Volume 19, Issue 3 (June 2021)                   Nursing and Midwifery Journal 2021, 19(3): 193-206 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

URL: http://unmf.umsu.ac.ir/article-1-4319-en.html
1- MSc in critical nursing, Urmia University of Medical Sciences, Urmia, Iran
2- MSc in Epidemiology. Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
3- Professor of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4- Associate Professor of Nursing, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , naderaghakhani2000@gmail.com
Abstract:   (1613 Views)
Background & Aims: Stroke can lead to post-stroke depression, which has severe negative effects on the quality of life of the patients. Post-stroke depression and quality of life may have interactions with each other. The aim of this study was to determine the effect of home care education to caregivers on depression and quality of life in stroke patients in Imam Khomeini educational and treatment center, Urmia, 2019-2020. Materials & Methods: The present study is a clinical trial in which a pre-test and post-test design with a control and test group was used. The sample size was 66 eligible patients who were randomly divided into two equal groups of intervention and control. The demographic information form of patients and their caregivers was completed by reviewing the records and interviews, and all the subjectsunderwent a pre-test to assess depression and quality of life using the Beck Depression Inventory (Second Edition) and the stroke-specific quality of life questionnaire. The intervention included conducting home care training for caregivers in four 60-minute sessions, once a week by the researcher at the patients' home by face-to-face method, with discussions and questions. Post-test was performed one month after the intervention in the intervention and control groups to assess depression and quality of life using previous questionnaires. Results: The findings showed that before the intervention, the two groups did not have a statistically significant difference (p = 0.981), but after the intervention, the two groups had a statistically significant difference in depression scores. In the intervention group, depression score decreased from 39.45 before the intervention to 22.52 after the intervention (p
Full-Text [PDF 552 kb]   (645 Downloads)    
Type of Study: Research | Subject: پرستاری

1. Sacco Ralph L, Kasner Scott E, Broderick Joseph P, Caplan Louis R, Connors JJ, Culebras A, et al. An Updated Definition of Stroke for the 21st Century. Stroke2013;44(7): 2064-89. [DOI:10.1161/STR.0b013e318296aeca] [PMID]
2. Organization WH. The atlas of heart disease and stroke. 2017. [URL]
3. Daneshfard B, Izadi S, Shariat A, Toudaji MA, Beyzavi Z, Niknam L. Epidemiology of stroke in Shiraz. Iran J Neurol 2015;14(3): 3. [PMID]
4. Kaddumukasa M, Mugenyi L, Kaddumukasa MN, Ddumba E, Devereaux M, Furlan A, et al. Prevalence and incidence of neurological disorders among adult Ugandans in rural and urban Mukono district; a cross-sectional study. BMC Neurol 2016;16(1): 227. [DOI:10.1186/s12883-016-0732-y] [PMID] [PMCID]
5. Padir Şensöz N, Türk Börü Ü, Bölük C, Bilgiç A, Öztop Çakmak Ö, Duman A, et al. Stroke epidemiology in Karabük city Turkey: Community based study. eNeurological Sci 2018;10: 12-5. [DOI:10.1016/j.ensci.2017.12.003] [PMID] [PMCID]
