Vincent-Onabajo Grace, Daniel Helen, Lawan Aliyu, Ali Muhammad Usman, Masta Mamman Ali, Modu Ali
Department of Medical Rehabilitation (Physiotherapy), College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria.
J Caring Sci. 2018 Jun 1;7(2):59-66. doi: 10.15171/jcs.2018.010. eCollection 2018 Jun.
Caring for stroke survivors may be burdensome with adverse consequences on caregivers' physical health. This study examined the prevalence of musculoskeletal symptoms and associated factors among family caregivers of stroke survivors in Nigeria. A hospital-based cross-sectional study involving 90 stroke caregiver and stroke survivor dyads was conducted. Data on the participants' demographics and post-stroke duration were obtained. Seven-day prevalence of musculoskeletal symptoms among the caregivers and level of stroke survivors' disability were respectively assessed using the Nordic Musculoskeletal Questionnaire and Modified Rankin Scale. Prevalence of musculoskeletal symptoms was presented as percentages while participants' characteristics associated with prevalence of musculoskeletal symptoms were examined using inferential statistics. Mean (SD) age of caregivers and stroke survivors was 33.2 (10.7) years and 58.9 (9.7) years respectively. Majority of the caregivers were females (61.1%), and children of the stroke survivors (58.9%). Prevalence of musculoskeletal symptoms was 82.2%. The low back was the most affected body region (72.2%) followed by the upper back (40%) while musculoskeletal symptoms in the wrist was least prevalent (3.3%). Female caregivers, caregivers of female stroke survivors and spousal caregivers had significantly higher prevalence of musculoskeletal symptoms compared to other categories of caregivers. Only 5 (5.6%) caregivers had however received any training on safe care giving methods while only 21 (28.4%) caregivers with musculoskeletal symptoms had received treatment. With the high prevalence of musculoskeletal symptoms among family caregivers of stroke survivors, effective preventive strategies including training and education as well as timely access to treatment would be required.
照顾中风幸存者可能会很繁重,对照顾者的身体健康产生不良影响。本研究调查了尼日利亚中风幸存者家庭照顾者中肌肉骨骼症状的患病率及相关因素。开展了一项基于医院的横断面研究,涉及90对中风照顾者与中风幸存者。获取了参与者的人口统计学数据和中风后的病程。分别使用北欧肌肉骨骼问卷和改良Rankin量表评估照顾者中肌肉骨骼症状的7天患病率以及中风幸存者的残疾程度。肌肉骨骼症状的患病率以百分比表示,同时使用推断统计方法检查与肌肉骨骼症状患病率相关的参与者特征。照顾者和中风幸存者的平均(标准差)年龄分别为33.2(10.7)岁和58.9(9.7)岁。大多数照顾者为女性(61.1%),且是中风幸存者的子女(58.9%)。肌肉骨骼症状的患病率为82.2%。下背部是受影响最严重的身体部位(72.2%),其次是上背部(40%),而手腕部的肌肉骨骼症状患病率最低(3.3%)。与其他类别的照顾者相比,女性照顾者、女性中风幸存者的照顾者和配偶照顾者的肌肉骨骼症状患病率显著更高。然而,只有5名(5.6%)照顾者接受过任何关于安全护理方法的培训,而只有21名(28.4%)有肌肉骨骼症状的照顾者接受过治疗。鉴于中风幸存者家庭照顾者中肌肉骨骼症状的高患病率,将需要有效的预防策略,包括培训和教育以及及时获得治疗。