Empowering Family Caregivers in Home-Based Care for Post-Stroke Patients with Hemiparesis and Diabetes Mellitus

Abstract

Background: Post-stroke patients with hemiparesis often experience impaired mobility, dependence in activities of daily living, and an increased risk of complications that require family involvement in home-based care. The condition becomes more complex when accompanied by diabetes mellitus, as continuous health monitoring and long-term care are required. Limited knowledge and caregiving skills may affect caregivers’ readiness to provide safe and appropriate care.

Objective: This community service program aimed to improve the knowledge and skills of family caregivers in providing home-based care for post-stroke patients with hemiparesis and diabetes mellitus.

Methods: The program involved 30 family caregivers of post-stroke patients and consisted of health education, demonstrations, and guided practice on safe mobilization and range-of-motion exercises, fall and pressure injury prevention, nutritional management, blood glucose monitoring, medication adherence, and recognition of warning signs of recurrent stroke. Evaluation was conducted using pre-test and post-test knowledge assessments and a caregiver skills checklist before and after the program.

Results: Following the intervention, the mean knowledge score increased from 56.7 at pre-test to 84.3 at post-test. Caregiving skills also improved, with the proportion of participants categorized as skilled increasing from 46.7% before the program to 86.7% after the program. Participants demonstrated improved ability to perform safe mobilization, range-of-motion exercises, patient condition monitoring, and recognition of warning signs requiring medical attention.

Conclusion: Family-centered education and skills training improved the knowledge and caregiving skills of family caregivers in caring for post-stroke patients with hemiparesis and diabetes mellitus. Continuous education and follow-up support are recommended to promote safe care, family independence, and continuity of home-based patient care.