Effects of Video-guided Education for Primary Family-caregivers of Stroke Patients

뇌졸중 환자의 주간호제공자를 위한 비디오재활교육의 효과

  • Cho, Bok-Hee (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 조복희 (전남대학교 간호대학, 전남대학교 간호과학연구소)
  • Received : 2011.04.25
  • Accepted : 2011.05.11
  • Published : 2011.05.31

Abstract

Purpose: Family-caregivers of stroke patients usually go through hardship and life style changes during the protracted course of a family member's rehabilitation. There is need for programs to educate family-caregivers to better manage the medical crisis. In this study an evaluation was done of the degrees of burden and well-being experienced by primary family-caregivers following video-guided education (VGE) on rehabilitation and family lifestyle changes. Method: Fifty-eight primary family-caregivers of stroke patients on a neurological ward were divided into VGE (29) and control (29) groups. VGE was started within 7 days of patient admission. Interventions included VGE, counseling, and demonstration - re-demonstration. The control group received standard education but not VGE. Data were analyzed using Chi-square test, t-test, ANCOVA, and Pearson correlation coefficients with the SAS program. Results: The VGE group had a significantly lower score for total burden (F=7.19, p=.010) and for sub-scale of time-dependent burden (F=8.44, p=.005) than the control group. There was a negative correlation between primary family-caregiver burden and well-being (r=-.7151, p<.001). Conclusion: Results suggest that the rehabilitation program using VGE was an effective nursing intervention to reduce the burden of primary family-caregivers of stroke patients.

Keywords

References

  1. Bak, Y. J., Jeong, M. Y., & Ann, E. H. (2001). A study on the factors affecting sense of well-being of stroke survivor family care taker. Journal of Korean Academy of Nursing, 31, 315-327.
  2. Cho, B. H., Kim, M. H., Seo, N. S., & So, H. S. (1999). A study on the degree of self-care activities, family burden, and the educational needs of primary caregivers. The Korean Journal of Rehabilitation Nursing, 2, 243-256.
  3. Cho, K. J., & Jun, E. M. (2007). Effects of an information protocol on anxiety and nursing satisfaction for family caregivers of cerebrovascular accident patients in the ICU. Journal of Korean Academy of Fundamentals of Nursing, 14, 53-61.
  4. Clark, M. S., & Smith, D. S. (1998). Knowledge of stroke in rehabilitation and community samples. Disability Rehabilitation, 20, 90-96. https://doi.org/10.3109/09638289809166061
  5. Dupuy, H. J. (1978). Self-representation of general psychological well-being of American adults. Paper presented at meeting of American Public Health Association, Los Angeles, LA.
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  7. Ham, M. Y., Choi, K. S., & Ryu, E. J. (2000). Analysis of nursing studies about stroke research in Korea. The Korean Journal of Rehabilitation Nursing, 3, 154-168.
  8. Hong, Y. S., Suh, M. J., Kim, K. S., Kim, I. J., Cho, N. O., Choi, H. J. et al. (2000). Relations between perceived burden and social support of stroke patient's family caregiver. Journal of Korean Academy of Nursing, 30, 595-605.
  9. Jang, I. S. (1995). A study of the family caregiver's burden for the elderly with chronic disease in a rural area. Unpublished master's thesis, Seoul National University of Korea, Seoul.
  10. Kang, H. S., Kim, W. O., Kim, J. W., Wang, M. J., & Cho, J. H. (2004). Effect of east-west self-help group program for rehabilitation of post stroke clients. Journal of Korean Academy of Nursing, 34, 1351-1361.
  11. Kang, S. J., & Choi-Kwan, S. (2000). A longitudinal study on the burdens of caregivers in families with stroke patients. Journal of Korean Academy of Adult Nursing, 12, 209-221.
  12. Kang, S. J., Lee, H. J., & Choi-Kwon, S. (2002). Caregivers' burden in patients with acute stroke. The Korean Journal of Rehabilitation Nursing, 5, 27-37.
  13. Kim, J. H., & Kim, O. S. (2005). Influencing factors that affect the psychological well-being in family caregivers of stroke patients. Journal of Korean Academy of Nursing, 35, 399-406.
  14. Kim, J. H., Lim, N. Y., So, H. Y., Kang, K. S., Min, H. S., Park, G. H. et al. (2007). An analysis on the research papers about exercise interventions to the stroke survivors. The Korean Journal of Rehabilitation Nursing, 10, 116-124.
  15. Kim, J. S., & Choi-Kwan, S. (1998). Cerebral apoplexy. Seoul: Jeongdam.
  16. Kim, S. S. (1992). Experience of family caregivers caring for the patients with stroke. Unpublished doctoral dissertation, Yonsei University, Seoul.
  17. Korea National Statistical Office (2008). Annual report on the cause of death statistics. Seoul: National Statistical Office.
  18. Lee, K. Y., & Sohng, K. Y. (1996). A study on the degree of burden and depression in family caregivers of patients with stroke. The Journal of Academy of Nursing, 26, 853-867.
  19. Lee, S. J. (1993). A study on the degree of burden of family caregivers in the elderly inpatients. Unpublished master's thesis, Chonnam National University of Korea, Gwangju.
  20. Novak, M. N., & Guest, C. (1989). Application of a multidimentional caregiver burden inventory. The Gerontologist, 29, 798-803. https://doi.org/10.1093/geront/29.6.798
  21. Park, S. Y. (2007). The effects of exercise on functional status, activity of daily living and social re-adjustment in stroke patients. The Korean Journal of Rehabilitation Nursing, 10, 12-20.
  22. Park, Y. H. (1999). The effects of support group intervention for spouses of stroke patients on caregiver burden and well-being. Unpublished doctoral dissertation, Seoul National University, Seoul.
  23. Saha, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation, Journal of Clinical Epidemiology, 42, 703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  24. Tappen, R. M., Whitehead, D. , Folden, S. L., & Hall, R. (2003). Effect of a video intervention on functional recovery following hip replacement and hip fracture repair. Rehabilitation Nursing, 28, 148-153. https://doi.org/10.1002/j.2048-7940.2003.tb02048.x
  25. Yoo, E. K., Jeon, S., & Yang, J. E. (2007). The effects of a support group intervention on the burden of primary family caregivers of stroke patients. Journal of Korean Academy of Nursing, 37, 693-702.
  26. Yoo, E. K., Jeon, S., & Yang, J. E. (2007). The effects of a support group intervention on the burden of primary family caregivers of stroke patients. Journal of Korean Academy of Nursing, 37, 693-702.
  27. Zarit, S. H., Reever, K., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20, 649-655. https://doi.org/10.1093/geront/20.6.649