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The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial
Aims and objectives. The aim of the present study was to determine the impact of a nurse‐led support and education programme for improving the spouses’ perceived general quality of life, life situation, general well‐being and health state. Background. Stroke is a disease with great consequences fo...
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| Published in: | Journal of clinical nursing 2005-09, Vol.14 (8), p.995-1003 |
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| container_issue | 8 |
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| container_title | Journal of clinical nursing |
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| creator | Larson, Jenny Franzén-Dahlin, Åsa Billing, Ewa von Arbin, Magnus Murray, Veronica Wredling, Regina |
| description | Aims and objectives. The aim of the present study was to determine the impact of a nurse‐led support and education programme for improving the spouses’ perceived general quality of life, life situation, general well‐being and health state.
Background. Stroke is a disease with great consequences for the patients and their families. The spouses often feel obligated to care for the patient, providing psychological and physical support and having to cope with the patient's physical and cognitive impairments. This might lead to increased problems, as family members struggle to adapt to their new roles and responsibilities.
Design and methods. Longitudinal, randomized controlled trial. One hundred spouses were randomly assigned to intervention or control groups, 50 in each group. The intervention group participated in a support and education programme, six times during six months, led by stroke specialist nurses. Both groups were followed for 12 months.
Results. No significant differences were found, between intervention and control groups, over time. In the sub analyses, we found that the group attending 5–6 times had a significant decrease in negative well‐being and increased quality of life over time, while the group attending fewer times had a significant decrease in positive well‐being and health state, similar to the control group, which also had a significant decrease in negative and general well‐being.
Conclusions. A support and education programme might have a positive effect on spouses’ well‐being, on condition that they attend at least five times.
Relevance to clinical practice. To facilitate the spouses’ role as informal caregivers to the stroke patients, further development of the support and education programme used in the present study is needed, including empowerment approach and implementation of coping strategies. |
| doi_str_mv | 10.1111/j.1365-2702.2005.01206.x |
| format | article |
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Background. Stroke is a disease with great consequences for the patients and their families. The spouses often feel obligated to care for the patient, providing psychological and physical support and having to cope with the patient's physical and cognitive impairments. This might lead to increased problems, as family members struggle to adapt to their new roles and responsibilities.
Design and methods. Longitudinal, randomized controlled trial. One hundred spouses were randomly assigned to intervention or control groups, 50 in each group. The intervention group participated in a support and education programme, six times during six months, led by stroke specialist nurses. Both groups were followed for 12 months.
Results. No significant differences were found, between intervention and control groups, over time. In the sub analyses, we found that the group attending 5–6 times had a significant decrease in negative well‐being and increased quality of life over time, while the group attending fewer times had a significant decrease in positive well‐being and health state, similar to the control group, which also had a significant decrease in negative and general well‐being.
Conclusions. A support and education programme might have a positive effect on spouses’ well‐being, on condition that they attend at least five times.
Relevance to clinical practice. To facilitate the spouses’ role as informal caregivers to the stroke patients, further development of the support and education programme used in the present study is needed, including empowerment approach and implementation of coping strategies.</description><identifier>ISSN: 0962-1067</identifier><identifier>ISSN: 1365-2702</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2005.01206.x</identifier><identifier>PMID: 16102151</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Attitude to Health ; Caregivers - education ; Caregivers - psychology ; Caring sciences ; Clinical trials ; Education ; Evidence based ; evidence-based practice ; family care ; Family support ; Female ; Health Education - organization & administration ; Health Status ; Home Nursing - education ; Home Nursing - psychology ; Hospitals, University ; Humans ; Longitudinal Studies ; Male ; Medicin och hälsovetenskap ; Middle Aged ; Nurse Clinicians - organization & administration ; nurse education ; Nurse led services ; Nursing ; Nursing Evaluation Research ; Omvårdnadsvetenskap ; Patients ; Program Evaluation ; Quality of Life ; randomized controlled trials ; Role ; Self-Help Groups - organization & administration ; Social Support ; Spouses ; Spouses - education ; Spouses - psychology ; stroke ; Stroke - nursing ; Strokes ; Sweden</subject><ispartof>Journal of clinical nursing, 2005-09, Vol.14 (8), p.995-1003</ispartof><rights>Copyright Blackwell Publishing Sep 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6196-54486651bc918495f1092e50259ccaf529091cef248fcdba047c469020ccce033</citedby><cites>FETCH-LOGICAL-c6196-54486651bc918495f1092e50259ccaf529091cef248fcdba047c469020ccce033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16102151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-34206$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1958699$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Larson, Jenny</creatorcontrib><creatorcontrib>Franzén-Dahlin, Åsa</creatorcontrib><creatorcontrib>Billing, Ewa</creatorcontrib><creatorcontrib>von Arbin, Magnus</creatorcontrib><creatorcontrib>Murray, Veronica</creatorcontrib><creatorcontrib>Wredling, Regina</creatorcontrib><title>The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives. The aim of the present study was to determine the impact of a nurse‐led support and education programme for improving the spouses’ perceived general quality of life, life situation, general well‐being and health state.
