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Paper Information

Journal:   IRANIAN REHABILITATION JOURNAL   APRIL 2019 , Volume 17 , Number 2; Page(s) 113 To 119.

The Effect of Family-Oriented Discharge Program on the Level of Preparedness for Care-Giving and Stress Experienced by the Family of Stroke Survivors

* Department of Nursing, School of Nursing and Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran
Objectives: Many families in Iran fail to adapt to their new role of being a stroke caregiver and experience high levels of distress; thus, they may need some form of support. The present study aimed to develop a discharge planning program for the family caregivers of stroke patients in Iran. We also determined the program efficacy on their level of stress and preparedness for caregiving. Methods: A post-test only randomized controlled trial design was conducted on 60 family caregivers of stroke survivors. The study participants (n=30) in the experimental group received a family caregiver-oriented discharge planning program consisting of 3 phases; assessing families’ educational needs, educating families, and follow-up calls. The routine hospital care was provided to the controls (n=30). The data were collected using Kingston Caregiver Stress Scale and the Preparedness for Caregiving scale. Data were analyzed by SPSS. Results: The level of preparedness for caregiving was significantly higher in the experimental group. The experimental group experienced lower levels of stress, compared to the control group members (P<0. 001). Discussion: To enhance family preparedness for caregiving and decrease their stress, it is necessary to use a discharge planning program with an emphasis on individualized education and post-discharge follow-up. This program could be implemented in Iranian hospitals at a low cost. The findings of this study may provide a reference for specialist nurses who cope with stroke caregivers in Iran.
Keyword(s): Family caregivers,Stroke survivors,Discharge planning,Rehabilitation nursing
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