EFFECT OF A STROKE-SPECIFIC FOLLOW-UP CARE MODEL ON THE QUALITY OF LIFE OF STROKE PATIENTS AND CAREGIVERS: A CONTROLLED TRIAL

被引:25
作者
Fens, Manon [1 ,2 ]
van Heugten, Caroline M. [3 ,4 ]
Beusmans, George [2 ,5 ]
Metsemakers, Job [2 ,5 ]
Kester, Arnold [2 ,6 ]
Limburg, Martien [7 ]
机构
[1] Maastricht Univ, Med Ctr, Dept Patient & Care, NL-6200 MD Maastricht, Netherlands
[2] Maastricht Univ, CAPHRI, Sch Publ Hlth & Primary Care, NL-6200 MD Maastricht, Netherlands
[3] Maastricht Univ, Sch Mental Hlth & Neurosci, Dept Psychiat & Neuropsychol, NL-6200 MD Maastricht, Netherlands
[4] Maastricht Univ, Fac Psychol & Neurosci, Dept Neuropsychol & Psychopharmacol, NL-6200 MD Maastricht, Netherlands
[5] Maastricht Univ, Med Ctr, Dept Gen Practice, NL-6200 MD Maastricht, Netherlands
[6] Maastricht Univ, Dept Methodol & Stat, NL-6200 MD Maastricht, Netherlands
[7] Flevo Hosp, Dept Neurol, Almere, Netherlands
关键词
stroke; follow-up studies; long-term care; needs assessment; quality of life; RANDOMIZED CONTROLLED-TRIAL; CHRONIC PHASE; PREDICTION; INTENSITY; ANXIETY; PROGRAM; SPOUSES;
D O I
10.2340/16501977-1239
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To evaluate the effectiveness of a stroke-specific follow-up care model on quality of life for stroke patients, being discharged home, and their caregivers. Design: A non-randomized, controlled trial, comparing an intervention group with a control group (usual care). Subjects: Stroke patients and their caregivers. Methods: Intervention involved 5 home visits by a stroke care coordinator over a period of 18 months, using a structured assessment tool. Outcome measures were conducted at baseline (TO) and every 6 months thereafter (T6, T12 and T18) in the domains of quality of life (primary), activities of daily living, social activities, depression, anxiety and caregiver strain. Results: The intervention group (n=62) had significantly increased its social activities after 18 months, whereas the control group (n=55) showed significantly decreased levels of social activities. In the first 6 months, levels of depression decreased significantly in caregivers of the intervention group. No differences were found for quality of life and the other outcome measures. Conclusion: The intervention was not effective in improving quality of life, but was effective in improving levels of social activities. The intervention may have focussed too much on screening for stroke-related problems and not as much on adequate follow-up care and referral.
引用
收藏
页码:7 / 15
页数:9
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