A Nurse-led Program for Stroke Patients

Istanbul University - Cerrahpasa (IUC)

Status: Unknown

Conditions: Stroke; Psychosocial Problems

Treatments: Other: Nurse- led program

Study type: Interventional

Funder types: Other

Identifiers

NCT05242536

Nurse-led Program for Stroke

Details and patient eligibility

About

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.

Full 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.

Enrollment: 70 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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70 participants in 2 patient groups

Nurse- led program

Experimental group

Description:

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.

Treatment:

Other: Nurse- led program

Routine follow-up group

No Intervention group

Description:

The control group will be applied usual care. Patients in the control group will be discharged by receiving standard care and performing discharge trainings used in the routine care.