6. Teh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S, et al. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ open 2018;8(3): e020285. [DOI:10.1136/bmjopen-2017-020285] [PMID] [PMCID]
7. Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, et al. Global burden of stroke and risk factors in 188 countries, during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Neurol 2016;15(9): 913-24. [DOI:10.1016/S1474-4422(16)30073-4]
8. Béjot Y, Daubail B, Giroud M. Epidemiology of stroke and transient ischemic attacks: Current knowledge and perspectives. Revue neurologique 2016;172(1): 59-68. [DOI:10.1016/j.neurol.2015.07.013] [PMID]
9. Béjot Y, Bailly H, Durier J, Giroud M. Epidemiology of stroke in Europe and trends for the 21st century. La Presse Médicale 2016;45(12, Part 2): e391-e8. [DOI:10.1016/j.lpm.2016.10.003] [PMID]
10. Amirifar S, Reza Masouleh S, Pourshikhian M, Monfared A, Kazemnejad Leili E. Predictive value of Braden Scale in pressure ulcer occurrence in hospitalized patients. J. Holist. Nurs 2013;23(2): 8-15. [URL]
11. Askari H, Yaghoubinia F, Keykhah A, Karimi F. Investigating the Effect of Home-Based Training for Family Caregivers on the Incidence of Bedsore in Patients with Stroke in Ali Ebne Abitaleb Hospital, Zahedan, Iran: A Clinical Trial Study Med Surg Nurs J 2018;7(3). [DOI:10.5812/msnj.87325]
12. Habibi-koolaee M, Shahmoradi L, Niakan Kalhori SR, Ghannadan H, Younesi E. Prevalence of Stroke Risk Factors and Their Distribution Based on Stroke Subtypes in Gorgan: A Retrospective Hospital-Based Study-2015-2016. Neurol Res Int. 2018;2018. [DOI:10.1155/2018/2709654] [PMID] [PMCID]
13. Ramos-Lima MJM, Brasileiro IdC, Lima TLd, Braga-Neto P. Quality of life after stroke: impact of clinical and sociodemographic factors. Clinics (Sao Paulo) 2018;73: e418-e. [DOI:10.6061/clinics/2017/e418] [PMID] [PMCID]
14. Dalvandi A, Khankeh HR, Ekman S-L, Maddah SSB, Heikkilä K. Everyday Life Condition in Stroke Survivors and Their Family Caregivers in Iranian Context. Int J Community Based Nurs Midwifery 2013;1(1): 3-15. [URL]
15. Kirkevold M, Kildal Bragstad L, Bronken BA, Kvigne K, Martinsen R, Gabrielsen Hjelle E, et al. Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychol 2018;6(1): 12. [DOI:10.1186/s40359-018-0223-6] [PMID] [PMCID]
16. Kim JS. Post-stroke Mood and Emotional Disturbances: Pharmacological Therapy Based on Mechanisms. J Stroke 2016;18(3): 244-55. [DOI:10.5853/jos.2016.01144] [PMID] [PMCID]
17. Gorashizadeh MA, Shaafee S, Herizchi Ghadim S, Pirzeh R, Safikhanlou S, Rikhtegar Ghiasi R, et al. A Study Of Sertraline Efficacy On Reducing Disabilities In Stroke In Patients: A Double Blind Randomized Clinical Trial. Urmia Med J 2014;25(2): 97-104. [Google Scholar]
18. Dulay M, Agbayani K, Gadhia R, Lai J, Volpi J, Chiu D, et al. Cognition and major depression after frontal and cerebellar stroke (P7.133). Neurology 2015;84(14 Supplement): P7.133. [URL]
19. Ezema CI, Akusoba PC, Nweke MC, Uchewoke CU, Agono J, Usoro G. Influence of Post-Stroke Depression on Functional Independence in Activities of Daily Living. Ethiop J Health Sci 2019;29(1): 841-6. [DOI:10.4314/ejhs.v29i1.5] [PMID] [PMCID]
20. Robinson RG, Jorge RE. Post-stroke depression: a review. Am. J Psychiatry 2015;173(3): 221-31. [DOI:10.1176/appi.ajp.2015.15030363] [PMID]
21. Arwert HJ, Meesters JJL, Boiten J, Balk F, Wolterbeek R, Vliet Vlieland TPM. Poststroke Depression: A Long-Term Problem for Stroke Survivors. Am J Phys Med Rehabil 2018;97(8): 565-71. [DOI:10.1097/PHM.0000000000000918] [PMID]
