Dyadic interventions for stroke survivors and caregivers improved psychological, social, and family functions, enhancing quality of life for both parties.
Do dyadic health programs improve functional, psychological, and quality of life outcomes in stroke survivors and their caregivers?
Dyadic interventions combining skill-building and psychosocial education are associated with improved psychological, social, and quality of life outcomes for both stroke survivors and their caregivers.
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Background: Stroke has become the leading cause of disability in adults worldwide. Hemiplegia is one of the most common motor dysfunctions of stroke, which not only affects the quality of life (QoL) of patients but also brings a huge economic burden to families and society. Purpose: This review aims to provide an in-depth summary of currently available studies that provide health programs for stroke survivor and caregiver dyads. The specific aims are (1) to synthesize current body of evidence on health programs available for both stroke survivors and their caregivers as dyads, (2) to synthesize the method and utility of dyadic health programs for stroke survivors and caregivers, (3) to evaluate the outcomes of stroke survivor and caregiver dyad health programs, and (4) to discuss implications for nurses and nursing practice in poststroke patient care as well as caregiver education. Methods: The search process of the study was carried out adhering to the PRISMA guidelines. A systematic search was conducted using MEDLINE, Embase, CINAHL and Web of Science databases. The predefined inclusion criteria were (1) study participants have confirmed diagnosis of stroke; (2) study participants have poststroke dysfunctions that require rehabilitation; (3) studies included both stroke survivors and caregivers; and (4) full-text peer-reviewed empirical English research articles published in or after 2000. A two-phase approach was performed to expedite the search process with an effort to remain rigorous search but prevent any potential bias. Results: We identified a total of 23 articles that satisfied our inclusion criteria. The majority of the identified studies were conducted in the north America, and the sample size ranged from 7 to 853 dyads. The outcomes of the health programs focused on cognitive, physical, psychological, social and family functions in the dyads, the caregiver burden and QoL in the dyads. The majority of the studies reported positive outcomes in both stroke survivors and caregivers, especially in terms of psychological, social and family functions and QoL. Conclusion: Dyadic interventions are associated with improvements in survivor outcomes as well as caregiver outcomes. Standard use of dyadic interventions that combine skill-building strategies with psychosocial education will allow better stroke survivor and caregiver outcomes.
Park et al. (Thu,) reported a other. Dyadic interventions for stroke survivors and caregivers improved psychological, social, and family functions, enhancing quality of life for both parties.