Background. Stroke is a disease with great consequences for the patients and their families. The spouses often feel obligated to care for the patient, providing psychological and physical support and having to cope with the patient's physical and cognitive impairments. This might lead to increased problems, as family members struggle to adapt to their new roles and responsibilities.
Design and methods. Longitudinal, randomized controlled trial. One hundred spouses were randomly assigned to intervention or control groups, 50 in each group. The intervention group participated in a support and education programme, six times during six months, led by stroke specialist nurses. Both groups were followed for 12 months.
Results. No significant differences were found, between intervention and control groups, over time. In the sub analyses, we found that the group attending 5–6 times had a significant decrease in negative well‐being and increased quality of life over time, while the group attending fewer times had a significant decrease in positive well‐being and health state, similar to the control group, which also had a significant decrease in negative and general well‐being.
Conclusions. A support and education programme might have a positive effect on spouses’ well‐being, on condition that they attend at least five times.
Relevance to clinical practice. To facilitate the spouses’ role as informal caregivers to the stroke patients, further development of the support and education programme used in the present study is needed, including empowerment approach and implementation of coping strategies.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Attitude to Health</subject><subject>Caregivers - education</subject><subject>Caregivers - psychology</subject><subject>Caring sciences</subject><subject>Clinical trials</subject><subject>Education</subject><subject>Evidence based</subject><subject>evidence-based practice</subject><subject>family care</subject><subject>Family support</subject><subject>Female</subject><subject>Health Education - organization & administration</subject><subject>Health Status</subject><subject>Home Nursing - education</subject><subject>Home Nursing - psychology</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Nurse Clinicians - organization & administration</subject><subject>nurse education</subject><subject>Nurse led services</subject><subject>Nursing</subject><subject>Nursing Evaluation Research</subject><subject>Omvårdnadsvetenskap</subject><subject>Patients</subject><subject>Program Evaluation</subject><subject>Quality of Life</subject><subject>randomized controlled trials</subject><subject>Role</subject><subject>Self-Help Groups - organization & administration</subject><subject>Social Support</subject><subject>Spouses</subject><subject>Spouses - education</subject><subject>Spouses - psychology</subject><subject>stroke</subject><subject>Stroke - nursing</subject><subject>Strokes</subject><subject>Sweden</subject><issn>0962-1067</issn><issn>1365-2702</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNklFv0zAUhSMEYt3gLyCLB3gh5dqJnZiHSaODDZg6IQ2QeLFcxxlpkzjYidrx67mhpZOQBliybNnfOdK990QRoTCluF4upzQRPGYZsCkD4FOgDMR0cy-a7D_uRxOQgsUURHYQHYawBKAJY8nD6IAKCoxyOonWV98sqZpOm564kmjSDj7YuLYFCUPXOd8T3RbEFoPRfeVa0nl37XXTWFI6T0LnhmDDKA29dytLOsRs24dX6OVR6prqB5oZ1-J_Pfr2vtL1o-hBqetgH-_Oo-jT2zdXs_P44vLs3ezkIjaCShHzNM2F4HRhJM1TyUsKklkOjEtjdMmZBEmNLVmal6ZYaEgzkwoJDIwxFpLkKIq3vmFtu2GhOl812t8opyu1e1rhzSqeyZSnyGd38lh6cSv6LaSS50JKVL64U3lafT5Rzl_jHlSS4qwQf77F0fX7YEOvmioYW9e6tdhTlYmUCWD5WMKzv5IiT3P0lP8EeYbNwkwg-PQPcOkG3-IcFEs4QJKJHKF8CxnvQvC23FdEQY0pVEs1hk2NYVNjCtWvFKoNSp_s_IdFY4tb4S52CBxvgXVV25v_NlbvL2dzuu3ebqxV6O1mb6D9Soksybj6Mj9Tc34-5x8_vFZfk5-dPvvu</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Larson, Jenny</creator><creator>Franzén-Dahlin, Åsa</creator><creator>Billing, Ewa</creator><creator>von Arbin, Magnus</creator><creator>Murray, Veronica</creator><creator>Wredling, Regina</creator><general>Blackwell Science Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D91</scope></search><sort><creationdate>200509</creationdate><title>The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial</title><author>Larson, Jenny ; Franzén-Dahlin, Åsa ; Billing, Ewa ; von Arbin, Magnus ; Murray, Veronica ; Wredling, Regina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6196-54486651bc918495f1092e50259ccaf529091cef248fcdba047c469020ccce033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Attitude to Health</topic><topic>Caregivers - education</topic><topic>Caregivers - psychology</topic><topic>Caring sciences</topic><topic>Clinical trials</topic><topic>Education</topic><topic>Evidence based</topic><topic>evidence-based practice</topic><topic>family care</topic><topic>Family