ผลของโปรแกรมการพยาบาลระบบสนับสนุนและให้ความรู้สำหรับผู้ดูแลผ่านแอปพลิเคชันไลน์ต่อความสามารถของผู้ดูแลและความสามารถ ในการประกอบกิจวัตรประจำวันของผู้ป่วยโรคหลอดเลือดสมองที่บ้าน

Ranida  Sarawangkul; Teepatad Chintapanyakun; Kesree  Lertprapai

Authors

Ranida Sarawangkul Samutprakan Hospital, Mueang Samutprakan District, Samutprakan
Teepatad Chintapanyakun Department of Nursing Service, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Ratchathewi, Bangkok
Kesree Lertprapai Samutprakan Hospital, Mueang Samutprakan District, Samutprakan

Keywords:

caregivers’ capabilities, abilities of daily living among patients with stroke, supportive-educative nursing program, line application

Abstract

This experimental research aimed to compare the caregivers’ capabilities and activities of daily living among patients with stroke at home between the experimental group and the control group. The participants were the direct caregivers and stroke patients who received their first diagnosis at Samutprakan Hospital. A simple random sampling technique was applied to recruit the sample into the study regarding the inclusion criteria. The matching method was applied to identify each patient with an ischemic stroke. The participants were randomly assigned to the experimental group (n = 32) receiving a supportive-educative nursing program via line application and the control group (n = 32) receiving standard nursing care. The data were collected by using the questionnaires that assessed the capability of caregivers in looking after stroke patients and the ability in performing activities of daily living among patients with stroke. Three experts assessed the content validity of these two research instruments receiving .83 and 1.00 scores, respectively. The internal consistency reliability was tested by Cronbach’s alpha and found as .81 and .93, respectively. The data were analyzed using descriptive statistics, paired sample t–test, and independent sample t–test.

The results of this study revealed that the caregivers’ capabilities and activities of daily living among patients with stroke who participated in the supportive-educative nursing program via line application for caregivers had a statistically significant higher mean score than before participating in the program at the level of .05. The experimental group had a statistically significant higher mean score of caregivers’ capabilities than the control group at the level of .05 (experimental group: M = 132.09, SD = 11.04; control group: M = 98.75, SD = 21.78; t = 9.116, p = .000). Furthermore, the experimental group had a statistically significant higher mean score of activities of daily living among patients with stroke than the control group at the level of .05 (experimental group: M = 89.53, SD = 14.05; control group: M = 74.69, SD = 19.43; t = 3.503, p = .001).

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