Correlation Between Knowledge and Self-Efficacy with Family Skills in Exercising Range of Motion for Post-Stroke

Introduction

Stroke is the third largest cause of death after heart disease and cancer. Post-stroke patients who have disabilities will lose independence and become dependent on others. The role of the family is significant in helping patients meet psychological, social and spiritual needs. In addition, the family plays a role in recovery and optimizing the client's motor skills. A family member is the primary support system of direct service providers in every situation. This study aimed to examine the relationship between knowledge, self-efficacy and family skills in doing a range of motion exercises post-stroke.

Methods

Correlational research method with a Cross-Sectional Study approach with post-stroke client family research samples was taken in total sampling with 55 respondents. Analysis using bivariate analysis with Spearman's-rho correlation test.

Results

The results showed that family knowledge was above average with a Median value of 15.00 (IQR = 2), family self-efficacy was above average with a Mean value of 51.47 (SD = 11.67), and family skills were above average with a mean value of 7.73 (SD = 2.70).

Discussion

The results of bivariate analysis stated that there was a relationship between family knowledge and family skills in doing a range of motion exercises with p-value = 0.00 (r = 0.613), and there was a relationship between family self-efficacy and family skills in doing a range of motion exercises with p-value = 0.00 (r = 0.497). This research has implications for community nurses to provide interventions and enhance visite to family members with post-stroke.

Effects of the Discharge Education Program on Family Caregivers Caring for Patients on Mechanical Home Ventilation in Korea: A Pilot Test

Patients on home ventilators rely on mechanical ventilation until their death; hence, family caregivers should perform additional caregiving, including tracheostomy, equipment management, and positive pressure ventilation by ambu-bag in emergencies. Therefore, a systematic discharge education program and evaluation of actual caregiver performance are necessary for safe home management. The program consists of suction and tracheostomy management, home ventilator management, emergency management, fundamental caregiving, and video material. To test clinical validity, family caregivers of patients about to be discharged to their homes from S hospital in Seoul, Korea, were selected by convenience sampling with a non-equivalent control group design. Of 18 participants, one refused, one died, and two became unstable after their agreement; therefore, 14 participants were finally included. To compare caregiving performance scores between the groups, we ran repeated measures ANOVA. Intergroup and period interaction of suction ( F = 6.08, p = .001) and tracheostomy management ( F = 3.00, p = .038) crucial for airway management, showed significant statistical differences. In short, the intervention group showed a faster increase in suction and tracheostomy management than the control group. Home ventilator management ( F = 22.53, p < .001), emergency management ( F = 12.01, p < .001), and fundamental caregiving ( F = 7.88, p < .001) showed significant differences within the group regarding the period. According to the results of the clinical validity test, the discharge education program increased the family caregiver’s suction and tracheostomy management performance scores. Further research is needed to demonstrate long-term effects of the program with a larger sample.