XU Xiaobin,XIA Wenping,CHEN Guoli, et al. Impact of an evidence-based multidisciplinary collaborative care model on acute ischemic stroke caregivers[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(12): 985-991.
Abstract：Objective: To investigate and elucidate the impact of a collaborative multidisciplinary care model on acute ischemic stroke caregivers. Methods: Using the random number table method, a total of 119 pairs of patients with acute ischemic stroke and their caregivers who were hospitalized in Lishui Central Hospital from December 2019 to May 2023 were selected and divided as the multidisciplinary collaborative care group (n=62) by an evidence-based multidisciplinary collaborative nursing model and the control group (n=57) by a conventional nursing care model. At the time of 3 months after discharge, the Zarit caregiver burden interview (ZBI), self-rating depression scale (SDS), and the Mos 36-item short form health survey (SF-36) were used to evaluate, with analysis made, the impact of two different nursing modes on the care burden, depression level and life quality of caregivers. Results: The scores of Zarit caregiver burden scale and self-rating depression scale of both groups of caregivers decreased three months after discharge (P<0.001). The scores of Zarit caregiver burden scale in the multidisciplinary collaborative care group were significantly lower than those of the caregivers
in the control group (P<0.001), and the proportion of caregivers with moderate or greater care burden was lower (χ2=16.384, P<0.001). The self-rating depression scale scores of the caregivers in the multidisciplinary collaborative care group were significantly lower than those of the caregivers in the control group (P<0.001), and the proportion of caregivers classified as depressed was significantly lower (χ2=4.449, P=0.035). The life quality scores of caregivers in both groups improved, and the total physical and mental health scores of caregivers in the multidisciplinary collaborative care group were significantly higher than those in the control group (all P<0.001).Conclusion: The evidence-based multidisciplinary collaborative nursing model is helpful for the acute ischemic stroke caregivers by reducing their care burden, making them psychologically stronger and enhancing their quality of life, therefore, it merits clinical implementation and promotion.
