The Effect of Family-Oriented Discharge Program on the Level of Preparedness for Care-Giving and Stress Experienced by the Family of Stroke Survivors

Objectives: Many families in Iran fail to adapt to their new role of being a stroke caregiver and experience high levels of distress; thus, they may need some form of support. The present study aimed to develop a discharge planning program for the family caregivers of stroke patients in Iran. We also determined the program efficacy on their level of stress and preparedness for caregiving. Methods: A post-test only randomized controlled trial design was conducted on 60 family caregivers of stroke survivors. The study participants (n=30) in the experimental group received a family caregiver-oriented discharge planning program consisting of 3 phases; assessing families’ educational needs, educating families, and follow-up calls. The routine hospital care was provided to the controls (n=30). The data were collected using Kingston Caregiver Stress Scale and the Preparedness for Caregiving scale. Data were analyzed by SPSS.  Results: The level of preparedness for caregiving was significantly higher in the experimental group. The experimental group experienced lower levels of stress, compared to the control group members (P<0.001). Discussion: To enhance family preparedness for caregiving and decrease their stress, it is necessary to use a discharge planning program with an emphasis on individualized education and post-discharge follow-up. This program could be implemented in Iranian hospitals at a low cost. The findings of this study may provide a reference for specialist nurses who cope with stroke caregivers in Iran.