Effectiveness of Stroke Nurse Specialist Led-transitional Care Program Combined with Tele-nursing among the first Episode Ischemic Stroke Patients and Primary Care-Givers
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Abstract
Objective: This study aims to assess the effect of stroke nurse specialist led-transitional care program combined with Tele-nursing, on the Activities of Daily Living in the first episode ischemic stroke patients on the discharge day, 1month post-discharge, and 3months post-discharge. Additionally, it aims to evaluate readiness of primary care-givers on 3months post-discharge.
Design: Randomized controlled experimental research and repeated measurements
Methods: Group of patients and caregivers of first-time ischemic stroke patients randomly assigned 32 pairs to the experimental group and 30 pairs to the control group. The experimental group received a stroke nurse specialist led-transitional care program combined with Tele-nursing for a period of 3 months. The control group received nursing care for ischemic stroke patients as usual while in the hospital. The tools used to collect data include: 1) Assessment of activities daily of living (ADLs score) in patient sample and 2) caregiver readiness assessment form in care-giver sample. Cronbach's alpha coefficient was 0.92 and 0.94, respectively. Data were analyzed using descriptive statistics, One-way repeated measure ANOVA, and independent t-test, with the statistical significance level set at .05
Results: At the three-month post-discharge, the experimental group had a mean score of ADLs significantly higher than the control group at the .05 level, and after the experiment between the experimental group and the control group. There was a significant higher in the mean readiness scores of primary care-givers for the first episode ischemic stroke patients at the .05 level.
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ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
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