Effect of Education and Telephone Follow-Up on Care Burden of Caregivers of Older Patients with Stroke

Objectives :

Stroke is the second leading cause of death and the third leading cause of disability worldwide.  Caregivers of stroke patients experience high levels of care burden that can affect their physical and psychological health. It is necessary to use interventional programs for family caregivers to prevent or reduce their care burden. This study aims to determine the effect of education and telephone follow-up on care burden of the family caregivers of older patients with stroke.

Methods & Materials :

This randomized controlled clinical trial was conducted on 79 family caregivers of older patients with stroke admitted to the neurology department of Bu-Ali hospital in Qazvin, Iran who had been discharged in the past 1-6 months. Then, they were randomly divided into intervention and control groups by the block randomization technique. For the intervention group, 12 weeks of education and follow-up was presented through telephone and social media. Data were collected by demographic checklist, Barthel Index for Activities of Daily Living, and Zarit burden interview. The independent t‐test, paired t‐test, and chi‐square tests were used for analyzing the data.

Results:

 Before the intervention, there was no significant difference between the two groups in the amount of care burden (26.20 ± 11.08 for intervention group and 28.70 ± 11.63 for the control group) (P = 0.333); however, after the intervention, the care burden of the intervention group (18.28 ± 10.07) and the control group (29.80 ± 11.76) showed a significant difference (P < 0.001). The results showed that 12 weeks of education & telephone follow-up caused a significant reduction in the care burden of the family caregivers (P< 0.001).

Conclusion:

 The education and telephone follow-up can be a useful and cost-effective method for reducing the care burden of the family caregivers of older patients with stroke.