Journal of Education and Health Promotion

Investigating the effect of implementing a program based on transitional care model on the quality of life and the ability of doing activities of daily living among patients with stroke

Authors

. Samira Bavarsad 1
. Shahla Abolhassani 2
. Mohammad Saadatnia 3

1 Department of Adults Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Adults Health Nursing, Faculty of Nursing and Midwifery, Nursing and Midwifery Care Research Center,Isfahan University of Medical Sciences, Isfahan, Iran,

3 Department of Neurology, Neurosciences Research Center, School of Medicine, Al‑Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
BACKGROUND: Stroke is one of the major causes of disability among individuals. Transitional care
of a stroke patient can contribute to sustaining and enhancing the quality of care. The aim of this
study is to determine the effect of implementing a program based on the transitional care model on
the quality of life and ability of doing daily activities among patients suffering from stroke.
MATERIALS AND METHODS: This research was an interventional study performed on 80 patients
with stroke referring to the hospitals affiliated with Isfahan University of medical sciences. For data
collection, demographic, quality of life measurement following stroke, and Bartell index of daily
activity measurement questionnaires were used at the beginning of the study and 10 weeks following
discharge. The transitional care model was undertaken for the intervention group from the second
day of hospitalization until 10 weeks postdischarge. The data were analyzed using SPSS software
and statistical methods.
RESULTS: The results indicated that the mean quality of life and ability of performing the activities
changed significantly after the intervention between the two groups, with the mean changes of these
scores becoming significant compared to the preintervention between the two groups (P < 0.05). In
both groups, the mean value of these scores increased after the study compared to the baseline,
though this increase was greater in the intervention group.
CONCLUSION: Implementing the transitional care model could contribute to improving the quality
of life and performing the daily activities among stroke patients.
Keywords:
BACKGROUND: Stroke is one of the major causes of disability among individuals. Transitional care
of a stroke patient can contribute to sustaining and enhancing the quality of care. The aim of this
study is to determine the effect of implementing a program based on the transitional care model on
the quality of life and ability of doing daily activities among patients suffering from stroke.
MATERIALS AND METHODS: This research was an interventional study performed on 80 patients
with stroke referring to the hospitals affiliated with Isfahan University of medical sciences. For data
collection, demographic, quality of life measurement following stroke, and Bartell index of daily
activity measurement questionnaires were used at the beginning of the study and 10 weeks following
discharge. The transitional care model was undertaken for the intervention group from the second
day of hospitalization until 10 weeks postdischarge. The data were analyzed using SPSS software
and statistical methods.
RESULTS: The results indicated that the mean quality of life and ability of performing the activities
changed significantly after the intervention between the two groups, with the mean changes of these
scores becoming significant compared to the preintervention between the two groups (P < 0.05). In
both groups, the mean value of these scores increased after the study compared to the baseline,
though this increase was greater in the intervention group.
CONCLUSION: Implementing the transitional care model could contribute to improving the quality
of life and performing the daily activities among stroke patients.

