Nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual

D. P. J. Verberne; M. E. A. L. Kroese; J. Staals; R. W. H. M. Ponds; C. M. van Heugten

doi:10.1080/09638288.2020.1849417

Nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual

D. P. J. Verberne, M. E. A. L. Kroese, J. Staals, R. W. H. M. Ponds, C. M. van Heugten^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Purpose

To examine whether nurse-led stroke aftercare is beneficial for long-term psychosocial outcome of community-dwelling persons with stroke.

Materials and methods

Comparative effectiveness research design in which a prospective stroke aftercare cohort (n = 87) was compared to care-as-usual (n = 363) at six- and 12-months post stroke. Changes over time in cognitive and emotional problems experienced in daily life, fatigue and stroke impact on daily life were examined for stroke aftercare only. Multilevel modelling was used to compare stroke aftercare to care-as-usual concerning anxiety and depression symptoms, social participation and quality of life, over time.

Results

Sample characteristics did not differ between cohorts except for stroke type and on average, more severe stroke in the stroke aftercare cohort (p <0.05). Following stroke aftercare, anxiety and emotional problems decreased significantly (p <0.05), whereas care-as-usual remained stable over time in terms of anxiety. No significant changes over time were observed on the other outcome domains.

Conclusions

Nurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare.

Original language	English
Pages (from-to)	2849-2857
Number of pages	9
Journal	Disability and Rehabilitation
Volume	44
Issue number	12
Early online date	26 Nov 2020
DOIs	https://doi.org/10.1080/09638288.2020.1849417
Publication status	Published - 5 Jun 2022

Keywords

Stroke
aftercare
nurses
counselling
emotional adjustment
primary health care
QUALITY-OF-LIFE
BRAIN-INJURY
POSTSTROKE
STAY
CONSEQUENCES
SUBACUTE
FATIGUE
LENGTH
SCALE
NEEDS

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10.1080/09638288.2020.1849417Licence: CC BY-NC-ND

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@article{092264b9c3c14b0fa517a17300f70557,

title = "Nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual",

abstract = "PurposeTo examine whether nurse-led stroke aftercare is beneficial for long-term psychosocial outcome of community-dwelling persons with stroke.Materials and methodsComparative effectiveness research design in which a prospective stroke aftercare cohort (n = 87) was compared to care-as-usual (n = 363) at six- and 12-months post stroke. Changes over time in cognitive and emotional problems experienced in daily life, fatigue and stroke impact on daily life were examined for stroke aftercare only. Multilevel modelling was used to compare stroke aftercare to care-as-usual concerning anxiety and depression symptoms, social participation and quality of life, over time.ResultsSample characteristics did not differ between cohorts except for stroke type and on average, more severe stroke in the stroke aftercare cohort (p <0.05). Following stroke aftercare, anxiety and emotional problems decreased significantly (p <0.05), whereas care-as-usual remained stable over time in terms of anxiety. No significant changes over time were observed on the other outcome domains.ConclusionsNurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare.",

keywords = "Stroke, aftercare, nurses, counselling, emotional adjustment, primary health care, QUALITY-OF-LIFE, BRAIN-INJURY, POSTSTROKE, STAY, CONSEQUENCES, SUBACUTE, FATIGUE, LENGTH, SCALE, NEEDS",

author = "Verberne, {D. P. J.} and Kroese, {M. E. A. L.} and J. Staals and Ponds, {R. W. H. M.} and {van Heugten}, {C. M.}",

note = "Funding Information: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. We would like to thank all the participants of this study and the stroke aftercare nurses for their efforts in recruiting persons with stroke for this study. Publisher Copyright: {\textcopyright} 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

year = "2022",

month = jun,

day = "5",

doi = "10.1080/09638288.2020.1849417",

language = "English",

volume = "44",

pages = "2849--2857",

journal = "Disability and Rehabilitation",

issn = "0963-8288",

publisher = "Routledge/Taylor & Francis Group",

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TY - JOUR

T1 - Nurse-led stroke aftercare addressing long-term psychosocial outcome

T2 - a comparison to care-as-usual

AU - Verberne, D. P. J.

AU - Kroese, M. E. A. L.

AU - Staals, J.

AU - Ponds, R. W. H. M.

AU - van Heugten, C. M.

N1 - Funding Information: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. We would like to thank all the participants of this study and the stroke aftercare nurses for their efforts in recruiting persons with stroke for this study. Publisher Copyright: © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

PY - 2022/6/5

Y1 - 2022/6/5

N2 - PurposeTo examine whether nurse-led stroke aftercare is beneficial for long-term psychosocial outcome of community-dwelling persons with stroke.Materials and methodsComparative effectiveness research design in which a prospective stroke aftercare cohort (n = 87) was compared to care-as-usual (n = 363) at six- and 12-months post stroke. Changes over time in cognitive and emotional problems experienced in daily life, fatigue and stroke impact on daily life were examined for stroke aftercare only. Multilevel modelling was used to compare stroke aftercare to care-as-usual concerning anxiety and depression symptoms, social participation and quality of life, over time.ResultsSample characteristics did not differ between cohorts except for stroke type and on average, more severe stroke in the stroke aftercare cohort (p <0.05). Following stroke aftercare, anxiety and emotional problems decreased significantly (p <0.05), whereas care-as-usual remained stable over time in terms of anxiety. No significant changes over time were observed on the other outcome domains.ConclusionsNurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare.

AB - PurposeTo examine whether nurse-led stroke aftercare is beneficial for long-term psychosocial outcome of community-dwelling persons with stroke.Materials and methodsComparative effectiveness research design in which a prospective stroke aftercare cohort (n = 87) was compared to care-as-usual (n = 363) at six- and 12-months post stroke. Changes over time in cognitive and emotional problems experienced in daily life, fatigue and stroke impact on daily life were examined for stroke aftercare only. Multilevel modelling was used to compare stroke aftercare to care-as-usual concerning anxiety and depression symptoms, social participation and quality of life, over time.ResultsSample characteristics did not differ between cohorts except for stroke type and on average, more severe stroke in the stroke aftercare cohort (p <0.05). Following stroke aftercare, anxiety and emotional problems decreased significantly (p <0.05), whereas care-as-usual remained stable over time in terms of anxiety. No significant changes over time were observed on the other outcome domains.ConclusionsNurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare.

KW - Stroke

KW - aftercare

KW - nurses

KW - counselling

KW - emotional adjustment

KW - primary health care

KW - QUALITY-OF-LIFE

KW - BRAIN-INJURY

KW - POSTSTROKE

KW - STAY

KW - CONSEQUENCES

KW - SUBACUTE

KW - FATIGUE

KW - LENGTH

KW - SCALE

KW - NEEDS

U2 - 10.1080/09638288.2020.1849417

DO - 10.1080/09638288.2020.1849417

M3 - Article

C2 - 33242261

SN - 0963-8288

VL - 44

SP - 2849

EP - 2857

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 12

ER -

Nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual

Abstract

Keywords

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