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Effect of carer education on functional abilities of patients with stroke
Abstract
Background/Aim: Stroke is a well-documented public health problem in low, middle, and high-income countries. Post stroke, patients are discharged home quite early and usually need help with activities of daily living. This help is usually provided by informal carers. The purpose of this study was to establish the effect of carer education on functional abilities of patients with stroke in a low resource setting where access to rehabilitation post discharge was limited. Methods: A randomised controlled trial consisting of two groups (control and experimental) each with 100 patients and their carers was used. The carers in the control group received individualised training as was needed to help look after the person with stroke. The patient's functional abilities were measured using the Barthel Index and the Rivermead Mobility Index. Measurements were taken at discharge, 3, 6 and 12 months post discharge from hospital. Results: Patients were discharged home with low functional abilities and though they improved over time, they did not do so to satisfactory levels. Carer education alone did not result in significant improvements in patients’ functional abilities. Implications and conclusion: There is a need to devise new ways of providing rehabilitation to patients post discharge from hospital e.g. strengthen domiciliary visits. Carers require more support to enable them to positively influence patient outcomes post stroke.
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Mudzi et al. concluded that there is a need to devise new ways of providing rehabilitation to patients post discharge, enhancing the importance of domiciliary visits and caregiver support.
“A previously published RCT by Mudzi et al. [53], concludes reminding the need to devise new ways of providing rehabilitation to patients post discharge enhancing the importance of domiciliary visits, as well as prompts that caregivers require more support to enable them to positively influence patient outcomes post stroke.”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [53]
Decision on evaluations and intervention duration was made after reviewing recent and similar published papers showing main changes between groups 3 months after discharge, and Barthel Index and mRS were the most widely used evaluations.
“Decision on evaluations and intervention duration was made after reviewing recent and similar published papers, as showing main changes between groups 3 months after discharge [3, 4, 49, 53, 58] and being Barthel Index and the mRS the most widely used evaluations [3, 4, 53, 59].”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [53]
A reason for the greater cognitive improvement in the experimental group may be the stimulation added by the occupational therapist and caregiver, as well as better adherence to treatment and compliance with recommended exercises.
“A reason for this result may be the stimulation added by the occupational therapist and caregiver, as well as the better adherence to treatment and compliance of recommended exercises to improve perceptual-cognitive skills [53].”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [53]
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Metadata
- Authors
- Mudzi, W., Stewart, A., & Musenge, E.
- Affiliations
- University of the Witwatersrand (ZA)
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa and;
- Venue
- International Journal of Therapy and Rehabilitation
- Publisher
- Mark Allen Group
- Published
- 2012-07
- Volume
- 19
- Issue
- 7
- Pages
- 380-385
- ISSN
- 1741-1645 (ISSN-L)
- 1759-779X
- OpenAlex
- W2085035321
- Cited by
- 22
- References
- 31
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 1
- FWCI
- 0.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Therapy and Rehabilitation (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Nursing › Research and Theory › Nursing care and research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- stroke, caregiver education, informal caregivers, functional capacity, activities of daily living, post-discharge rehabilitation, resource-limited settings, home-based rehabilitation, Barthel Index, Rivermead Mobility Index
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