Nursing Interventions on Stroke Patient Care: Quality of Life, Hopelessness, Anxiety and Depression

NCT ID: NCT06212167

Last Updated: 2024-01-18

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 56 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-15
• Study Completion Date: 2025-07-15

Brief Summary

In our research, it was aimed to determine the effect of nursing interventions applied face to face at the time of discharge and then via tele-nursing method to the caregivers of patients in intensive care and diagnosed with stroke, on the quality of life, care burden, hopelessness, anxiety and depression levels of the caregivers. This research will be conducted as a randomized, pre-test, post-test single group intervention study, at the Neurology Intensive Care Unit of Sakarya University Training and Research Hospital, between March and June 2023. With a 95% confidence interval, 5% margin of error, 0.54 effect size and 95% representativeness of the population, the group was calculated as 47 people, and the sample was determined as 56 people in total, with 20% reserve. The sample of the study will be selected by simple random sampling method among the caregivers of stroke patients who meet the inclusion criteria and agree to participate in the research. During the discharge process, Information Forms, Zarit Caregiving Burden Scale, Beck Hopelessness Scale, Adult Caregiver Quality of Life Survey, and Hospital Anxiety Depression Scale will be administered face to face to the participants as a pre-test. 12 weeks after the first measurement, Zarit Caregiving Burden Scale, Beck Hopelessness Scale, Adult Caregiver Quality of Life Questionnaire, Hospital Anxiety Depression Scale will be administered as posttest. In addition to routine discharge training, participants will be provided with 'Education and Care Practices for Stroke Patients'. These applications; It will be performed for those who care for stroke patients in the hospital for a week, and then at home, twice a week, for a total of 7 weeks, via telenursing method. Written consent will be obtained from caregivers after explaining the purpose of the research and the purpose for which the results will be used. Participants will be informed that their information will not be shared with others and the confidentiality policy will be adhered to. In order to make comparisons before and after the training, participants will be asked to fill out data collection forms with a nickname they can easily remember and not forget in the pre-test. They will be asked to write the same pseudonyms when filling out the post-test data collection forms. Participants will be asked to fill out data collection forms individually, but it will be stated that they can contact the researchers if they have questions.

Conditions

Stroke; Depression; Anxiety; Care Burden; Hopefulness

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Nursing Interventions for Stroke Patient Care

Within the scope of nursing interventions for caregivers;

• Oral or enteral nutrition application steps and the use of necessary materials will be explained,
• Oral or enteral drug administration, in-bed exercises, suctioning, simple ROM exercises, in-bed bathing, pressure sore care, position change, oral care, and whole body care will be taught,
• Videos regarding the use of all medical devices and materials to be taken home with the patient will be shown and demonstration methods will be used,
• Information about the storage conditions of drugs, side effects and nutrition will be explained, supported by powerpoint presentations,
• Motivational interviews will be held regarding communication with the stroke patient and the emotional state of the caregivers.

Group Type: EXPERIMENTAL

Nursing Interventions for Stroke Patient Care

Intervention Type: BEHAVIORAL

In the first phase of the research, the relatives of the patients who are in the hospital every day for a week during the routine and discharge process will be included in a training program. These trainings will be explained didactically to the caregiver at the bedside by the research supervisor and the intensive care nurse, the practices will be demonstrated with demonstrations, and the caregiver will be asked to apply them themselves. Then, the researchers will call the caregivers and make an appointment for an online meeting twice a week (7 weeks - 14 times). During these meetings, the training the caregivers need will be explained again and any questions they have will be answered. The researcher will also conduct motivational interviews with the caregivers.

Interventions

Nursing Interventions for Stroke Patient Care

In the first phase of the research, the relatives of the patients who are in the hospital every day for a week during the routine and discharge process will be included in a training program. These trainings will be explained didactically to the caregiver at the bedside by the research supervisor and the intensive care nurse, the practices will be demonstrated with demonstrations, and the caregiver will be asked to apply them themselves. Then, the researchers will call the caregivers and make an appointment for an online meeting twice a week (7 weeks - 14 times). During these meetings, the training the caregivers need will be explained again and any questions they have will be answered. The researcher will also conduct motivational interviews with the caregivers.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Having a patient in the Neurology Intensive Care Unit with a diagnosis of stroke,
• The patient is at the stage of being discharged from the intensive care unit,
• Being literate,
• Having a smart phone and being able to use it,
• Having internet access and at least 4GB internet package,
• Volunteering to participate in the research.

Exclusion Criteria

• Caregivers who are not reachable by phone calls at home,
• Caregivers who do not have continuity in home telenursing training and consultancy practices will be excluded from the study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kocaeli University

OTHER

Sponsor Role: lead

Responsible Party

Tuba Yilmaz Bulut

Lecturer Dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kocaeli University

Kocaeli, , Turkey (Türkiye)

Sakarya University

Sakarya, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

TUBA YILMAZ BULUT, Dr.

Role: CONTACT

tuba_yilmaz1991@hotmail.com

+905343435109

Facility Contacts

Ferhat Koç

Role: primary

Other Identifiers

E-16214662-050.01.04-244840-41

Identifier Type: -

Identifier Source: org_study_id