Keywords

Activities of daily living
quality of life
stroke
transitional care
1. Polanía R, Nitsche MA, Ruff CC. Studying and modifying brain
function with non‑invasive brain stimulation. Nat Neurosci
2018;21:174‑87.
2. Hickey Joanne V, Andrea S. The Clinical Practice of Neurological
and Neurosurgical Nursing. Philadelphian: Wolters Kluwer; 2019.
3. Berkhemer OA, Fransen PS, Beumer D, van den Berg LA,
Lingsma HF, Yoo AJ, et al. A randomized trial of intraarterial
treatment for acute ischemic stroke. N Engl J Med 2015;372:11‑20.
4. Asgari MR, Dehvan F, Ghorbani R, Samaei A, Binesh M, Rahaei F,
et al. Upper extremity motor function and hand muscular power
in patients with stroke: A pilot study. Koomesh 2017;19:438‑47.
5. Campbell BC, Mitchell PJ, Kleinig TJ, Dewey HM, Churilov L,
Yassi N, et al. Endovascular therapy for ischemic stroke with
perfusion‑imaging selection. N Engl J Med 2015;372:1009‑18.
6. Harrison M, Ryan T, Gardiner C, Jones A. Psychological
and emotional needs, assessment, and support post‑stroke:
A multi‑perspective qualitative study. Top Stroke Rehabil
2017;24:119‑25.
7. Wan‑Fei K, Hassan ST, Sann LM, Ismail SIF, RamanRA, Ibrahim F.
Depression, anxiety and quality of life in stroke survivors and
their family caregivers: A pilot study using an actor/partner
interdependence model. Electron Physician 2017;9:4924‑33.
8. Karakurt P, Kasimoğlu N, Bahçeli A, Atalikoğlu Başkan S,
Ağdemir B. The effect of activities of daily living on the self‑care
agency of patients in a cardiovascular surgery clinic. J Vasc Nurs
2017;35:78‑85.
9. Aziz ZA, Lee YY, Ngah BA, Sidek NN, Looi I, Hanip MR,
et al. Acute Stroke Registry Malaysia, 2010‑2014: Results from
the National Neurology Registry. J Stroke Cerebrovasc Dis
2015;24:2701‑9.
10. Khorrami Markany A, YarMohammadi A, Khalkhali HR,
Azimzadeh R. Assessing the effectiveness of home nursing care
plan on activities of daily livings of stroke patients in uremia city.
Nurs Midwifery J 2016;13:1071‑80.
11. Vahidy FS, Donnelly JP, McCullough LD, Tyson JE, Miller CC,
Boehme AK, et al. Nationwide estimates of 30‑day readmission
in patients with ischemic stroke. Stroke 2017;48:1386‑8.
12. Puhr MI, Thompson HJ. The use of transitional care models in
patients with stroke. J Neurosci Nurs 2015;47:223‑34.
13. Hirschman KB, Shaid E, McCauley K, Pauly MV, Naylor MD.
Continuity of care: The transitional care model. Online J Issues
Nurs 2015;20:1.
14. Pourshirvani A, Abed Saieedi J, Nekozad N, Zandi M. The impact
of home care based on the Continuous Care Model by family
caregivers on activities of daily living of stroke patients. Adv
Nurs Midwifery 2017;27:39‑52.
15. Chalermwannapong S, Panuthai S, Srisuphan W, Panya P,
Ostwald SK. Effects of the transitional care program on functional
ability and quality of life of stroke survivos. CMU J Nat Sci
2010;9:49‑66.
16. Wang Y, Yang F, Shi H, Yang C, Hu H. What Type of Transitional
Care Effectively Reduced Mortality and Improved ADL of Stroke
Patients? A Meta-Analysis. Int J Environ Res Public Health 2017;
14:510. doi: 10.3390/ijerph14050510. PMID: 28489044; PMCID:
PMC5451961.07;17(4): 213-218.
17. Azimi R, Mohammadi F, Hosseini M, Farzi M. The effect of
home‑based stroke rehabilitation on quality of life of stroke
survivors and their family caregiver’s strain. Evidence Based
Care 2013;3:77‑85.
18. TagharrobiZ, Sharifi K, SookyZ. Psychometric evaluation of Shah
Version of modified Barthel index in elderly people residing in
Kashan Golabchi nursing home. Feyz 2011;15:213‑24.
19. Sadeghi F, Kermanshahi S, Memariyan R. The effect of discharge
planning on the quality of life of school‑age children with
congenital heart disease undergoing heart surgery. Avicenna J
Nurs Midwifery Care 2013;21:15‑25.
20. Jafari M, Dalvandi A. Quality of life of stroke survivors and its
related factors. IJN 2014;27:14‑22.
21. Jafari J, Kermansaravi F, Yaghoubinia F. The effect of home‑based
rehabilitation on adherence to treatment and quality of life of
individuals after stroke. Med Surg Nurs J 2020;9:E107716.
22. Sahebalzamani M, Alilou L, Shakibi A. The effect of self‑care
education on rehabilitation of patients with hemiplegic stroke.
Med Sci J Islam Azad Univ 2007;17:213‑8.
23. Wang Y, Yang F, Shi H, Yang C, Hu H. What type of transitional
care effectively reduced mortality and improved ADL of stroke
patients? A meta‑analysis. Int J Environ Res Public Health
2017;14:510.
Journal of Education and Health Promotion
Volume 12, Issue 11
December 2022
Pages 1-7

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us