Does a multimedia education program work as a remedy for stress and burden in family caregivers of elderly heart attack patients? A clinical trial study.

IF 3.1 2区 医学 Q1 NURSING BMC Nursing Pub Date : 2025-01-06 DOI:10.1186/s12912-024-02567-8
Maliheh Abbasi, Nadia Kolbadinezhad, Somayeh Rostami, Mahya Ahmadi
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Abstract

Background: Supportive care has been found to improve quality of life and reduce the disease burden for aging individuals. After a heart attack, elderly patients often require a caregiver. In developing communities, caregiving responsibilities frequently fall on family members. Accordingly, we designed a randomized controlled clinical trial to assess the effect of an educational program on perceived stress and care burden among family caregivers of elderly heart attack patients.

Method: In this clinical trial (IRCT20220905055894N1, 01/02/2023), family member caregivers were the study participants, assigned to either intervention or control groups using a simple random sampling method. The control group received only routine in-home caregiving information, without additional nurse training or support, whereas the intervention group received multimedia-based training, monitoring, and communication support from a trained nurse over one month. Perceived stress levels and caregiving burden were measured using the Perceived Stress Scale (PSS) and the Caregiving Burden Inventory, respectively.

Results: Before the intervention, a high level of caregiving stress (34.07 ± 8.61 in the control group vs. 34.17 ± 8.62 in the intervention group) and burden (77.7 ± 15.51 in the control group vs. 79 ± 15.6 in the intervention group) was observed. After one month of intervention, the average scores of stress and burden remained unchanged in the control group, whereas the intervention group showed a significant reduction (P < 0.001). The inter-group comparison revealed lower levels of stress and care burden in the intervention group (P < 0.001).

Conclusion: A brief multimedia education intervention could help alleviate the stressful conditions experienced by family caregivers of elderly heart attack patients. Future studies could investigate whether a more extended educational program would have more lasting effects.

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多媒体教育计划是否能减轻老年心脏病患者家属的压力和负担?临床试验研究。
背景:支持性护理已被发现可以改善老年人的生活质量和减轻疾病负担。心脏病发作后,老年患者通常需要一个照顾者。在发展中社区,照顾的责任往往落在家庭成员身上。因此,我们设计了一项随机对照临床试验,以评估教育计划对老年心脏病患者家庭照顾者感知压力和照顾负担的影响。方法:本临床试验(IRCT20220905055894N1, 01/02/2023)以家庭成员照顾者为研究对象,采用简单随机抽样方法分为干预组和对照组。对照组只接受常规的家庭护理信息,没有额外的护士培训或支持,而干预组接受基于多媒体的培训,监测和来自训练有素的护士的沟通支持超过一个月。分别采用感知压力量表(PSS)和护理负担量表测量感知压力水平和护理负担。结果:干预前,护理压力(对照组34.07±8.61比干预组34.17±8.62)和护理负担(对照组77.7±15.51比干预组79±15.6)水平较高。干预1个月后,对照组的压力和负担平均得分保持不变,而干预组的压力和负担平均得分明显降低(P)。结论:简短的多媒体教育干预有助于缓解老年心脏病患者家属照顾者的压力状况。未来的研究可能会调查更广泛的教育计划是否会产生更持久的影响。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
期刊最新文献
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