Stroke caregivers' strain: prevalence and determinants in the first six months after stroke
Stroke caregivers' strain: prevalence and determinants in the first six months after stroke
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DOI：
10.1080/09638280701355645
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发表时间：
2008-01-01
影响因子：
2.2
通讯作者：
de Weerdt, Willy
中科院分区：
文献类型：
--
作者：
Ilse, Ilse Baert;Feys, Hilde;de Weerdt, Willy
目的.许多残疾的中风幸存者住在家里，由非正式的照顾者提供支持。研究表明，这些照顾者正在经历压力。本研究旨在探讨卒中后前6个月内照顾者压力的患病率和差异，并根据患者和照顾者的特征和服务输入预测照顾者压力。在卒中后2、4和6个月对90名连续患者及其护理人员进行了评估。护理人员应变指数用于评估应变。对出院后患者的运动功能、功能能力、健康状况、情绪和参与度、照顾者的性别、与患者的关系和服务投入进行测量，以确定预测因素。近三分之一的照顾者经历了紧张。卒中后2个月、4个月和6个月之间无差异。相关分析和多元回归分析显示，在预测压力时，患者的功能和活动水平在亚急性期起着重要作用，而参与水平随着时间的推移变得更加重要。这些研究结果强调了最大限度地恢复身体和最佳地重返社区的重要性。这不仅对患者本身至关重要，而且也是减轻其护理人员压力的先决条件。
Purpose. Many disabled stroke survivors live at home supported by informal caregivers. Research has revealed that these caregivers are experiencing strain. This study aims to examine the prevalence and differences over time of caregivers' strain in the first 6 months post-stroke and to predict caregiver strain based on patients' and caregivers' characteristics and service input.Method. Ninety consecutive patients and their caregivers were assessed at 2, 4 and 6 months post-stroke. The Caregiver Strain Index was used to evaluate strain. Patients' motor function, functional ability, health status, emotion and participation and caregivers' gender and relation to the patient and service input after discharge were measured to determine the predictive factors.Results. Nearly one out of three caregivers experienced strain. No differences were seen between 2, 4 and 6 months post-stroke. Correlation and multiple regression analyses revealed that in predicting strain, the patients' functional and activity level plays an important role in the sub-acute phase while the participation level gets more important over time.Conclusions. These findings emphasize the importance of maximal physical recovery and optimal reintegration in the community. This is not only essential for the patients themselves but also a pre-requisite to reduce the strain of their caregivers.