Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model.
Kelana Kusuma Dharma, Dedi Damhudi, Nelly Yardes and 1 others
PMID 31406848WHAT IT FOUND
Family caregiver empowerment after stroke improved patients' quality of life and functional capacity by the sixth month.
Nurses taught caregivers exercises, coping and daily activity support; controls received routine community nursing.
Key findings
01Functional capacity showed a significant difference between measurements and between groups in the adjusted analysis.
02Quality of life showed no significant group difference before intervention or at the fourth and fifth months, but a significant difference at the sixth month.
03In the intervention group, feeding and dressing were the two daily activity domains that increased significantly.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was quasi-experimental and did not describe random allocation, so groups may have differed in ways not measured. The intervention combined many components, including education, coping, mobility, daily activity training, and caregiver support, so the contribution of any single component cannot be separated. Functional capacity group scores at the sixth month were not significantly different in the table (P = 0.217), although the repeated-measures analysis reported a significant difference. Quality of life group differences appeared only at the sixth month, not at earlier follow-up points. Family caregivers' ability to facilitate exercises was not measured, so differences in caregiver skill were not considered. The program was tested only in patients with mild to moderate disability, and its effect in complex or severe stroke was not shown. The sample was recruited in Indonesia, with family caregivers under 60, so results may not transfer to other settings. Only 40 patients per group completed the study.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not read this as proof that caregiver exercise training alone improves stroke recovery. The program combined education, coping, mobility, daily activity training, and caregiver support, and the study was quasi-experimental rather than randomised.