Su-Ju Tsai MD, MS, Chia-Chi Li MSN, RN, Hsiang-Chu Pai PhD, RN
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引用次数: 0
摘要
背景很少有研究对中风照护者二人家庭功能照护干预的有效性进行评估。本研究旨在探讨护士主导的治疗性对话干预对中风家庭照护者二人组的恢复力、家庭功能、管理疾病的自我效能和生活质量（QoL）的影响。方法共有 82 个二人组被纳入本次分析。被随机分配到干预组的家庭在中风患者住院四周后接受一次由护士引导的治疗性对话干预。对照组中风幸存者的家庭照顾者二人组接受常规护理。我们在一个月后进行了一项效果分析，包括患者的恢复能力、自我效能以及患者-家庭照护者二人组的家庭功能和 QoL。结果一个月后，干预组患者的复原力和自我效能均有所提高。此外，抗逆力（Cohen's d = 0.49）和自我效能（Cohen's d = 0.46）的改善效果明显高于对照组。干预组患者-家庭照顾者二元组合的家庭功能明显高于对照组（Cohen's d = 0.55；Cohen's d = 0.50）。结论：干预措施能有效促进家庭功能，还能提高患者在疾病管理中的适应力和自我效能。然而，干预对患者-家庭护理者二人组的 QoL 没有显著影响。
Effects of a nurse-led therapeutic conversations intervention in stroke patient–family caregiver dyads: A randomized control trial
Background
Few studies have evaluated the effectiveness of family functional care interventions among stroke caregiver dyads. This study aimed to examine the effect of a nurse-led therapeutic conversation intervention on resilience, family function, self-efficacy in managing the disease, and quality of life (QoL) in stroke family caregiver dyads.
Aims
This study aimed to examine the effect of a nurse-led therapeutic conversation intervention on resilience, family function, self-efficacy in managing the disease, and QoL in stroke–family caregiver dyads.
Design
This study was a single-blind (evaluator) randomized controlled trial. The planned execution time was from August 2021 to December 2022, in the rehabilitation ward of a medical university hospital.
Methods
A total of 82 dyads were included in this analysis. Dyads randomized to the intervention group received nurse-led therapeutic conversations intervention one at four weeks after the patient's hospitalization for a stroke. The family caregiver dyads of stroke survivors in the control group received routine care. An effectiveness analysis that included patients' resilience, self-efficacy, and patient–family caregiver dyads' family function and QoL was conducted at one month. We used the CONSORT Checklist for reporting parallel group randomized trials in this study.
Results
The patients in the intervention group showed improvement in resilience and self-efficacy after one month. Furthermore, the effects on resilience (Cohen's d = 0.49) and self-efficacy (Cohen's d = 0.46) were significantly higher than in the control group. Family functioning was significantly higher in patient–family caregiver dyads in the intervention group than in the control group (Cohen's d = 0.55; Cohen's d = 0.50). However, no significant difference in QoL was found between patients and caregivers in either group.
Conclusions
The intervention was effective in promoting family functioning and can also promote patient resilience and self-efficacy in disease management. However, the intervention did not have a significant effect on the QoL of patient–family caregiver dyads.
期刊介绍：
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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