Influence of family-integrated transition care on the daily living ability of patients with stroke
Xiangying Shen, Jiaojiao Wu, Hongmei Ma, Chunying Liu, Pan Li, Yuehong Zheng
Published 2019-04-20
Cite as Chin J Health Manage, 2019, 13(2): 113-117. DOI: 10.3760/cma.j.issn.1674-0815.2019.02.004
Abstract
ObjectiveTo explore the influence of family-integrated transition care on the daily living ability of discharged patients with stroke.
MethodsSeventy-eight patients with stroke who were admitted to Renmin Hospital of Wuhan University from May 2016 to October 2017 were selected by convenience sampling and were divided into a control group and a family-integrated transition care group (hereinafter referred to as transition care group). The patients in the control group received routine neurological health education, while those in the transition care group received a family-integrated transition care intervention in addition to routine neurological health education. The family-integrated transition care included team building, skills training for family members, family-integrated guidance for discharged patients, and regular visits. The scores of the modified Barthel index were compared between the two groups of patients at discharge, three months after intervention, and six months after intervention.
ResultsAmong the 71 patients that were finally included, 35 cases were included in the control group, of which 17 cases were men (49%), 18 cases were women (51%), and their mean age was (70.1±3.7) years; the transition care group comprised 36 cases, of which 18 cases were men (50%), 18 cases were women (50%), and their mean age was (69.8±4.5) years. The baseline scores of the control group and transition care group on the day of discharge were (49.1±7.5) and (49.7±7.9), respectively, with no significant difference (P>0.05). In terms of time effects, the scores of the patients in the two groups had statistically significantly improved at six months after discharge (P<0.05). In the group comparison, the scores of the patients in the transition care group after the intervention were significantly higher compared to the scores of those in the control group (P<0.05). In terms of time and inter-group effects, there was an interaction (P<0.05), and therefore, the influence of time effects was excluded and the same timepoint was compared between the two groups. The scores at three months (63.9±8.8) and six months (76.9±10.1) in the transition care group were higher than those in the control group (58.1±8.1 and 66.0±9.3, respectively). The difference was statistically significant (P < 0.05).
ConclusionFamily-integrated transition care can effectively improve daily living ability and is worthy of promoting.
Key words:
Stroke; Nursing care; Family-integrated model; Modified Barthel index; Quality of life
Contributor Information
Xiangying Shen
Department of Gerontology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Jiaojiao Wu
Department of Gerontology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Hongmei Ma
Department of Gerontology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Chunying Liu
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Pan Li
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China
Yuehong Zheng
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China
