An investigative study on informal stroke carers comparing the impact of two methods of community stroke rehabilitation
An investigative study on informal stroke carers comparing the impact of two methods of community stroke rehabilitation
This study sought to investigate the impact of a new domiciliary stroke team on carers' quality of life compared with the traditional day hospital. A combined methodological approach was used, in which quantitative methods were used to evaluate the effectiveness of the two services in improving quality of life and qualitative methods were used to explore carers' perceptions of these different services.
Sixty informal stroke carers (mean age 67.9; S.D. 12.4) were identified from stroke survivors involved in an RCT on post-discharge rehabilitation. 31 carers were allocated to the domiciliary arm and 29 to the day hospital arm. Data from 40 of these carers were analysed.
Quantitative study. Both domiciliary and day hospital carers had poorer psychological health than the general population at baseline. However, by the 0-6 month period, domiciliary carers showed better clinical outcomes in psychological health (mean differences in MCS 6; mean difference in GHQ 2.3) and physical health (mean difference in PCS 4). By 6-12 months, only improvements in physical health were seen in favour of day hospital carers (mean difference in PCS 4).
Qualitative study. Carers saw the advantages of domiciliary stroke teams in terms of comfort, convenience and greater opportunities for therapy education. The main advantages of day hospitals were the respite time for carers and the opportunity for stroke survivors to mix with other people with stroke. The in-depth thematic analysis also identified that disruption to carers' lives and a loss of shared life themes as a result of caring for a person with stroke may have an impact on carers' quality of life.
University of Southampton
Low, Joseph Tien Seng
40ae3a60-2f72-4f1f-8f97-bac2564d912a
2000
Low, Joseph Tien Seng
40ae3a60-2f72-4f1f-8f97-bac2564d912a
Low, Joseph Tien Seng
(2000)
An investigative study on informal stroke carers comparing the impact of two methods of community stroke rehabilitation.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
This study sought to investigate the impact of a new domiciliary stroke team on carers' quality of life compared with the traditional day hospital. A combined methodological approach was used, in which quantitative methods were used to evaluate the effectiveness of the two services in improving quality of life and qualitative methods were used to explore carers' perceptions of these different services.
Sixty informal stroke carers (mean age 67.9; S.D. 12.4) were identified from stroke survivors involved in an RCT on post-discharge rehabilitation. 31 carers were allocated to the domiciliary arm and 29 to the day hospital arm. Data from 40 of these carers were analysed.
Quantitative study. Both domiciliary and day hospital carers had poorer psychological health than the general population at baseline. However, by the 0-6 month period, domiciliary carers showed better clinical outcomes in psychological health (mean differences in MCS 6; mean difference in GHQ 2.3) and physical health (mean difference in PCS 4). By 6-12 months, only improvements in physical health were seen in favour of day hospital carers (mean difference in PCS 4).
Qualitative study. Carers saw the advantages of domiciliary stroke teams in terms of comfort, convenience and greater opportunities for therapy education. The main advantages of day hospitals were the respite time for carers and the opportunity for stroke survivors to mix with other people with stroke. The in-depth thematic analysis also identified that disruption to carers' lives and a loss of shared life themes as a result of caring for a person with stroke may have an impact on carers' quality of life.
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Published date: 2000
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Local EPrints ID: 464264
URI: http://eprints.soton.ac.uk/id/eprint/464264
PURE UUID: 126d1e61-6852-492f-814e-49be4f259f3a
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Date deposited: 04 Jul 2022 21:48
Last modified: 16 Mar 2024 19:22
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Author:
Joseph Tien Seng Low
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