Jeong Yeon-Gyu, Jeong Yeon-Jae, Kim Won-Cheol, Kim Jeong-Soo
Rehabilitation Medicine, Dongguk University Ilsan Medical Center, Republic of Korea.
Rehabilitation Medicine, Hanyang University Medical Center, Republic of Korea.
J Phys Ther Sci. 2015 May;27(5):1543-7. doi: 10.1589/jpts.27.1543. Epub 2015 May 26.
[Purpose] Quality of life (QoL) can be closely related to caregiver burden, which may be a potential mediating effect on the relationships among stroke patient caregivers. This study investigated the predictors of caregiver's QoL based on patient and caregiver characteristics, with caregiver burden as a mediator. [Methods] This study was conducted using surveys, a literature review, and interviews. Survey data were collected from 238 subjects, who were diagnosed with stroke, and their family caregivers from October 2013 to April 2014. [Results] Caregiver health status, income, spouses caring for patients, and duration of hospitalization were identified as significant predictors of caregivers' QoL with a mediating effect of caregiver burden. The time spent on caregiving per day and patient education level were the only direct predictors of caregivers' QoL. [Conclusion] The responsibility of caring for patients with stroke, in particular for a spouse, must be administered by means of a holistic family-centered rehabilitation program. In addition, financial support and availability of various health and social service programs must be comprehensively provided in order to maintain caregivers' well-being.
[目的]生活质量(QoL)可能与照顾者负担密切相关,照顾者负担可能对中风患者照顾者之间的关系产生潜在的中介作用。本研究以照顾者负担为中介,基于患者和照顾者的特征调查照顾者生活质量的预测因素。[方法]本研究采用调查、文献综述和访谈的方法。2013年10月至2014年4月,从238名被诊断为中风的患者及其家庭照顾者中收集调查数据。[结果]照顾者的健康状况、收入、照顾患者的配偶以及住院时间被确定为照顾者生活质量的显著预测因素,照顾者负担起中介作用。每天用于照顾的时间和患者的教育水平是照顾者生活质量的唯一直接预测因素。[结论]照顾中风患者,尤其是配偶的责任,必须通过全面的以家庭为中心的康复计划来管理。此外,必须全面提供经济支持以及各种健康和社会服务项目,以维护照顾者的福祉。