急性脑卒中护理机构中非正式照护负担和感知社会支持。
Informal caregiving burden and perceived social support in an acute stroke care facility.
机构信息
Medical Rehabilitation Department, Faculty of Health Sciences and Technology, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.
Department of Physiotherapy, University of Uyo Teaching Hospital, Uyo, Akwa-Ibom State, Nigeria.
出版信息
Health Qual Life Outcomes. 2018 Apr 5;16(1):57. doi: 10.1186/s12955-018-0885-z.
BACKGROUND
Providing informal caregiving in the acute in-patient and post-hospital discharge phases places enormous burden on the caregivers who often require some form of social support. However, it appears there are few published studies about informal caregiving in the acute in-patient phase of individuals with stroke particularly in poor-resource countries. This study was designed to evaluate the prevalence of caregiving burden and its association with patient and caregiver-related variables and also level of perceived social support in a sample of informal caregivers of stroke survivors at an acute stroke-care facility in Nigeria.
METHODS
Ethical approval was sought and obtained. Fifty-six (21 males, 35 females) consecutively recruited informal caregivers of stroke survivors at the medical ward of a tertiary health facility in South-Southern Nigeria participated in this cross-sectional survey. Participants' level of care-giving strain/burden and perceived social support were assessed using the Caregiver Strain Index and the Multidimensional Scale of Perceived Social Support respectively. Caregivers' and stroke survivors' socio-demographics were also obtained. Data was analysed using frequency count and percentages, independent t-test, analysis of variance (ANOVA) and partial correlation at α =0.05.
RESULTS
The prevalence of care-giving burden among caregivers is 96.7% with a high level of strain while 17.9% perceived social support as low. No significant association was found between caregiver burden and any of the caregiver- or survivor-related socio-demographics aside primary level education. Only the family domain of the Multidimensional Scale of Perceived Social Support was significantly correlated with burden (r = - 0.295).
CONCLUSION
Informal care-giving burden was highly prevalent in this acute stroke caregiver sample and about one in every five of these caregivers rated social support low. This is a single center study. Healthcare managers and professionals in acute care facilities should device strategies to minimize caregiver burden and these may include family education and involvement.
背景
在急性住院和出院后阶段提供非正规护理会给护理人员带来巨大的负担，他们通常需要某种形式的社会支持。然而，似乎很少有关于中风患者在急性住院阶段的非正规护理的研究，特别是在资源匮乏的国家。本研究旨在评估尼日利亚一家急性卒中护理机构中卒中幸存者的非正规照顾者的照顾负担的流行率及其与患者和照顾者相关变量的关联，以及感知社会支持的程度。
方法
本研究寻求并获得了伦理批准。南南尼日利亚一家三级医疗机构的医学病房连续招募了 56 名（21 名男性，35 名女性）卒中幸存者的非正规照顾者参加这项横断面调查。使用照顾者压力指数和多维感知社会支持量表评估参与者的照顾压力/负担和感知社会支持程度。还获得了照顾者和卒中幸存者的社会人口统计学资料。数据使用频率计数和百分比、独立 t 检验、方差分析（ANOVA）和偏相关分析进行分析，显著性水平为α=0.05。
结果
照顾者的照顾负担发生率为 96.7%，压力水平较高，而 17.9%的人认为社会支持水平较低。除了小学教育水平外，照顾者负担与照顾者或幸存者相关的社会人口统计学资料之间没有发现显著关联。只有多维感知社会支持量表的家庭维度与负担呈显著相关（r=−0.295）。
结论
在这个急性卒中照顾者样本中，非正规照顾负担高度流行，大约每五个照顾者中就有一个人认为社会支持水平较低。这是一项单中心研究。急性护理机构的医疗保健管理人员和专业人员应制定策略来最小化照顾者负担，这些策略可能包括家庭教育和参与。
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