Impact of Family-Based Support on Recovery and Health in Stroke-Induced Hemiplegia: A Randomized Controlled Study

Abstract

Background: Stroke is a long-term condition that often requires extended rehabilitation and consistent care. Engaging family members in the care process may enhance recovery and overall health outcomes. This study aimed to assess the impact of a family-centered care program on the health status of stroke patients with hemiplegia.

Methods: In this randomized controlled clinical trial, 40 patients with post-stroke hemiplegia were selected and randomly assigned to either an intervention or a control group. Caregivers of patients in the intervention group participated in a structured family-based care program consisting of four training sessions, each lasting 50–60 minutes, provided before hospital discharge. Following this, caregivers continued implementing the program at home for four weeks. The control group received only standard post-discharge care. Health status was measured using a standardized questionnaire before the intervention and one month after completion. Data analysis was performed using SPSS version 21 with appropriate statistical tests.

Results: Before the intervention, there was no significant difference in health status scores between the two groups. However, post-intervention results showed a statistically significant improvement in the intervention group compared to controls (P < 0.05). Additionally, within-group analysis revealed a significant improvement in the intervention group after training, while no meaningful change was observed in the control group.

Conclusion: Implementing structured family-based care training for caregivers can enhance patient self-care and overall health outcomes in individuals with post-stroke hemiplegia. Integrating such family-centered approaches into rehabilitation programs may strengthen recovery and long-term well-being.