Development of QOL Measurement Scales and Support Programs for Post-stroke Patients and their Family Caregivers

为中风后患者及其家庭护理人员制定生活质量测量量表和支持计划

• 批准号: 11672358
• 负责人: MORIMOTO Tomoko
• 金额: $ 1.47万
• 依托单位: HIROSHIMA INTERNATIONAL UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672358/
• 关键词: post-stroke patients; caregivers.; SQL; SQL measurement scales; support program; 在宅脳卒中後遺症患者; 精神的制御力

In the present study, to develop QOL measurement scales, factors affecting QOL of post-stroke patients were identified. Caregivers who participated in the present study reported that they felt psychological burden when their care-receivers showed a negative mood or emotional dependence on them, rather than physical burden through giving care. In comparison with other ordinary community dwellers who are not engaged in care-taking, caregivers for post-stroke patients showed more depressive symptoms. It was also indicated that those caregivers who are very independent in controlling their own lives and confident in their ability to solve problems felt less burden and showed less depressive symptoms. Meanwhile, aftereffects of stroke are considered as possible factors that negatively affect QOL of post-stroke patients. In the early stage of stroke, patients have complained of difficulties in sleeping, loss of physical strength and lost appetite. Thereafter, they have complained of feelings … More of uselessness, boredom, helplessness and isolation from society. Also, nearly 70 percent of post-stroke patients in the present study complain about feelings of uncertainty, irritation and sadness. In addition, more than a half of post-stroke patients complain of pain and numbness. It was discovered that the stronger they felt pain and numbness, the stronger they showed depressive symptoms.With the above, for the improvement of QOL of post-stroke patients and their caregivers, it is recommended to consider the inclusion of the following aspects into support programs for post-stroke patients and their family caregivers : 1.an effective and psycho-educational intervention to mitigate burden and depressive symptoms among caregivers ; and, 2.diagnosis and treatment for pain and depressive symptoms among post-stroke patients.As the present study was conducted with a limited number of samples, it is very important to continue the study. It is also needed to develop QOL measurement scales on the basis of factors relating to QOL identified through the present study, for the future task. Less

本研究编制脑卒中后患者生活质量测量量表，对影响患者生活质量的因素进行分析。参与本研究的照顾者报告说，当被照顾者对他们表现出消极情绪或情感依赖时，他们感到心理负担，而不是通过给予照顾而产生的身体负担。与其他不从事护理的普通社区居民相比，中风后患者的护理人员表现出更多的抑郁症状。研究还表明，那些在控制自己的生活方面非常独立、对自己解决问题的能力充满信心的照顾者感到的负担较少，抑郁症状也较少。同时，脑卒中后遗症也被认为是影响脑卒中后患者生活质量的可能因素。在中风的早期阶段，患者抱怨睡眠困难，体力下降和食欲不振。从那以后，他们抱怨的感觉更多的是无用、无聊、无助和与社会隔绝。此外，在目前的研究中，近70%的中风后患者抱怨有不确定、烦躁和悲伤的感觉。此外，超过一半的中风后患者抱怨疼痛和麻木。研究发现，他们感到疼痛和麻木的程度越强，他们表现出的抑郁症状就越强烈。综上所述，为提高脑卒中后患者及其家庭照顾者的生活质量，建议在脑卒中后患者及其家庭照顾者的支持方案中考虑以下方面的内容：减轻照顾者负担和抑郁症状的有效心理教育干预, 2。脑卒中后患者疼痛和抑郁症状的诊断与治疗。由于本研究的样本数量有限，因此继续研究是非常重要的。未来的工作还需要根据本研究确定的与生活质量有关的因素制定生活质量测量量表。少

项目成果

T.Morimoto,A.Schreiner,H.asano: "Depressive Symptoms in Elderly Post-Stroke Patients in Japan"International Journal of Geriatric Psychiatry. (in press). (2001)

T.Morimoto、A.Schreiner、H.asano：“日本老年中风后患者的抑郁症状”国际老年精神病学杂志。

T.Morimoto, A.Schreinler, H.Asano: "Perception of Burden Among Family Caregiver of-Post-stroke Elderly in Japan"International Journal of Rehabilitation Research IJRR. 24. 221-226 (2001)

T.Morimoto、A.Schreinler、H.Asano：“日本中风后老年人家庭护理人员的负担感知”国际康复研究杂志 IJRR。

A.Schreiner, T.Morimoto, H.asano: "Depressive Symptoms Among Post-Stroke Patients in Japan : frequency Distribution and Factor Structure of the GDS"International Journal of Geriatric Psychiatry. 16. 941-949 (2001)

A.Schreiner、T.Morimoto、H.asano：“日本中风后患者的抑郁症状：GDS 的频率分布和因素结构”国际老年精神病学杂志。

T.Morimoto,A.Schreiner,H.asano: "Caregiver Burden and Depression in a Sample of Family-Caregivers of Elderly Stroke Patients in Japan"The Gerontologist 53^<rd> Annual Scientific Meeting. 40. 274 (2000)

T.Morimoto、A.Schreiner、H.asano：“日本老年中风患者家庭护理人员样本中的护理人员负担和抑郁”老年学家第 53 届年度科学会议。

H.Asano,T.Morimoto,A.Schreiner: "Pain, Depression, And Mastery in a Sample of Post-Stroke Elderly"The Gerontologist 53^<rd> Annual Scientific Meeting. 40. 255 (2000)

H.Asano、T.Morimoto、A.Schreiner：“中风后老年人样本中的疼痛、抑郁和掌握”老年学家第 53 届年度科学会议。