Investigating the effects of nurse post-discharge follow-up phone calls on the self-efficacy of patients suffering from stroke

Hamid Taghinejad , Masoumeh Otaghi, Azam Nikan, Reza Beiranvand

Hamid Taghinejad
Ilam University of Medical Sciences. Email: [email protected]

Masoumeh Otaghi
Ilam University of Medical Sciences

Azam Nikan
Ilam University of Medical Sciences

Reza Beiranvand
Dezful University of Medical Sciences
Online First: October 03, 2018 | Cite this Article
Taghinejad, H., Otaghi, M., Nikan, A., Beiranvand, R. 2018. Investigating the effects of nurse post-discharge follow-up phone calls on the self-efficacy of patients suffering from stroke. Bali Medical Journal 7(3). DOI:10.15562/bmj.v7i3.1008

Introduction: Caring for someone suffering from a chronic illness generates a lot of stress for the caregiver and family of the patient. Self-efficacy is a tool to improve health and training to the caregiver; promoting self-efficacy is a significant procedure in patient care and behavioral modification. The purpose of the present study is to determine the effectiveness of follow-up calls by nurses on the self-efficacy of caregivers of patients with stroke.

Methodology: In the present research, a clinical experiment was carried out through pre-test and post-test design with the participation of 70 caregivers of patients with stroke. They were selected through sampling and were randomly assigned to control and intervention groups. Demographic information questionnaire and Sherer general self-efficacy scale were selected as tools for collecting data. Finally, data were analyzed through independent t-test, paired t-test and Chi-Square using SPSS software version 21.

Results: In the present study, the mean age of caregivers was 36.48 ± 10.44 and the majority of caregivers are patients’ children. There was no significant difference in mean score of self-efficacy between the two groups before the intervention (P≥0.05), but after the intervention a significant difference (P≤.05) was observed following an increase in the mean score of self-efficacy in the intervention group. The comparison of self-efficacy score in the intervention group before and after the study demonstrated that the mean score of self-efficacy increased to 63.87 ± 8.79 before intervention and increased to 68.43 ± 7.17 after intervention, and this increase is statistically significant (P = .001).

Conclusion: According to the results of the current study, it can be concluded that the nurse’s follow-up phone call program results in the self-efficacy of caregivers of patients suffering from stroke.


Krishnamurthi RV, Moran AE, Feigin VL, Barker-Collo S, Norrving B, Mensah GA, et al. Stroke prevalence, mortality and disability-adjusted life years in adults aged 20-64 years in 1990-2013: data from the global burden of disease 2013 study. Neuroepidemiology. 2015;45(3):190-202.

Hong K-S, Bang OY, Kang D-W, Yu K-H, Bae H-J, Lee JS, et al. Stroke statistics in Korea: part I. Epidemiology and risk factors: a report from the korean stroke society and clinical research center for stroke. Journal of Stroke. 2013;15(1):2.

Mazaheri S, Beheshti F, Hosseinzadeh A, Mazdeh M, Ghiasian M. Epidemiologic Study of Cardinal Risk Factors of Stroke in Patients who Referred to Farshchian Hospital of Hamadan during 2014-2015. Scientific Journal of Hamadan University of Medical Sciences. [Original]. 2016;22(4):331-7.

Masoud SA, Dastmalchi F, Mousavi SGA, Daneshvar-Kakhaki R. Evaluating the relationship between highly sensitive – C reactive protein and acute cerebral ischemia. Feyz Journal of Kashan University of Medical Sciences. [Research]. 2012;16(5):439-44

Baghbanian SM, Ramezani M, Abedini M, Yazdani Charati J. Difference between Risk Factors of Common Ischemic Brain Strokes on Anterior and Posterior Circulation. Journal of Mazandaran University of Medical Sciences. 2013;23(101):49-54.

Dalvandi A, Heikkilä K, Maddah S, Khankeh H, Ekman S-L. Life experiences after stroke among Iranian stroke survivors. International nursing review. 2010;57(2):247-53.

. Ghandehari K. Diagnosis, management and prevention of ischemic stroke for non-neurologists. Zahedan Journal of Research in Medical Sciences. 2011;13(3):1-8.

Shojae M. Evaluate the effect of rehabilitation nursing Mack (painful stage, fantasy, realism) on coping strategies and life skills of stroke patients [,Masters Thesis Nursing]. Tehran: University of Welfare and Rehabilitation Sciences 2013.

Malek F, Malek M, Alavi Toosi J, Tammadon MR, Zahmatkesh M, Arzhangnia L. Association between ear lobe crease and cerebrovascular accidents. Koomesh. 2009;10(2):137-42.

Kaveh Savadkooh O, Zakerimoghadam M, Gheyasvandian S, Kazemnejad A. Effect of self-management program on self-efficacy in hypertensive patients. Journal of Mazandaran University of Medical Sciences. 2012;22(92):19-28

- saffari m, sanaeinasab H, rashidi jahan h, Purtaghi G, Pakpour A. Happiness, Self-efficacy and Academic Achievement among Students of Baqiyatallah University of Medical Sciences. Journal of medical education development. [Research]. 2014;7(13):45-56.

Akbari O, Vagharseyyedin SA, Saadatjoo SA, Kazemi T. Effect of Continuous Care Model on the Self-Efficacy of Patients with Myocardial Infarction in Controlling Disease Complications. Medical-Surgical Nursing Journal. [Research]. 2015; 4):185-194.

