Female Caregivers and Stroke Severity Determines Caregiver Stress in Stroke Patients.
Female Caregivers and Stroke Severity Determines Caregiver Stress in Stroke Patients.
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DOI：
10.4103/aian.aian_203_17
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发表时间：
2017-10
影响因子：
1.7
通讯作者：
Munisusmitha K
中科院分区：
文献类型：
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作者：
Menon B;Salini P;Habeeba K;Conjeevaram J;Munisusmitha K
中风是造成短期和长期残疾的主要原因之一。本研究旨在了解中风幸存者照顾者的压力。对201名脑卒中幸存者进行了22项问卷调查。测试的变量包括身心健康、社会支持、经济和个人问题。根据患者的BI，根据性别（男性和女性CG）和关系;配偶（妻子，丈夫），女儿，儿子，儿媳，孙子和其他人（父亲，母亲，兄弟，姐妹和姻亲）将CG分为A组（Barthel指数[BI]<75）和B组（BI> 75）。使用SPSS软件版本-21进行数据分析。分析数据以确定患者的哪些变量影响CG应力。大多数CG（74.62%）为女性。65%的CG将其负担分级为中度至重度。81%的CG曾离职。超过一半的CG感到睡眠障碍和身体紧张。3/4的社区团体报告了心理不稳定和经济负担。A组CG面临更多的睡眠、经济、健康和社会生活干扰。患者的膀胱和肠道问题，肩部疼痛，患者对药物管理和物理治疗的不合作态度对A组CG更令人不安。女性CG受到更多的睡眠障碍，身体和心理压力，面临更多的困难，病人的膀胱，肠道，个人卫生的需要，和物理治疗。女性CG比男性CG感觉更少的动机。妻子和儿媳经历了更多的负担。女性CG（χ 2 = 15.199，P = 0.002）比男性CG（χ 2 = 11.931，P = 0.018）、妻子和女儿比其他亲属（χ 2 = 32.184，P = 0.000）、（χ 2 = 35.162，P = 0.019）花费的时间和感知的负担多。我们的研究表明，生育负担主要由女性CG承担。CG面临着身体，心理和社会经济负担。这种负担在女性CG和重度卒中患者中更为明显。
Stroke is among the major causes of short- and long-term disability. This study aimed to understand the caregivers (CGs) stress in stroke survivors. A 22-item questionnaire was administered to 201 CGs of stroke survivors. The variables tested were physical and mental health, social support, financial, and personal problems. CGs were divided into Group A (Barthel index [BI] <75) and B (BI >75) according to patient's BI, according to gender (male and female CG) and relation; spouses (wife, husband), daughters, sons, daughter-in-law, grandchildren, and rest (father, mother, brother, sister, and in-laws). Data were analyzed using SPSS software version–21. Data were analyzed to determine which variables of the patient effects the CG stress. Majority of the CGs (74.62%) were females. 65% of CGs graded their burden as moderate to severe. 81% of CGs had left their work for caregiving. More than half of the CGs felt sleep disturbance and physical strain. Psychological instability and financial burdens were reported in 3/4th of CGs. Group A CGs faced more sleep, financial, health, and social life disturbance. Patient's bladder and bowel problems, shoulder pain, patients noncooperative attitude for medication administration, and physiotherapy were more upsetting for Group A CGs. Female CGs were subjected to more sleep disturbance, physical and psychological stress, faced more difficulty regarding the patient's bladder, bowel, personal hygiene needs, and physiotherapy. Female CGs felt less motivated in caregiving than male CGs. Wives and daughters-in-law experienced more burden. Time spent and burden perceived was more by female CGs (χ2 = 15.199, P = 0.002) than males (χ2 = 11.931, P = 0.018); wives and daughters than other relations (χ2 = 32.184, P = 0.000), (χ2 = 35.162, P = 0.019). Our study showed that caregiving burden was predominantly shouldered by females CGs. CGs faced physical, psychological, and socioeconomic burden. The burden was more evident in female CGs and in patients with severe stroke.