nursing interventions on stroke patient care: quality of life, hopelessness, anxiety and depression

Conditions: Stroke; Depression; Anxiety; Care Burden; Hopefulness

Summary: in our research, it was aimed to determine the effect of nursing interventions applied face to face at the time of discharge and then via tele-nursing method to the caregivers of patients in intensive care and diagnosed with stroke, on the quality of life, care burden, hopelessness, anxiety and depression levels of the caregivers. this research will be conducted as a randomized, pre-test, post-test single group intervention study, at the neurology intensive care unit of sakarya university training and research hospital, between march and june 2023. with a 95% confidence interval, 5% margin of error, 0.54 effect size and 95% representativeness of the population, the group was calculated as 47 people, and the sample was determined as 56 people in total, with 20% reserve. the sample of the study will be selected by simple random sampling method among the caregivers of stroke patients who meet the inclusion criteria and agree to participate in the research. during the discharge process, information forms, zarit caregiving burden scale, beck hopelessness scale, adult caregiver quality of life survey, and hospital anxiety depression scale will be administered face to face to the participants as a pre-test. 12 weeks after the first measurement, zarit caregiving burden scale, beck hopelessness scale, adult caregiver quality of life questionnaire, hospital anxiety depression scale will be administered as posttest. in addition to routine discharge training, participants will be provided with 'education and care practices for stroke patients'. these applications; it will be performed for those who care for stroke patients in the hospital for a week, and then at home, twice a week, for a total of 7 weeks, via telenursing method. written consent will be obtained from caregivers after explaining the purpose of the research and the purpose for which the results will be used. participants will be informed that their information will not be shared with others and the confidentiality policy will be adhered to. in order to make comparisons before and after the training, participants will be asked to fill out data collection forms with a nickname they can easily remember and not forget in the pre-test. they will be asked to write the same pseudonyms when filling out the post-test data collection forms. participants will be asked to fill out data collection forms individually, but it will be stated that they can contact the researchers if they have questions.


Eligibility criteria:
inclusion criteria: * having a patient in the neurology intensive care unit with a diagnosis of stroke, * the patient is at the stage of being discharged from the intensive care unit, * being literate, * having a smart phone and being able to use it, * having internet access and at least 4gb internet package, * volunteering to participate in the research. exclusion criteria: * caregivers who are not reachable by phone calls at home, * caregivers who do not have continuity in home telenursing training and consultancy practices will be excluded from the study.