The effect of the training program given to caregivers of home care patients with stroke based on the precede-proceed model on caregiving response, perceived social support level and patient outcomes

Caregivers of home care patients with stroke have to cope with physical, psychological, social and economic problems. This study is a quasi-experimental, single group sampling study with its own control group between July-December 2023 in order to evaluate the effect of the training programme based on the Precede-Proceed model on the caregiving response, perceived social support level and patient outcomes of the caregivers of home care patients with stroke. The population of the study consisted of N=292 stroke home care patients and their caregivers who benefited from the home health services unit of a public hospital, and the sample consisted of (n=70) stroke patients and (n=70) caregivers. The time-dependent changes of home care patients with stroke after the intervention (at the 8th and 16th weeks) were evaluated using the 'Patient personal information form (statements about care)', 'Braden Risk Assessment Scale' and 'Hospital admission follow-up form'. The time-dependent changes of the caregivers after the intervention (at the 8th and 16th weeks) were evaluated with the 'Caregiver Reaction Rating Scale' and 'Multidimensional Perceived Social Support Scale'. It was observed that there was a significant improvement in the level of caregiver response (F=112.303, p<0.001) and perceived social support (F=608.436, p<0.001) over time (8th and 16th weeks). When the patient outcomes after the intervention were analysed, it was found that there were significant improvements in the presence of aspiration/pneumonia, incontinence, constipation/diarrhoea, and fall status (p<0.05). It was found that there was a significant improvement in the pressure injury risk of the patients depending on time (F=26.938, p<0.001). It was also found that the hospital admission rates of the patients decreased significantly after the intervention (8th week and 16th week) compared to before the intervention (t=14.000, p<0.001). It was determined that the Precede-Proceed model-based training programme improved the caregiving response and social support perceptions of caregivers of stroke patients and provided positive improvements in patient outcomes. This result suggests that the Precede-Proceed model should be encouraged to be used in caregivers of home care patients with stroke.