support</topic><topic>Female</topic><topic>Health Education - organization & administration</topic><topic>Health Status</topic><topic>Home Nursing - education</topic><topic>Home Nursing - psychology</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Nurse Clinicians - organization & administration</topic><topic>nurse education</topic><topic>Nurse led services</topic><topic>Nursing</topic><topic>Nursing Evaluation Research</topic><topic>Omvårdnadsvetenskap</topic><topic>Patients</topic><topic>Program Evaluation</topic><topic>Quality of Life</topic><topic>randomized controlled trials</topic><topic>Role</topic><topic>Self-Help Groups - organization & administration</topic><topic>Social Support</topic><topic>Spouses</topic><topic>Spouses - education</topic><topic>Spouses - psychology</topic><topic>stroke</topic><topic>Stroke - nursing</topic><topic>Strokes</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larson, Jenny</creatorcontrib><creatorcontrib>Franzén-Dahlin, Åsa</creatorcontrib><creatorcontrib>Billing, Ewa</creatorcontrib><creatorcontrib>von Arbin, Magnus</creatorcontrib><creatorcontrib>Murray, Veronica</creatorcontrib><creatorcontrib>Wredling, Regina</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Örebro universitet</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larson, Jenny</au><au>Franzén-Dahlin, Åsa</au><au>Billing, Ewa</au><au>von Arbin, Magnus</au><au>Murray, Veronica</au><au>Wredling, Regina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2005-09</date><risdate>2005</risdate><volume>14</volume><issue>8</issue><spage>995</spage><epage>1003</epage><pages>995-1003</pages><issn>0962-1067</issn><issn>1365-2702</issn><eissn>1365-2702</eissn><abstract>Aims and objectives. The aim of the present study was to determine the impact of a nurse‐led support and education programme for improving the spouses’ perceived general quality of life, life situation, general well‐being and health state.
Background. Stroke is a disease with great consequences for the patients and their families. The spouses often feel obligated to care for the patient, providing psychological and physical support and having to cope with the patient's physical and cognitive impairments. This might lead to increased problems, as family members struggle to adapt to their new roles and responsibilities.
Design and methods. Longitudinal, randomized controlled trial. One hundred spouses were randomly assigned to intervention or control groups, 50 in each group. The intervention group participated in a support and education programme, six times during six months, led by stroke specialist nurses. Both groups were followed for 12 months.
Results. No significant differences were found, between intervention and control groups, over time. In the sub analyses, we found that the group attending 5–6 times had a significant decrease in negative well‐being and increased quality of life over time, while the group attending fewer times had a significant decrease in positive well‐being and health state, similar to the control group, which also had a significant decrease in negative and general well‐being.
Conclusions. A support and education programme might have a positive effect on spouses’ well‐being, on condition that they attend at least five times.
Relevance to clinical practice. To facilitate the spouses’ role as informal caregivers to the stroke patients, further development of the support and education programme used in the present study is needed, including empowerment approach and implementation of coping strategies.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16102151</pmid><doi>10.1111/j.1365-2702.2005.01206.x</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of clinical nursing, 2005-09, Vol.14 (8), p.995-1003 |
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| subjects | Adaptation, Psychological Adult Aged Aged, 80 and over Analysis of Variance Attitude to Health Caregivers - education Caregivers - psychology Caring sciences Clinical trials Education Evidence based evidence-based practice family care Family support Female Health Education - organization & administration Health Status Home Nursing - education Home Nursing - psychology Hospitals, University Humans Longitudinal Studies Male Medicin och hälsovetenskap Middle Aged Nurse Clinicians - organization & administration nurse education Nurse led services Nursing Nursing Evaluation Research Omvårdnadsvetenskap Patients Program Evaluation Quality of Life randomized controlled trials Role Self-Help Groups - organization & administration Social Support Spouses Spouses - education Spouses - psychology stroke Stroke - nursing Strokes Sweden |
| title | The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial |
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