problems has been developed and will be applied to the patients in the experimental group. This nurse-led program will start at discharge and continue for three months. The control group will be applied usual care. Two groups will be compared at baseline and at the 3rd month after discharge in terms of psychosocial variables and quality of life.
Investigators
Zeliha Tülek
Assoc.Prof
Istanbul University - Cerrahpasa (IUC)
Eligibility Criteria
Inclusion Criteria
- •Be literate
- •Have a clinical diagnosis of ischemic stroke
- •History of any preceding cerebral vascular event
- •Capable of giving informed consent
Exclusion Criteria
- •Age ≤ 18 years
- •Have a mental disorder that will prevent cognitive evaluation
- •Have an impaired consciousness (confusion, delirium, etc.)
- •History of any type of cognitive decline
- •Have severe neurologicial deficit
- •Severe aphasia
- •Living in a nursing home
- •Known malignant disease or other chronic disease with poor prognosis and a low life expectancy
Outcomes
Primary Outcomes
Change in Pittsburgh Sleep Quality Index scores
Time Frame: At the baseline, 1st and 3rd month after discharge
Sleep quality will be evaluated by Pittsburgh Sleep Quality Index.
Change in Hospital Anxiety and Depression Scale scores
Time Frame: At the baseline, 1st and 3rd month after discharge
Anxiety and depression will be evaluated by Hospital Anxiety and Depression Scale.
Change in Montreal Cognitive Assessment Test scores
Time Frame: At the baseline, 1st and 3rd month after discharge
Cognitive function will be evaluated by Montreal Cognitive Assessment Test.
Secondary Outcomes
- Change in Fatigue Severity Scale scores(At the 1st and 3rd month after discharge)
- Change in Reintegration to Normal Living Index scores(At the 1st and 3rd month after discharge)
- Change in Stroke Specific Quality of Life Scale scores(At the 1st and 3rd month after discharge)