Camak Deborah Jacks
Dishman Department of Nursing, Lamar University, Beaumont, TX, USA.
J Clin Nurs. 2015 Sep;24(17-18):2376-82. doi: 10.1111/jocn.12884. Epub 2015 Jun 10.
To examine the empirical literature regarding the risk of burden experienced by the older adult caregiver of the stroke survivor. The scope of this review was limited to older adult family members caring for older adult stroke survivors as evidenced in the literature written between the years of 2009-2014.
This article will explore published research within the past five years (2009-2014) that addresses the issue of burden among older adult caregivers of stroke survivors in addition to the implication for the changes needed within the nursing profession to mitigating the burden experienced by the caregiver. Many stroke survivors are in their 6th decade of life or older, with caregivers approximately the same age. This literature review specifically focuses on the role of nursing and the issue of caregiver burden.
Literature Review.
A review of the literature published between 2009-2014 related to the lived experience of caregivers of stroke survivors and the role of nursing related to mitigating caregiver burden.
Numerous factors impact the lived experience of caregivers providing care for the stroke survivor. Assuming the role of caregiver has an inherent risk which can result in health compromises for the caregiver. It is the responsibility of the nurse to assess, design interventions and provide education to prepare the caregiver for the demands of the role.
The literature review has shown that research regarding the risk of caregiver burden and the resulting health compromise is scarce. In addition, there is a lack of evidence-based nursing interventions aimed at assuaging the risk of caregiver burden.
Caregiver stress culminating in burden is commonly a reason for the eventual institutionalisation of the stroke survivor. Critically assessing and providing for the physical, psychosocial and educational support needs of stroke caregivers will assist in mitigating the daily burden experienced by the caregiver. Caregiver burden often results in psychological and physical health compromise for the caregiver. This literature review will address the role of the caregiver and the responsibilities of nursing to meet the needs of the caregiver.
审视关于中风幸存者老年照料者负担风险的实证文献。本综述的范围限于2009年至2014年间撰写的文献中所证实的照料老年中风幸存者的老年家庭成员。
本文将探讨过去五年（2009 - 2014年）发表的研究，这些研究涉及中风幸存者老年照料者的负担问题，以及护理行业为减轻照料者负担所需做出的改变。许多中风幸存者处于60岁及以上年龄段，照料者年龄大致相同。本文献综述特别关注护理的作用和照料者负担问题。
文献综述。
回顾2009年至2014年间发表的与中风幸存者照料者的生活经历以及护理在减轻照料者负担方面的作用相关的文献。
众多因素影响着为中风幸存者提供照料的照料者的生活经历。承担照料者角色存在内在风险，这可能导致照料者健康受损。护士有责任进行评估、设计干预措施并提供教育，以使照料者为该角色的要求做好准备。
文献综述表明，关于照料者负担风险及由此导致的健康受损的研究稀缺。此外，缺乏旨在减轻照料者负担风险的循证护理干预措施。
照料者压力最终导致负担，这通常是中风幸存者最终被送进机构照料的一个原因。认真评估并满足中风照料者的身体、心理社会和教育支持需求，将有助于减轻照料者的日常负担。照料者负担常常导致照料者身心健康受损。本文献综述将探讨照料者的角色以及护理满足照料者需求的责任。
