Stroke caregivers: pressing problems reported during the first months of caregiving.

Stroke caregivers: pressing problems reported during the first months of caregiving.
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DOI:
10.1097/jnn.0b013e3181f8a575
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发表时间:
2010-12
期刊:
The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
影响因子:
--
通讯作者:
Hartke RJ
Hartke RJ
中科院分区:
其他
文献类型:
--
作者:
King RB;Ainsworth CR;Ronen M;Hartke RJ

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这项研究的主要目的是:a)确定照看问题的类型和频率以及相关的压力和应对效果。次要目的是a)检查问题频率、压力和应对效果随时间的变化;以及b)确定问题压力与个人、疾病、应对和幸福变量之间的关系。压力和应对模型指导了这项研究。58名护理者参与了前四个月的护理。在急性康复期间收集照顾者和中风幸存者的人口统计学和幸福感数据。出现了三个与问题相关的主题:人际关系中断(IPD)、维持自我和家庭(SS&F)和中风幸存者功能(SF),尽管SS&F问题最常见,但IPD问题压力最大,应对效率最低。情绪困扰的一个组成部分,无论是焦虑还是抑郁,与每个问题主题的压力水平显著相关(p<0.05)。对问题解决策略的咨询可能会改善照顾者的幸福感。
The major purpose of this study was a) to identify the types and frequency of caregiving problems and associated stress and coping effectiveness. Secondary purposes were a) to examine changes in problem frequency, stress, and coping effectiveness, over time; and b) to identify relationships between problem stress and personal, illness, coping, and well-being variables. A stress and coping model guided the study. Fifty-eight caregivers participated during the first four months caregiving. Caregiver and stroke survivor demographic and well-being data were collected during acute rehabilitation. Three problem-related themes emerged: interpersonal disruptions (IPD), sustaining the self and family (SS&F), and stroke survivor functioning (SF), Although SS&F problems were most frequent, IPD problems were rated most stressful and lowest in coping effectiveness. A component of emotional distress, either anxiety or depression, was related significantly (p <.05) to the stress level of each problem theme. Counseling on problem solving strategies may improve caregiver well-being.
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