Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
J Neurosci Nurs. 2010 Dec;42(6):302-11. doi: 10.1097/jnn.0b013e3181f8a575.
The major purpose of this study was 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 4 months of caregiving. Caregiver and stroke survivor demographic and well-being data were collected during acute rehabilitation. Three problem-related themes emerged: interpersonal disruptions, sustaining the self and the family, and stroke survivor functioning. Although problems sustaining the self and the family were most frequent, interpersonal disruption 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.
本研究的主要目的是确定照顾问题的类型和频率，以及相关的压力和应对效果。次要目的是（a）随着时间的推移，检查问题频率、压力和应对效果的变化，以及（b）确定问题压力与个人、疾病、应对和幸福感变量之间的关系。一个压力和应对模型指导了这项研究。58 名照顾者在照顾的前 4 个月参加了研究。在急性康复期间收集了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：人际干扰、维持自我和家庭以及中风幸存者的功能。尽管维持自我和家庭的问题最常见，但人际干扰问题的压力最大，应对效果最低。焦虑或抑郁等情绪困扰的一个组成部分与每个问题主题的压力水平显著相关（p <.05）。关于解决问题策略的咨询可以改善照顾者的幸福感。
