Effectiveness of a Dysphagia Management Education Program for Caregivers of Stroke Patients Receiving Home Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Care burden level
研究概览
简要总结
This randomized controlled experimental study was conducted to evaluate the effects of dysphagia management training provided to caregivers of stroke patients receiving home care. The sample size was determined using power analysis (n=84). Data were collected using the Personal Information Form, Mini Nutritional Assessment-Short Form (MNA-SF), Zarit Caregiver Burden Scale, Short Form-36 (SF-36) Quality of Life Questionnaire, and the Dysphagia Management Knowledge Form for Stroke Patients. Questionnaires were administered to both groups at baseline, the 1st month, and the 3rd month. The first application was administered to the intervention group before the education session.
详细描述
The experimental randomized controlled trial was conducted to evaluate the effects of dysphagia management training provided to caregivers of stroke patients receiving home care.The sample size was determined using power analysis (n=84). Patients who met the inclusion criteria were assigned to the experimental (n=42) and control (n=42) groups using a simple randomization technique. Data were collected using the the Personal Information Form, Mini Nutritional Assessment-Short Form (MNA-SF), Zarit Caregiver Burden Scale, Short Form-36 (SF-36) Quality of Life Questionnaire, and the Dysphagia Management Knowledge Form for Stroke Patients. Questionnaires were administered to both groups at baseline, the 1st month, and the 3rd month. The first application was administered to the intervention group before the education session.In data evaluation, percentages, means, independent t-tests, Pearson chi-square tests, Yates chi-square tests, repeated measures variance analysis (ANOVA), Pearson correlation tests, and Bonferroni tests were used.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Caregivers:
- •The caregiver must be between 18 and 60 years old. The caregiver must be willing and able to participate in the study. The caregiver must have at least a primary school education. The caregiver must be primarily responsible for the patient's care. The caregiver's Mini Mental Test score must be 25 or more. The caregiver's Beck Depression Inventory score must be below
- •The caregiver's Caregiver's Readiness to Care Scale score must be 16 or more.
- •The patient's National Institutes of Health (NIH) Stroke Scale score must be 20 or less.
- •The patient must be between 18 and 60 years old. The patient must be receiving home care services. The patient must have been diagnosed with a stroke at least six months ago. The patient must have a Barthel index score of 90 or below.
排除标准
- •Caregivers:
- •The caregiver has a physical disability or serious health problem that makes caregiving difficult.
- •The caregiver has a Mini Mental Test score below 25 points. The caregiver has a Beck Depression Inventory score of 17 or higher. The caregiver has a Caregiver Readiness Scale score of 16 or lower. The caregiver has communication difficulties. The caregiver has a depression or psychiatric diagnosis. The caregiver is receiving psychotherapy/psychological support. The caregiver is taking antidepressants and/or anxiolytics. The caregiver has sensory loss related to vision or hearing.
- •The patient has a Barthel index score of 91 or higher. The patient is receiving parenteral nutrition. The patient is receiving immunosuppressive therapy/immunotherapy and/or chemotherapy.
- •The patient has been diagnosed with cancer, an endocrine system disease, or a gastrointestinal disease.
研究组 & 干预措施
Intervention
Dysphagia Management Education
干预措施: Dysphagia Management Education (Behavioral)
Control
干预措施: Control (Other)
结局指标
主要结局
Care burden level
时间窗: 0th month (1st day), 1st month and 3rd month
The Zarit Care Burden Scale consists of 22 statements. As the score increases, the care burden also increases, and the maximum score is 88. Scores are graded as follows: (0-20) little/no burden, (21-40) moderate burden, (41-60) severe burden, and (61-88) excessive burden.
Quality of Life level
时间窗: 0th month (1st day), 1st month and 3rd month
SF-36 Quality of Life Scale: The scale consists of 36 questions and eight subscales. Each subscale is scored separately from 0 to 100. Higher scores indicate better health.
Nutritional Assessment level
时间窗: 0th month (1st day), 1st month and 3rd month
The MNA form consists of six questions. The maximum total score is 14. Individuals with a score of 12 or higher are considered to have adequate nutritional status, those with a score between 8 and 11 are at risk for malnutrition, and those with a score of 7 or less are considered malnourished.
Dysphagia management knowledge level
时间窗: 0th month (1st day), 1st month and 3rd month
The Dysphagia Management Knowledge Form for Stroke Patients Form for Stroke Patients consists of 26 statements, each answered with a true (0 point) or false (1 point) score. Scale scores range from 0 to 26. Higher scores indicate higher knowledge levels.
次要结局
未报告次要终点
研究者
Hicran Yıldız
Prof.Dr.
Uludag University