Problems of new caregivers of persons with stroke
Problems of new caregivers of persons with stroke
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DOI：
10.1002/j.2048-7940.2006.tb00382.x
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发表时间：
2006-07-01
影响因子：
1.3
通讯作者：
Holzaepfel, AL
中科院分区：
文献类型：
--
作者：
Pierce, LL;Steiner, V;Holzaepfel, AL
9名刚从俄亥俄州和密歇根州的康复中心出院，并且比城市照顾者更远离正规支持服务的中风患者的成年照顾者，参加了3个月的基于网络的干预项目，该项目检查了干预的可行性，并描述了照顾的经验，这篇文章是一个定性数据的分析，从干预项目，使用了严格的协议，以检查68个感知的问题，在照顾。从最常见到最不常见的问题主题依次为：1）有独立问题，2）处理情绪，3）生活在身体限制下，4）管理共病状况，5）平衡一切，6）参与物理治疗，7）有睡眠问题。这些问题与Orem的四个普遍的自我照顾问题有关。虽然问题的总数随着时间的推移而减少，但“平衡所有问题”是唯一增加的问题。这可能是由于照顾者恢复了正常活动或增加了照顾责任。护理人员可以利用这些发现来识别和关注照顾者的自我护理需求，并实施解决问题的策略。
Nine adult caregivers new to the role of caring for persons with stroke, upon discharge from rehabilitation centers in Ohio and Michigan and living farther away from formalized support services than urban caregivers, were enrolled for 3 months in a Web-based intervention project that examined the feasibility of the intervention and described the experience of caring, This article is an analysis of qualitative data from the intervention project that used a rigorous protocol to examine 68 perceived problems reported in caring. Problem themes in order of most to least frequent were 1) having independence issues, 2) dealing with emotions, 3) living with physical limitations, 4) managing co-morbid conditions, 5) balancing it all, 6) participating in physical therapy, and 7) having sleeping issues. These problems were related to four of Orem's universal self-care requisites. Although the total number of problems decreased over time, "balancing it all" was the only problem that increased. This may be due to the resumption of the caregivers' regular activities or increased caregiving responsibilities. Nurses could use these findings to identify and focus on self-care needs of caregivers and to implement problem-resolution strategies.