Use of health services by elderly people post-stroke: a randomized controlled trial

Carla Cristiane Becker Kottwitz Bierhals, Carolina Baltar Day, Duane Mocellin, Naiana Oliveira Dos Santos, Mariane Lurdes Predebon, Fernanda Laís Fengler Dal Pizzol, Ana Cláudia Fuhrmann, Giullia Garcia de Medeiros, Marines Aires, Lisiane Manganelli Girardi Paskulin, Carla Cristiane Becker Kottwitz Bierhals, Carolina Baltar Day, Duane Mocellin, Naiana Oliveira Dos Santos, Mariane Lurdes Predebon, Fernanda Laís Fengler Dal Pizzol, Ana Cláudia Fuhrmann, Giullia Garcia de Medeiros, Marines Aires, Lisiane Manganelli Girardi Paskulin

Abstract

Aim: To verify the relation of a nursing home care educational intervention in the use of health services by elderly people post-stroke.

Methods: A randomized controlled trial conducted with 44 family caregivers of elderly people post-stroke. Data was collected between May/2016 and July/2018 in a hospital in the South of Brazil and at the participants' homes. The intervention group (IG=21) received home visits by nurses after hospital discharge. The control group (CG=23) had a conventional follow-up in a conventional health services. The Pearson's Chi-Square Test or the Fisher's Exact Test was performed for assessment of the outcome at 60 days and 1 year after discharge. Clinical Trial registration NCT02807012.

Results: There was a significant difference regarding the use of hospital outpatient service (IG=100%, CG=78.3%, p<0.050) 60 days after discharge.

Conclusion: The great use of outpatient service by the IG demonstrates the effectiveness of nursing educational intervention focused on health care network after discharge.

Source: PubMed

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