Em Serda, Bozkurt Mehtap, Caglayan Mehmet, Ceylan Cevik Figen, Kaya Cemal, Oktayoglu Pelin, Nas Kemal
a Faculty of Medicine, Department of Physical Medicine and Rehabilitation , Dicle University , Diyarbakir , Turkey.
b Department of Physical Medicine and Rehabilitation , Diyarbakır Training and Research Hospital , Diyarbakır , Turkey.
Top Stroke Rehabil. 2017 Jul;24(5):323-329. doi: 10.1080/10749357.2017.1280901. Epub 2017 Mar 20.
Stroke does not only affect the physical state of patients but also the emotional state of their relatives, most effectively their caregivers. The study aims to examine the mood of caregivers experienced with care for patients with stroke who are highly dependent on the assistance and also to establish the relationship between the emotional state of caregivers and the severity of disability of the patients.
This study contained a total of 76 patients with sufficient cognitive functions and severe physical disabilities with hemiplegia caused by a cerebrovascular accident and their caregivers and 94 controls. The functional state of patients was assessed by the Barthel Index (BI). Furthermore, emotional state of the caregivers was assessed by the Hospital Anxiety and Depression Scale (HADS) and their life quality was assessed by the SF36 Health Survey.
The mean anxiety (9.73 ± 4.88) and depression rates (9.81 ± 5.05) in the caregivers were significantly higher than those in controls (p<0.001, respectively). Significant impairments were observed in both their mental and physical health. Regression analysis also showed a significant negative correlation between the BI scores and the HADS scores.
Caregivers had an impaired emotional state and the level of their anxiety was associated with the severity of functional disability of the patients. Therefore, the support provided to the caregiver might be influential on the functional recovery of the patients.
中风不仅会影响患者的身体状况，还会影响其亲属，尤其是照顾者的情绪状态。本研究旨在调查对严重依赖他人协助的中风患者进行护理的照顾者的情绪，并确定照顾者的情绪状态与患者残疾严重程度之间的关系。
本研究共纳入76例因脑血管意外导致偏瘫且认知功能良好、身体残疾严重的患者及其照顾者，以及94名对照者。采用Barthel指数（BI）评估患者的功能状态。此外，采用医院焦虑抑郁量表（HADS）评估照顾者的情绪状态，采用SF36健康调查评估其生活质量。
照顾者的平均焦虑率（9.73±4.88）和抑郁率（9.81±5.05）显著高于对照者（p均<0.001）。其心理健康和身体健康均出现显著损害。回归分析还显示BI评分与HADS评分之间存在显著负相关。
照顾者的情绪状态受损，其焦虑水平与患者功能残疾的严重程度相关。因此，为照顾者提供的支持可能会对患者的功能恢复产生影响。
