The effect of education based on the seven-step (7E) learning cycle on the quality of life of stroke patients and the care burden of their caregivers: a randomized clinical trial.

IF 2.2 4区 医学 Q1 REHABILITATION
Sogand Sarmadi, Neda Sanaie, Fereshteh Javaheri Tehrani, Malihe Nasiri, Esmail Shariati
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引用次数: 0

Abstract

Introduction: Education deficiency increases caregiver burden, worsening patient's Quality of Life (QoL). The Seven-Step (7E) model enhances critical thinking and problem-solving skills using previous experiences. This study aimed at evaluating the influence of education using 7E model on the stroke patients' QoL and the caregivers' burden.

Methods: Following a single-blind parallel-group randomized controlled trial, 110 patient-caregiver dyads were included in the present study from 10 July 2024 to 15 November 2024. The study was conducted in two hospitals and one clinic affiliated with the Shahid Beheshti University of Medical Sciences. They were randomly divided into two groups: 7E model (n = 55) and routine education (n = 55). Data was collected with the Stroke-Specific Quality of Life Scale and Caregiver Burden Inventory (CBI). In the experimental group, training was conducted based on the 7E model. The questionnaires were completed at the pre-test stage and eight weeks later as post-tests.

Results: Before the intervention, the two groups did not have a statistically significant difference in demographic information and the total score of QoL and CBI (p > 0.05). After intervention, the analysis showed that the mean scores were significantly higher in all dimensions except mobility and self-care in the experimental group compared to the control group (p < 0.05). Also, regarding caregiver burden, after removing the effect of age, results showed that the CBI in all dimensions' scores in the experimental group were significantly lower compared to the control group (p = 0.004).

Conclusion: Compared to conventional educational approaches, 7E model demonstrated greater efficacy in improving patients' quality of life and reducing caregiver burden.

基于七步(7E)学习周期的教育对脑卒中患者生活质量及其照顾者护理负担的影响:一项随机临床试验
简介:缺乏教育增加了照顾者的负担,恶化了患者的生活质量。七步(7E)模式提高批判性思维和解决问题的能力,利用以往的经验。本研究旨在运用7E模型评估教育对脑卒中患者生活质量和照顾者负担的影响。方法:采用单盲平行组随机对照试验,从2024年7月10日至2024年11月15日纳入110对患者-护理者。这项研究是在沙希德·贝赫什蒂医学科学大学附属的两家医院和一家诊所进行的。随机分为7E模型组(n = 55)和常规教育组(n = 55)。通过卒中特异性生活质量量表和护理人员负担量表(CBI)收集数据。实验组按照7E模型进行训练。问卷在测试前完成,8周后作为测试后完成。结果:干预前,两组患者人口学信息、生活质量总分、CBI总分比较,差异均无统计学意义(p < 0.05)。干预后分析显示,实验组除行动能力、自我照顾能力外,其余各维度平均得分均显著高于对照组(p p = 0.004)。结论:与传统的教育方式相比,7E模式在提高患者生活质量和减轻护理人员负担方面具有更大的效果。
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来源期刊
Topics in Stroke Rehabilitation
Topics in Stroke Rehabilitation 医学-康复医学
CiteScore
5.10
自引率
4.50%
发文量
57
审稿时长
6-12 weeks
期刊介绍: Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
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