The effect of discharge training on quality of life,self-efficacy and reintegration to normal living instroke patients and their informal caregivers:A randomized controlled trial

[摘要] Background & Objectives: This study was carried out to evaluate the effects of discharge training onquality of life and self-efficacy in stroke patients and their informal caregivers; and reintegration tonormal living in patients only. Methods: In this randomized, controlled trial, 59 patients and theircaregivers were randomly allocated to receive discharge with education (via a webpage or booklet) ora standard of care discharge without intervention (i.e. an additional training). The 12-Item Short-FormHealth Survey (SF-12), the General Self-Efficacy Scale (GSES) were applied to patients and caregiversand the Reintegration to Normal Living Index (RNLI) were applied to patients only, before dischargeand 3 months after discharge. Results: It was found that, although the quality of life improved by thetrainings in the patient intervention groups, compared with the control group (p<0.05); there was nochange in self-efficacy parameter (p>0.05). Both self-efficacy and quality of life of the caregiversimproved or maintained by the interventions, compared with the controls (p<0.05). In general, therewas no significant difference between training methods (webpage versus booklet) (p>0.05). Lastly,the impact of discharge trainings on reintegration to normal living which was assessed in the patientsonly, was found to be limited.Conclusion: Although discharge training improved the quality of life in both patients and informalcaregivers, its effect on self-efficacy in both populations and reintegration to normal living in patientswas found to be limited.

[学科分类] 精神健康和精神病学

[关键词] Caregivers;discharge training;quality of life;self-efficacy;stroke