22. Hu P, Yang Q, Kong L, Hu L, Zeng L. Relationship between the anxiety/depression and care burden of the major caregiver of stroke patients. Medicine 2018;97(40): e12638-e. [DOI:10.1097/MD.0000000000012638] [PMID] [PMCID]
23. Hekmatpou D, Mohammad Baghban E, Mardanian Dehkordi L. The effect of patient care education on burden of care and the quality of life of caregivers of stroke patients. J Multidiscip Healthc 2019;12: 211-7. https://doi.org/10.2147/JMDH.S232970 [DOI:10.2147/JMDH.S196903]
24. Azimi R, Mohammadi F, Hosseini M, Farzi M. The effect of home-based stroke rehabilitation on quality of life of stroke survivors and their family caregiver's strain. Evidence Based Care 2013 04/01;3(1): 77-85. [Google Scholar]
25. Morris R. The psychology of stroke in young adults: the roles of service provision and return to work. Stroke Res Treat 2011;2011: 534812. [DOI:10.4061/2011/534812] [PMID] [PMCID]
26. Chen Q, Cao C, Gong L, Zhang Y. Health related quality of life in stroke patients and risk factors associated with patients for return to work. Medicine 2019;98(16). [DOI:10.1097/MD.0000000000015130] [PMID] [PMCID]
27. Parikh S, Parekh S, Vaghela N. Impact of stroke on quality of life and functional independence. Natl J Physiol Pharm Pharmacol 2018;8(12): 1595-8. [DOI:10.5455/njppp.2018.8.0723807092018]
28. Šupínová M, Sklenková G. The quality of life of patients after an acute stroke. Kontakt 2018 ;20(2): e153-e9. [DOI:10.1016/j.kontakt.2018.02.001]
29. Wagachchige Muthucumarana M, Samarasinghe K, Elgan C. Caring for stroke survivors: experiences of family caregivers in Sri Lanka - a qualitative study. Top Stroke Rehabil 2018 Sep;25(6): 397-402. [DOI:10.1080/10749357.2018.1481353] [PMID]
30. Aghazadeh-Attari J, EntezarMahdi R, Ahmadzadeh J, Mobaraki K, Mansorian B, Karimi H, et al. The Burden of Premature Mortality Related to Suicide in West Azerbaijan From 2014 to 2016. Crisis 2019;40(6):407-12. [DOI:10.1027/0227-5910/a000581] [PMID]
31. Rezaeian S, Ahmadzadeh J. Assessment of food habits and their association with cardiovascular risk factors in employees. Int J Collab Res Intern Med Public Health. 2012;4(4): 0-. [Google Scholar]
32. Tsai P-C, Yip P-K, Tai JJ, Lou M-F. Needs of family caregivers of stroke patients: a longitudinal study of caregivers' perspectives. Patient Prefer Adherence 2015;9: 449-57. [DOI:10.2147/PPA.S77713] [PMID] [PMCID]
33. Ang SY, Tin AS, Pavitar G, Ng WM, Lee KE, Lim LH, et al. A qualitative study into stroke caregivers' educational needs-perspectives of caregivers and healthcare professionals. Proceedings of Singapore Healthcare 2013;22(3): 166-74. [DOI:10.1177/201010581302200303]
34. Day CB, Bierhals CCBK, Santos NOd, Mocellin D, Predebon ML, Dal Pizzol FLF, et al. Nursing home care educational intervention for family caregivers of older adults post stroke (SHARE): study protocol for a randomised trial. Trials 2018;19(1): 96. [DOI:10.1186/s13063-018-2454-5] [PMID] [PMCID]
35. Rahman MS, Salek AKM. Training of caregiver for home care management of stroke survivor at low resource setting. Bangabandhu Sheikh Mujib Med Univ J 2016;9(4): 193-5. [DOI:10.3329/bsmmuj.v9i4.30158]
36. Jarrin OF, Pouladi FA, Madigan EA. International priorities for home care education, research, practice, and management: Qualitative content analysis. Nurse Educ Today 2019;73: 83-7. [DOI:10.1016/j.nedt.2018.11.020] [PMID] [PMCID]
