Transitional Care Program in Stroke Patients With Hemiplegia.

Mahidol University

Status: Enrolling

Conditions: Ischemic Stroke; Transitional Care; Hemiplegia

Treatments: Behavioral: Intervention group

Study type: Interventional

Funder types: Other

Identifiers

NCT06242366

COA. MURA2023/337

U034hh/66 (Other Identifier)

Details and patient eligibility

About

This study examines the effects of a transitional care program in stroke patients on self-care behavior, quality of life, and hospital readmission.

The research conceptual framework is based on the Transitional Care Model by Naylor. Sixty participants with stroke patients at Charoenkrung Pracharak Hospital will be recruited. These participants are stratified by block randomization using NIHSS score and divided into 2 groups; a control group (n=30) and an intervention group (n=30).

The program consisted of 2 phases: 1) Phase I during hospital admission and 2) Phase II following hospital discharge

Full description

This study is to examine the effects of a transitional care program in stroke patients on self-care behavior, quality of life, and hospital readmission.

The research conceptual framework base on Transitional Care Model by Naylor. Sixty participants with stroke patients at Charoenkrung Pracharak Hospital will be recruited. These participants are stratified block randomization using NIHSS score and divide into 2 groups; control group (n=30) and intervention groups (n=30).

The program consisted of 2 phases: 1) Phases I during hospital admission and 2) Phases II following hospital discharge for 4 weeks. The instruments used in this study for collecting the data are 1) The Personal Data Form, 2) The Self-care Behavior Questionare and 3) The Stroke Impact Scale (SIS) 3.0. Data will be analyzed using descriptive statistics and two-way repeated measures ANOVA.

The result of this study will be used to develop guideline for nursing care in stroke patients during the transition from hospital to home. This program will help the patients improve their self-care, quality of life, and reduce hospital readmission

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 18 years old.
• The first diagnosis is acute ischemic stroke.
• Hemiplegia
• NIHSS 5-14 point (moderate impairment)
• Telephone and Line Application used.
• Can read and communicate in Thai language
• Accept participants to research and inform consent.

Exclusion criteria

• Aphasia
• The Six Item Cognitive Impairment Test: 6CIT from 8 points in age from 60 years old.
• Participants with illness severity or dead during the study.
• Reject the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Intervention group

Experimental group

Description:

In this arm, the participant will receive standard nursing care and the program from an investigator. The program consisted of 2 phases: 1) Phases I during hospital admission when they are stable will receive a program total 4 times for education about stroke, self-care, rehabilitation, and complication prevention and 2) Phases II following hospital discharge within 24 hours then every 1 week until 4 weeks by Line Application visit. following self-care management, find limit to their self-care. and Outcomes Assessor will visit to collect data 3 times 1. In-hospital period 2. after hospital discharge 4 weeks 3. after hospital discharge 12 weeks

Treatment:

Behavioral: Intervention group

Control group

No Intervention group

Description:

In this arm, the participant will receive only standard nursing care. and Outcomes Assessor will visit to collect data 3 times 1. In-hospital period 2. after hospital discharge 4 weeks 3. after hospital discharge 12 weeks