Article Data

  • Views 2351
  • Dowloads 186

Original Research

Open Access

Effects of care transitions intervention mode on the benefit-finding in caregivers for patients with acute cerebral infarction

  • Xiaoping Wu1
  • Yueying Gong2
  • Jin Luo3
  • Xiyan Tao4
  • Qian Lin5
  • Danping Gao6

1Department of Neurology, Taizhou Central Hospital, Affiliated Hospital of Taizhou University, 318000 Taizhou, Zhejiang, China

2Department of Emergency Intensive Care Unit, Qinghai Provincial People's Hospital, 810007 Xining, Qinghai, China

3Department of Operating Room, Taizhou Traditional Chinese Medicine Hospital, 318000 Taizhou, Zhejiang, China

4Department of Cardiology, Taizhou Central Hospital, Affiliated Hospital of Taizhou University, 318000 Taizhou, Zhejiang, China

5Department of Outpatient, Taizhou Central Hospital, Affiliated Hospital of Taizhou University, 318000 Taizhou, Zhejiang, China

6Department of Orthopaedic, Taizhou Central Hospital, Affiliated Hospital of Taizhou University, 318000 Taizhou, Zhejiang, China

DOI: 10.22514/sv.2021.224 Vol.17,Issue 6,November 2021 pp.112-118

Submitted: 21 May 2021 Accepted: 08 September 2021

Published: 08 November 2021

*Corresponding Author(s): Yueying Gong E-mail:


To explore the effect of care transitions intervention (CTI) on the sense of benefit-finding of caregivers for patients with acute cerebral infarction (ACI). Ninety caregivers for patients with ACI were divided into two groups according to the random number table method (n = 45 in each group). The control group was given regular health guidance, and the intervention group was given care transitions intervention on the basis of the guidance used in the control group. The changes in the sense of benefit-finding and quality of life between the two groups were compared before and after the intervention. There was no statistically significant difference in caregivers between the two groups in gender, age, educational level, occupational status, gender and age of the patients, activities of daily living (ADL) scores before discharge, and the relationships between the caregiver and the patient. Before CTI, there was no statistically significant difference in the caregivers’ sense of benefit-finding (including sense of benefit, family relationship, personal growth, social relationship and healthy behavior) and quality of life (including benefit-finding of care, stress of care, choice of care, support to care and money issue) between the two groups. While after CTI, the scores of each dimension of the caregivers’ sense of benefit-finding and quality of life in the intervention group were significantly higher than those in the control group (p < 0.05). The CTI can help improve the sense of benefit-finding and quality of life of caregivers for patients with ACI.


Care transitions intervention; Acute cerebral infarction; Caregiver; Sense of benefit-finding; Quality of life

Cite and Share

Xiaoping Wu,Yueying Gong,Jin Luo,Xiyan Tao,Qian Lin,Danping Gao. Effects of care transitions intervention mode on the benefit-finding in caregivers for patients with acute cerebral infarction. SignaVitae. 2021. 17(6);112-118.


[1] The Lancet Neurology. The shared burden of stroke and dementia. The Lancet Neurology. 2016; 15: 891.

[2] Brainin M, Feigin V, Bath PM, Collantes E, Martins S, Pandian J, et al. Multi-level community interventions for primary stroke prevention: a conceptual approach by the World Stroke Organization. International Journal of Stroke. 2019; 14: 818–825.

[3] Gersdorf R. Benefit-Finding for Dementia Caregivers through Cognitive Reappraisal. The American Journal of Geriatric Psychiatry. 2018; 26: 404.

[4] Wang AW, Hoyt MA. Benefit finding and diurnal cortisol after prostate cancer: the mediating role of positive affect. Psycho-Oncology. 2018; 27: 1200–1205.

[5] Brand C, Barry L, Gallagher S. Social support mediates the association between benefit finding and quality of life in caregivers. Journal of Health Psychology. 2016; 21: 1126–1136.

[6] Mei Y, Lin B, Zhang W, Yang D, Wang S, Zhang Z, et al. Benefits finding among Chinese family caregivers of stroke survivors: a qualitative descriptive study. BMJ Open. 2020; 10: e038344.

[7] Mei Y, Wilson S, Lin B, Li Y, Zhang Z. Benefit finding for Chinese family caregivers of community-dwelling stroke survivors: a cross-sectional study. Journal of Clinical Nursing. 2018; 27: e1419–e1428.

[8] Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB. The Importance of Transitional Care in Achieving Health Reform. Health Affairs. 2011; 30: 746–754.

[9] Ostwald SK, Bernal MP, Cron SG, Godwin KM. Stress Experienced by Stroke Survivors and Spousal Caregivers during the first Year after Discharge from Inpatient Rehabilitation. Topics in Stroke Rehabilitation. 2009; 16: 93–104.

[10] Reeves MJ, Hughes AK, Woodward AT, Freddolino PP, Coursaris CK, Swierenga SJ, et al. Improving transitions in acute stroke patients discharged to home: the Michigan stroke transitions trial (MISTT) protocol. BMC Neurology. 2017; 17: 115.

[11] Liu H, Lou VWQ. Functional recovery of older stroke patients discharged from hospital to home: the effects of cognitive status and different levels of therapy intensity. Journal of Clinical Nursing. 2019; 28: 47–55.

[12] Weaver KE, Llabre MM, Lechner SC, Penedo F, Antoni MH. Comparing unidimensional and multidimensional models of benefit finding in breast and prostate cancer. Quality of Life Research. 2008; 17: 771–781.

[13] Mei Y, Lin B, Li Y, Ding C, Zhang Z. Validity and reliability of Chinese version of Adult Carer Quality of Life questionnaire (AC-QoL) in family caregivers of stroke survivors. PLoS ONE. 2017; 12: e0186680.

[14] Cheng S, Chan WC, Lam LCW. Long-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: a Cluster-Randomized Double-Blind Controlled Trial. The American Journal of Geriatric Psychiatry. 2019; 27: 984–994.

[15] Hasanali Jafarpoor, Parvaneh Vasli, Houman Manoochehri, Farid Zayeri. Measuring Family-centered Care in Intensive Care Units: Developing and Testing Psychometric Properties. Signa Vitae. 2020; 16: 82-91.

[16] Najmeh Keshavaraz, Mahin Naderifar, Mohammadreza Firouzkohi, Abdolghani Abdollahimohammad, Majid Reza Akbarizadeh. Effect of Telenursing on the Self-efficacy of Patients with Myocardial Infarction: A Quasi-experimental Study. Signa Vitae. 2020; 16: 92-96.

[17] Yedidia MJ, Tiedemann A. How do family caregivers describe their needs for professional help? The American Journal of Nursing. 2008; 108: 35–37.

[18] Perrin PB, Johnston A, Vogel B, Heesacker M, Vega-Trujillo M, Anderson J, et al. A culturally sensitive Transition Assistance Program for stroke caregivers: examining caregiver mental health and stroke rehabilitation. Journal of Rehabilitation Research and Development. 2010; 47: 605–617.

[19] Gardner MH, Mrug S, Schwebel DC, Phipps S, Whelan K, Madan-Swain A. Benefit Finding and Quality of Life in Caregivers of Childhood Cancer Survivors: The moderating roles of demographic and psychosocial factors. Cancer Nursing. 2017; 40: E28–E37.

[20] Ellis-Hill C, Robison J, Wiles R, McPherson K, Hyndman D, Ashburn A, et al. Going home to get on with life: Patients and carers experiences of being discharged from hospital following a stroke. Disability and Rehabilitation. 2009; 31: 61–72.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time