Impact of Nurse-Led Stroke Education Program (NSEP) on ADL and SS-QOL among Patients with Stroke and Burden among Caregivers

Abstract

Aim: To determine the effectiveness of Nurse-Led Stroke Education Program (NSEP) on Activities of Daily Living (ADL) and Stroke-Specific Quality of Life (SS-QOL) among patients with stroke and elicit burden among caregivers. Method: A quantitative research method was adopted. Stroke victims and their caregivers who fulfill eligibility criteria were chosen. The sample size was 170 dyads, 85 dyads in the study and 85 dyads in the control groups were recruited by lottery method. NSEP was implemented in the study group dyads. The posttest assessments were taken on days 30, 90, and 180 for both groups. Results: The mean scores of ADL in the study and control group during posttest-I, II, and III were significant at P < 0.05. The mean scores of PCS during posttest-I, II, and III showed significance at P < 0.05. MCS mean score during posttest-I, II, and III was significant at P < 0.05. Overall mean scores of SS-QOL in the study group were found to be higher than that in the control group during posttest-I, II, and III at P < 0.01 between groups. The burden mean scores were higher in the control group caregiver than in the study group caregiver during the posttest-I and II at P < 0.01. Conclusion: Findings concluded that the combination of interventions like structured teaching, an information booklet on “Life after stroke,” and telephonic reminder and reinforcement has a positive impact on ADL and SS-QOL of patients with stroke and minimized caregiver burden.