Abstract
This study evaluated the effectiveness of the Transitional Care Model Stroke Turkey for stroke patients and caregivers as regards the competence of caregivers and patient outcomes. It is a parallel-group, assessor-blinded monocenter conducted with 126 participants in total (66 intervention included 33 stroke patients and 33 caregivers; 60 control groups included 30 stroke patients and 30 caregivers), between March and August 2018. The Transitional Care Model Stroke Turkey program lasts for 13 to 20 weeks. It includes a 12-week follow-up after discharge, a minimum of three hospital visits, one home visit, minimum 18 phone calls, and Web-based training. The intervention group exhibited better caregiver competence (13.48 ± 2.31), preparation for care (28.48 ± 4.74), and e-health literacy (34.42 ± 4.74) than the control group (respectively, 11.37 ± 2.48, 20.93 ± 7.10, 26.93 ± 8.53) (P < .001). Emotional exhaustion and depersonalization increased in the control group, but remained the same in the intervention group. Personal accomplishment decreased in the intervention group, unlike in the control group. Within 12 weeks of discharge, five patients from the intervention group and seven patients from the control group were rehospitalized. There was no statistical difference between stroke patients in either group in terms of having previously used home healthcare services. The Transitional Care Model Stroke Turkey is a practical model for stroke patients transitioning from hospital to home.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Nursing (miscellaneous),Health Informatics
Reference48 articles.
1. Primary care of adult patients after stroke: a scientific statement from the American Heart Association/American Stroke Association;Stroke,2021
2. Home health care services practice in Turkey;SAYOD,2018
3. The effect of the support program on the resilience of female family caregivers of stroke patients: randomized controlled trial;Applied Nursing Research,2016
4. Adaptations of the evidence-based transitional care model in the U.S;Social Science & Medicine,2018
5. Preventing chronic emotional distress in stroke survivors and their informal caregivers;Neurocritical Care,2019