title: The impact of a nurse-led support and education programme for spouses of stroke patients: a randomized controlled trial.
abstract: OBJECTIVE
  The aim of the present study was to determine the impact of a nurse-led support and education programme for improving the spouses' perceived general quality of life, life situation, general well-being and health state.
  
  
  BACKGROUND
  Stroke is a disease with great consequences for the patients and their families. The spouses often feel obligated to care for the patient, providing psychological and physical support and having to cope with the patient's physical and cognitive impairments. This might lead to increased problems, as family members struggle to adapt to their new roles and responsibilities.
  
  
  METHODS
  Longitudinal, randomized controlled trial. One hundred spouses were randomly assigned to intervention or control groups, 50 in each group. The intervention group participated in a support and education programme, six times during six months, led by stroke specialist nurses. Both groups were followed for 12 months.
  
  
  RESULTS
  No significant differences were found, between intervention and control groups, over time. In the sub analyses, we found that the group attending 5-6 times had a significant decrease in negative well-being and increased quality of life over time, while the group attending fewer times had a significant decrease in positive well-being and health state, similar to the control group, which also had a significant decrease in negative and general well-being.
  
  
  CONCLUSIONS
  A support and education programme might have a positive effect on spouses' well-being, on condition that they attend at least five times.
  
  
  CONCLUSIONS
  To facilitate the spouses' role as informal caregivers to the stroke patients, further development of the support and education programme used in the present study is needed, including empowerment approach and implementation of coping strategies.
authors.affiliation: Doctoral student, Department of Nursing, Karolinska Institutet, Stockholm, Sweden. jenny.larson@omv.ki.se
authors.forename: Jenny
authors.initials: J
authors.lastname: Larson
authors.forename: Asa
authors.initials: A
authors.lastname: Franzén-Dahlin
authors.forename: Ewa
authors.initials: E
authors.lastname: Billing
authors.forename: Magnus
authors.initials: M
authors.lastname: Arbin
authors.forename: Veronica
authors.initials: V
authors.lastname: Murray
authors.forename: Regina
authors.initials: R
authors.lastname: Wredling
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001294:Attitude to Health; D017028:Caregivers / Q000193:education / Q000523:psychology; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006304:Health Status; D006701:Home Nursing / Q000193:education / Q000523:psychology; D006785:Hospitals, University; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D015397:Program Evaluation; D011788:Quality of Life; D012380:Role; D012657:Self-Help Groups / Q000458:organization & administration*; D012944:Social Support; D018454:Spouses / Q000193:education* / Q000523:psychology; D020521:Stroke / Q000451:nursing*; D013548:Sweden