37. Gholizade M, Akrami R, Tadayonfar M, Akbarzadeh R. An Evaluation on the Effectiveness of Patient Care Education on Quality of Life of Stroke Caregivers: a Randomized Field Trial. J Sabzevar Univ Med Sci 2016;22(6): 955-64. [Google Scholar]
38. Ahmadzadeh J, Rezaeian S, Mobaraki K. The quality of the reporting of randomized controlled trials after CONSORT statement in the prestigious journals. Shiraz E Med J 2013;14(2): 130-8. [Google Scholar]
39. Lin F-H, Yih DN, Shih F-M, Chu C-M. Effect of social support and health education on depression scale scores of chronic stroke patients. Medicine 2019;98(44) :e17667. [DOI:10.1097/MD.0000000000017667] [PMID] [PMCID]
40. Backhouse EV, McHutchison CA, Cvoro V, Shenkin SD, Wardlaw JM. Cognitive ability, education and socioeconomic status in childhood and risk of post-stroke depression in later life: a systematic review and meta-analysis. PloS one 2018;13(7): e0200525. [DOI:10.1371/journal.pone.0200525] [PMID] [PMCID]
41. Hackett ML, Anderson CS, House AO. Management of depression after stroke: a systematic review of pharmacological therapies. Stroke 2005;36(5): 1092-7. [DOI:10.1161/01.STR.0000162391.27991.9d] [PMID]
42. Glamcevski II MT, Pierson J. Prevalence of and factors associated with poststroke depression: a Malaysian study. J Stroke Cerebrovasc Dis 2005;14(4): 157-61. [DOI:10.1016/j.jstrokecerebrovasdis.2005.03.006] [PMID]
43. Kang YJ, Yoo HJ, Kim KS. Uncertainty, Depression, and Quality of Life in Patients with Stroke. Journal of muscle and joint health 2020;27(2): 189-98. [URL]
44. An T-G, Kim S-H, Kim K-U. Effect of transcranial direct current stimulation of stroke patients on depression and quality of life. J Phys Ther Sci 2017;29(3): 505-7. [DOI:10.1589/jpts.29.505] [PMID] [PMCID]
45. McHutchison CA, Backhouse EV, Cvoro V, Shenkin SD, Wardlaw JM. Education, socioeconomic status, and intelligence in childhood and stroke risk in later life. Epidemiology 2017;28(4): 608-18. [DOI:10.1097/EDE.0000000000000675] [PMID]
46. Gh Y. The Effect of E-Learning on the Quality of Life of Patients with Stroke. J. Health Care 2017;19(1): 30-8. [Google Scholar]
47. Indredavik B, Bakke F, Slørdahl S, Rokseth R, Haheim L. Stroke unit treatment improves long-term quality of life: a randomized controlled trial. Stroke 1998;29(5): 895-9. [DOI:10.1161/01.STR.29.5.895] [PMID]
48. Bölenius K, Lämås K, Sandman P-O, Edvardsson D. Effects and meanings of a person-centred and health-promoting intervention in home care services-a study protocol of a non-randomised controlled trial. BMC Geriatr 2017;17(1): 1-9. [DOI:10.1186/s12877-017-0445-0] [PMID] [PMCID]
49. Prvu Bettger J, Alexander KP, Dolor RJ, Olson DM, Kendrick AS, Wing L, et al. Transitional care after hospitalization for acute stroke or myocardial infarction: a systematic review. Ann Intern Med 2012;157(6): 407-16. [DOI:10.7326/0003-4819-157-6-201209180-00004] [PMID]
50. Lee KB, Lim SH, Kim KH, Kim KJ, Kim YR, Chang WN, et al. Six-month functional recovery of stroke patients: a multi-time-point study. Int J Rehabil Res 2015;38(2): 173. [DOI:10.1097/MRR.0000000000000108] [PMID] [PMCID]
51. Wagachchige Muthucumarana M, Samarasinghe K, Elgán C. Caring for stroke survivors: experiences of family caregivers in Sri Lanka-a qualitative study. Top Stroke Rehabil 2018;25(6): 397-402. [DOI:10.1080/10749357.2018.1481353] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb