Stroke management: Informal caregivers' burdens and strians of caring for stroke survivors
Stroke management: Informal caregivers' burdens and strians of caring for stroke survivors
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DOI：
10.1016/j.rehab.2014.09.017
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发表时间：
2015-04-01
影响因子：
4.6
通讯作者：
Isaac, Sarah Oghenekewe
中科院分区：
文献类型：
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作者：
Gbiri, Caleb Ademola;Olawale, Olajide Ayinla;Isaac, Sarah Oghenekewe
背景和目的：脑卒中幸存者生活在不同程度的残疾和照顾主要是由非正式的照顾者提供。本研究调查了非正式照顾者的负担和应变照顾中风patients.Method：本研究涉及157（81名男性和76名女性）非正式照顾者中风幸存者接受护理的所有二级和三级卫生机构与物理治疗服务，拉各斯州，尼日利亚。在门诊时间内通过自填式问卷收集信息。结果：患者年龄在20 ~ 79岁之间（平均59.6 ± 14.6岁）。61例出血性卒中，96例缺血性卒中。非正式照顾者的年龄为39.2 +/- 12.8岁（范围：17-36岁）。更多（60.8%）的参与者报告中度客观负担，而79.2%的参与者报告轻度主观负担。与脑卒中幸存者关系密切、照顾者人数少、发病时间长、每天照顾时间长的非正式照顾者的负担和紧张程度显著增加（P < 0.05）。结论与建议：照顾脑卒中幸存者给非正式照顾者带来了社会、情感、健康和经济方面的负担和压力。这些负担和压力随着中风持续时间、亲密程度、照顾者人数减少和每日照顾时间的延长而增加。因此，非正式照顾者应参与脑卒中患者的康复计划，他们的福祉也应给予足够的关注。(C)2015年Elsevier Masson SAS。All rights reserved.
Background and aims: Stroke survivors live with varied degrees of disabilities and cares are provided largely by the informal caregivers. This study investigated informal caregivers' burden and strains of caring for stroke patients.Method: This study involved 157 (81 males and 76 females) informal caregivers of stroke survivors receiving care in all secondary and tertiary health institutions with physiotherapy services in Lagos State, Nigeria. Information was collected through self-administered questionnaire during clinic-hours. Data was analyzed using Spearman's Rank Correlation Coefficient.Result: The patients' age ranged between 20 and 79 (mean = 59.6 +/- 14.6 years). Sixty-one had haemorrhagic stroke while 96 had ischaemic stroke. The informal caregivers' age was 39.2 +/- 12.8 years (range: 17-36 years). More (60.8%) participants reported moderate objective while 79.2% had mild subjective burdens. The following factors significantly increased (P < 0.05) the level of burden and strains experienced by the informal caregivers: closer intimacy with the stroke survivors, fewer number of caregivers for the stroke patient, longer duration since the onset of stroke and more hours of caregiving per day. Caregiving had negative significant influence (P < 0.05) on the social, emotional, health and financial well-beings of the informal caregivers.Conclusion and recommendation: Caring for stroke survivors put social, emotional, health and financial burdens and strains on the informal caregivers. These burdens and strains increase with duration of stroke, intimacy, smaller number of caregivers and length of daily caregiving. Therefore, informal caregivers should be involved in the rehabilitation plan for stroke patients and their well-being should also be given adequate attention. (C) 2015 Elsevier Masson SAS. All rights reserved.