Article

The aim of the study was to evaluate the effect of
client-centred, self-care intervention (CCSCI) on (i) activities of daily living
(ADL) and life satisfaction in persons with stroke, (ii) caregiver burden, use of
informal care and home-help services, and (iii) the feasibility of the study design. Design: Randomized controlled trial, a pilot study of an intervention
group (IG) receiving CCSCI or a control group (CG) receiving ordinary training.
Subjects: Forty persons with stroke (IG n = 19, CG n = 21) were included:
non-demented, able to follow instructions, dependent regarding self-care and
referred for rehabilitation, and their significant others (IG n = 8, CG n = 8).
Method: Data were collected at baseline and three months later using established
instruments regarding ADL, life satisfaction, caregiver burden, and use of health
services from medical records, the county register, and by interviews. Results:
There were no differences in ADL, life satisfaction, caregiver burden, or use of
services at three months. Both groups improved significantly and clinically
important improvements were achieved by 86% in IG and 63% in CG. Conclusion: The
CCSCI appears promising for the recapturing of self-care after stroke and a large
randomized controlled trial is warranted, in which the present design and methods
with some modification will be feasible.

Langue : ANGLAIS