Psychosocial Problems, Stroke
Conditions
Keywords
Stroke, Psychosocial Problem, Nurse-led Program, Quality of Life
Brief summary
The aim of this study is to examine the effectiveness of nurse- led program on psychosocial problems and quality of life in stroke patients. This randomized controlled trial will be conducted in Stroke Center in Istinye University Liv Hospital-Bahcesehir. Eligible participants will be randomly allocated to either the control group (receiving usual care/ routine follow-up group) or the intervention group (receiving nurse-led psychosocial program). A nurse- led program will be implemented for the management of psychosocial problems following a comprehensive evaluation. Then, the effect of this program on psychosocial problems and quality of life will be evaluated in the 1st and 3rd months after discharge.
Detailed description
The aim of this study is to examine the effectiveness of nurse- led program on psychosocial problems and quality of life in stroke patients. This randomized controlled trial will be conducted in Stroke Center in Istinye University Liv Hospital- Bahcesehir. Patients who meet the criteria will be randomized into the intervention group or control group. All patients will be assessed at discharge by use of following tools: National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale, Functional Independence Measure (FIM), Montreal Cognitive Assessment (MoCA), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI). A nurse coordinated multidisciplinary program aiming to improve psychosocial problems has been developed and will be applied to the patients in the experimental group. This nurse-led program will start at discharge and continue for three months. The control group will be applied usual care. Two groups will be compared at baseline and at the 3rd month after discharge in terms of psychosocial variables and quality of life.
Interventions
OTHERNurse- led program
A nurse coordinated multidisciplinary program aiming to improve psychosocial problems has been developed and will be applied to the patients in the experimental group. This nurse-led program will start at discharge and continue for three months.
Sponsors
Istinye University
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Be literate * Have a clinical diagnosis of ischemic stroke * History of any preceding cerebral vascular event * Capable of giving informed consent
Exclusion criteria
* Age ≤ 18 years * Have a mental disorder that will prevent cognitive evaluation * Have an impaired consciousness (confusion, delirium, etc.) * History of any type of cognitive decline * Have severe neurologicial deficit * Severe aphasia * Living in a nursing home * Known malignant disease or other chronic disease with poor prognosis and a low life expectancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pittsburgh Sleep Quality Index scores | At the baseline, 1st and 3rd month after discharge | Sleep quality will be evaluated by Pittsburgh Sleep Quality Index. |
| Change in Hospital Anxiety and Depression Scale scores | At the baseline, 1st and 3rd month after discharge | Anxiety and depression will be evaluated by Hospital Anxiety and Depression Scale. |
| Change in Montreal Cognitive Assessment Test scores | At the baseline, 1st and 3rd month after discharge | Cognitive function will be evaluated by Montreal Cognitive Assessment Test. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fatigue Severity Scale scores | At the 1st and 3rd month after discharge | Fatigue will be evaluated by Fatigue Severity Scale. |
| Change in Reintegration to Normal Living Index scores | At the 1st and 3rd month after discharge | Adaptation to life will be evaluated by Reintegration to Normal Living Index. |
| Change in Stroke Specific Quality of Life Scale scores | At the 1st and 3rd month after discharge | Quality of life will be evaluated by Stroke Specific Quality of Life Scale. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactHilalnur Kucukakgun, RN, MSc
Backup ContactZeliha Tulek, RN, PhD
Outcome results
None listed