Effects of a Caregiver Preparation Program on the Care Skills and Burden of Caring for Stroke Patients: A Randomized Controlled Trial
Keywords:
Caregiver, Caregiver preparation program, Care skills, Burden of caring, Stroke patientsAbstract
Stroke patients have limitations in performing daily activities and rely on caregivers. It has been found that caregivers lack care skills, and the burden of caring affects their psychophysiology and socioeconomics. The objective of this randomized controlled trial was to study the effects of a caregiver preparation program on care skills and care burden for stroke patients. The research sample was 72 caregivers of stroke patients, divided into 36 persons each in an experimental and a control group by simple random sampling. Research instruments consisted of a personal data record form, a care skills assessment, a care burden questionnaire, and a caregiver preparation program. For the care skills assessment and the care burden questionnaire, the Content Validity Indexes (CVI) were .81 and .75, respectively, and the reliabilities were .87 and .82, respectively. The experimental group received a caregiver preparation program in which they practiced patient care skills at a hospital for 3 days before discharge. During the 6 months after discharge, there were 3 home visits (1st week, 3rd month, 6th month), and telephone once a week (24 times). Data were analyzed using descriptive statistics, paired sample t-test, and independent sample t-test.
The research results found that after receiving the caregiver preparation program, the experimental group had significantly higher mean care skills scores (M = 3.21, SD = 0.12) than the control group (M = 1.81, SD = 0.18, t = 33.44, p < .001). Moreover, the experimental group had significantly lower mean care burden scores (M = 15.12, SD = 1.93) than the control group (M = 43.19, SD = 1.10, t = -64.63, p < .001).
The caregiver preparation program helped caregivers gain confidence in performing patient care activities effectively.
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