Masoudi R, Soleimany M, Moghadasi J, Qorbani M, Mehralian H, Bahrami N. Effect of progressive muscle relaxation program on self-efficacy and quality of life in caregivers of patients with multiple sclerosis. JQUMS. 2011;15(2):41-7

. Mirmohamad ali M, Bahiraee A, Rahimi A, Hashemzadeh M, Sohrabi N, Sohrabi Z. Effect of educational package on breastfeeding self-efficacy in postpartum period. Journal of the Iranian Institute for Health Sciences Research. 2014;13:221-8

Gholizade M , Akrami R, Tadayonfar M, Akbarzadeh R. An Evaluation on the Effectiveness of Patient Care Education on Quality of Life of Stroke Caregivers: a Randomized Field Trial. Journal of Sabzevar University of Medical Sciences 2016;22(6):955-64

Koohestani H, Baghcheghi N. The Prevalence of Depression among Caregivers of Stroke Survivors and Related Factors in Arak. Iranian Journal of Epidemiology. 2012;8(3):66-72

Masoodi R, Alhani F, Moghadassi J, Ghorbani M. The effect of family-centered empowerment model on skill, attitude, and knowledge of multiple sclerosis caregivers. Journal of Birjand University of Medical Sciences. 2010;17(2):87-97

. Bastani F, Javanbakhtian Ghahfarokhi J, Hosseini R. The effect of group discussion and telephone counselling on perceived stress of women as caregivers of patient with Alzheimer disease. Journal of Clinical Nursing and Midwifery. 2012;1(1):61-72.

. Hosseiny R, Bastani F, Sayahi S, Momen-Abadi H, Alijanpoor-Aghamaleki M. The effect of educational-counseling program on general health of women as caregivers of patient, with Alzheimerdisease. Journal of Shahrekord University of Medical Sciences 2011;13(5):83-92.

Zakerimoghadam M, Bassampour S, Rjab A, Faghihzadeh S, Nesari M. Effect of nurse-led telephone follow ups (tele-nursing) on diet adherence among type 2 diabetic patients. Journal of hayat. 2008;14(2):63-71

Khakbazan Z, Golyan Tehrani S, Payghambardoost R, Kazemnejad A. Effect of telephone counseling during post-partum period on women's quality of life. Journal of hayat. 2010;15(4):5-12.

Khatiban M, Kheirollahi A, Oshvandi K, Alhani F, Feradmal J. The effect of family-based education on knowledge and self-esteem of caregivers of patients with stroke: a randomized controlled trial. Journal of Mazandaran University of Medical Sciences. [Research(Original)]. 2014;23(110):244-50.

. Kheirollahi A, Khatiban, Oshvandi K, Alhani F, Feradmal J, editor. The effect of family-centered empowerment intervention on self-efficacy in caregivers of patients with stroke: a semi experimental study. 6th national & amp; first international Iranian stroke congress; 2014; Tabriz

Kheirollahi N, Khatiban M, Oshvandi K, Alhani F, Feradmal J. The effect of family-centered empowerment intervention on perceived severity of threat in caregivers of patients with stroke: a semi experimental study. ScientificJournal of Hamedan Nursing&Midwifery Faculty 2014;22(3):74-82.

Behzad Y, Bastani F, Haghani H. Effect of empowerment program with the telephone follow-up (tele-nursing) on self-efficacy in self-care behaviors in hypertensive older adults. Journal of Urmia Nursing And Midwifery Faculty. 2016;13(11):1004-15.

Shojaee A, Nehrir B, Naderi N, Zareaeyan A. Assessment of the effect of patient’s education and telephone follow up by nurse on readmissions of the patients with heart failure. Journal of Critical Care Nursing. 2013;6(1):29-38.

. Najafi SS, Shaabani M, Momennassab M, Aghasadeghi K. The Nurse-Led Telephone Follow-Up on Medication and Dietary Adherence among Patients after Myocardial Infarction:ARandomized Controlled Clinical Trial. International Journal of Community Based Nursing and Midwifery. 2016;4(3):199.

Mohammadi N, Soleymani R, Omidi A, Roshanae G. The Effect of Telephone Nursing Follow-up on Self-Efficacy of Females with Type 2 Diabetes Mellitus. Scientific Journal of Hamadan Nursing & Midwifery Faculty. [Research]. 2017; 25(2):61-8

Mok VK, Sit JW, Tsang AS, Cheng TL, Chiang C-s. A controlled trial of a nurse follow-up dietary intervention on maintaining a heart-healthy dietary pattern among patients after myocardial infarction. Journal of Cardiovascular Nursing. 2013; 28(3):256-66.

Yan J, You L-m, Liu B-l, Jin S-y, Zhou J-j, Lin C-x, et al. The effect of a telephone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: A randomized controlled trial. International journal of nursing studies. 2014; 51(6):844-55

Record JD, Niranjan-Azadi A, Christmas C, Hanyok LA, Rand CS, Hellmann DB, et al. Telephone calls to patients after discharge from the hospital: an important part of transitions of care. Medical education online. 2015; 20(1):26701.

Teunissen S, Verhagen E, Brink M, Van der Linden B, Voest E, de Graeff A. Telephone consultation in palliative care for cancer patients: 5 years of experience in The Netherlands. Supportive care in cancer. 2007; 15(6):577-82.

Lo SHS, Chang AM, Chau JPC. Study protocol: a randomised controlled trial of a nurse-led community-based self-management programme for improving recovery among community-residing stroke survivors. BMC health services research. 2016; 16(1):387

Lippman SM, Klein EA, Goodman PJ, Lucia MS, Thompson IM, Ford LG, et al. Effect of selenium and vitamin E on risk of prostate cancer and other cancers: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). Jama. 2009; 301(1):39-51.

Scott, I. (2010). Preventing the rebound: Improving care transition in hospital discharge

Processes. Australian Health Review, 34, 445-451.

Trimbur, Anna Laura, "Telephone Follow-up for Heart Failure Patients Discharged to Skilled Nursing Facilities" (2016). Graduate Theses, Dissertations, and Capstones. Paper 25.

No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0