Effect of Telenursing on Levels of Depression and Anxiety in Caregivers of Patients with Stroke: A Randomized Clinical Trial

Maryam Goudarzian, Masoud Fallahi-Khoshknab, Asghar Dalvandi, Ahmad Delbari, Akbar Biglarian

Abstract


Background: Telenursing is a low‑cost, highly accessible method that can lead to increased awareness on the principles of care, and may eventually help reduce the stress experienced by caregivers of patients with stroke. The present study aimed to investigate the effect of telenursing through phone consultation on the levels of depression and anxiety in family caregivers of patients with stroke.

Materials and Methods: This was a randomized clinical trial including 152 caregivers of stroke patients discharged from Mohammad Vase’ee Hospital in Sabzevar in 2016. Participants were recruited through purposive sampling method and were randomly assigned to control (n = 76) and intervention (n = 76) groups. The intervention consisted of 32 sessions of phone consultation. Research tools included demographic characteristics form, needs assessment questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory. Data were analyzed with independent t test using SPSS, version 23.

Results: Mean (SD) post‑intervention anxiety scores for the intervention and the control group were statistically significant (t = 3.51, p = 0.001). However, the difference in mean depression scores after intervention was not significant (p = 0.70).

Conclusions: Telenursing can be employed to facilitate the care of chronic patients as well as increase the psychological well‑being of the caregivers through providing practical and specialized information.

 


Keywords


Anxiety, caregivers, depression, stroke, telenursing

Full Text:

PDF

References


Kheirollahi N, Khatiban M, Oshvandi K, Alhani F, Feradmal J. The effect of family‑centered empowerment intervention on perceived severity of threat in caregivers of patients with stroke: a semi experimental study. Scientific J Hamadan Nurs Midwifery Faculty 2014;22:73‑82.

Wang W, Wang D, Liu H, Sun H, Jiang B, Ru X, et al. Trend of declining stroke mortality in China: Reasons and analysis. Stroke Vasc Neurol 2017;2:132‑9.

Mackay MT, Benedict SL, Lee KJ, deVeber GA, Ganesan V. Arterial ischemic stroke risk factors: The International Pediatric Stroke Study. Ann Neurol 2011;69:130‑40.

McConeghy KW, Hughes L, Cook AM. A review of neuroprotection pharmacology and therapies in patients with acute traumatic brain injury. CNS Drugs 2012;26:613‑36.

Pope HG Jr, Kanayama G, Siegel AJ, Hudson JI. Testosterone gel supplementation for men with refractory depression: A randomized, placebo‑controlled trial. Am J Psychiatry 2003;160:105‑11.

APA. Diagnostic and Statistical Manual of Mental Disorders : American Psychiatric Association; 2013.

Grabe HJ, Appel K, Mahler J, Schulz A, Spitzer C, Fenske K, et al. Childhood maltreatment, the corticotropin‑releasing hormone receptor gene and adult depression in the general population. Am J Med Genet B Neuropsychiatr Genet 2010;153:1483‑93.

Kawaguchi T, Azuma M, Satoh M, Yoshioka Y. Tele‑nursing in chronic conditions. Tele‑nursing: Springer, London; 2011. p. 61‑74.

Reierson IÅ SH, Bjørk IT. Nursing students’ perspectives on tele‑nursing in patient care after simulation. Clin Simulation Nurs 2015;11:244‑50.

Ajalli A, Fallahi‑Khoshknab M. Tele‑nursing care in chronic patients: A systematic review. IJRN 2015;1:76‑86.

Behzad Y BF, Haghani H. Effect of empowerment program with the telephone follow‑up (tele‑nursing) on self efficacy in self‑care behaviors in hypertensive older adults. J Nurs Midwifery Urmia Univ Med Sci 2016;13:1004‑15.

Bikmoradi A MB, Ghomeisi M, Roshanaei G. Impact of Tele‑nursing on adherence to treatment plan in discharged patients after coronary artery bypass graft surgery: A quasi‑experimental study in Iran. Int J Med Informatics 2016;86:43‑8.

Tari Moradi AH. Survey of Depression, Anxiety and Physical Health of Caregivers to Elders with Aged and Brain Stroke. Alborz Univ Med J 2015;3:199‑204.

Ward MM, Natafgi N. Systematic review of telemedicine applications in emergency rooms. Int J Med Informatics 2015;84:601‑16.

St George BJ, Karabatsos G, Brimble R, Wilson A, Cullen M. How safe is tele‑nursing from home? Collegian 2009;16:119‑23.

Beck AT, Steer RA. Relationship between the Beck Anxiety Inventory and the Hamilton Anxiety Rating Scale With anxious outpatients. J Anxiety Disord 1991;5:213‑23.

Bal ZE, Solmaz M, Aker DA, Akin E, Kose S. Temperament and character dimensions of personality in patients with generalized anxiety disorder. J Mood Disord 2017;7:10‑9.

Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J TUMS Publications 2008;66:136‑40.

Balhara YPS, Verma R, Sharma S, Mathur S. A study of predictors of anxiety and depression among stroke patient–caregivers. J Mid‑Life Health 2012;3:31‑5.

Bademli K. Anxiety and Depression in Caregivers of Chronic Mental Illness. J Depress Anxiety 2017;6:254.

Woelbert E. psychotherapy for mental illness in Europe. Publications Office of the European Union; 2015.

Chiang L‑C, Chen W‑C, Dai Y‑T, Ho Y‑L. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi‑experimental study. Int J Nurs Stud 2012;49:1230‑42.

Bastani F, Ghasemi E, Negarandeh R, Haghani H. General Self‑Efficacy among Family’s Female Caregiver of Elderly with Alzheimer’s disease. J Hayat 2012;18:27‑37.

Di Napoli M. Caplan’s Stroke: A Clinical Approach. JAMA 2009;302:2600‑1.

Jahromi MK, Javadpour S, Taheri L, Poorgholami F. Effect of Nurse‑Led Telephone Follow ups (Tele‑Nursing) on Depression, Anxiety and Stress in Hemodialysis Patients. Glob J Health Sci 2016;8:168.

Demircelik MB, Cakmak M, Nazli Y, Entepe E, Yigit D, Keklik M, et al. Effects of multimedia nursing education on disease‑related depression and anxiety in patients staying in a coronary intensive care unit. Appl Nurs Res 2016;29:5‑8.


Refbacks

  • There are currently no refbacks.