The effect of telenursing on caregiver burden of care and incidence of complications in patients with acute stroke discharged from neurological ward in the hospitals affiliated to Qom University of Medical Sciences, 2019

The effect of tele-nursing on caregiver burden and complications in acute stroke patients discharged from neurology wards of

Two arm parallel group, single-blind randomized clinical trial

After approving the study proposal and obtaining permission from the Ethics Committee and relevant authorities at Qom University of Medical Sciences and after obtaining permission from the relevant authorities of hospitals affiliated to Qom University of Medical Sciences, refer to and coordinate with the neurology department and select patients with inclusion criteria for the study.

Inclusion criteria: Acute stroke diagnosis. Willingness to participate in research. Access to telephone. Having a normal hearing, vision and mental strength. Having a caregiver under the following conditions: Fluency in Farsi language, Not having neurological and mental disorders, Not being a medical staff member. Exclusion criteria: Readmission, History of previous hospitalization due to stroke, Patient death, Unwillingness to continue cooperation or disconnection. Presence of bed wounds and urinary problems at discharge.

After discharge, patients in the intervention group receive counseling and training on effective measures to reduce caregiver burden of care, as well as prevention of pressure ulcers, falls, and urinary tract problems in addition to the discharge time training. Thay can contact the researcher any hour of the day if needed. But in the control group, only routine discharge training is provided by department personnel.

Tُhe incidence of pressure ulcer; The number of falls; Tُhe incidence of urinary problems; Mean score of caregiver burden of care, in acute stroke patients discharged from neurology wards.

Patients will be divided into two groups of experimental and control by Block randomization and adaptive sampling. The table is first set up by random sampling block method. Then, according to the preset table, patients will be divided into experimental and control groups. Since even with favorable randomization the patients in the two groups may not be quite similar in terms of confounding factors, after collecting half of the samples the patients characteristics such as age,susceptibility to bed sore and collapse will be monitored, basis on the Morse and Braden scales. If the distribution of these variables in two groups are significant difference then, by weighing method patients will be directed to groups whose frequency of characteristics are less.

General information about the study will be provided to all participants. But consultations are only given to the test group based on the patient's needs and the control group not aware of its content. Obviously, after one month and evaluating the patients in the control group, the necessary information and guidance based on the patients' needs, will given to them.

A portion of the information, such as information on the main outcome can be shared.

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Contact the responsible person by email: amirhoseini750@gmail.com