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

Utilización de los servicios de salud por ancianos después de un accidente cerebro-vascular: un ensayo clínico randomizado

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.

Keywords:
Stroke; Caregivers; Nursing; Clinical trial; Aged; Health services

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