Vincent-Onabajo Grace, Puto Gayus Pwadi, Masta Mamman Ali, Ali Muhammad Usman, Gujba Fatima Kachalla, Modu Ali, Hassan Saleh Usman
Department of Medical Rehabilitation (Physiotherapy), College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria.
J Caring Sci. 2018 Dec 1;7(4):183-188. doi: 10.15171/jcs.2018.028. eCollection 2018 Dec.
Attending to caregiving experiences of family caregivers of stroke survivors is important in person-centered stroke rehabilitation. This study explored caregiving appraisals by family caregivers of stroke survivors in Nigeria. A cross-sectional survey of family caregivers' negative and positive appraisals of caregiving was conducted using the 24-item 4-domain revised Caregiving Appraisal Scale (rCAS). Mann Whitney U and Kruskal-Wallis tests were used to identify differences in caregiving appraisals based on specific caregiver and stroke survivor variables. Seventy-three caregiver and care recipient dyads participated in the study. Mean age of the caregivers was 31.51 (9.82) years. From a score of 5, and higher scores depicting higher appraisal, mean (SD) score for caregiving satisfaction and caregiving mastery (positive appraisal domains) was 4.23 (0.97) and 4.04 (0.92) respectively while 2.29 (0.98) and 2.11 (0.93) were respectively recorded for caregiving burden and environmental impact (negative appraisal). Caregivers' gender, age, and employment status resulted in significantly different appraisals with female caregivers having higher caregiving mastery (U = 446, P<0.05), caregiving satisfaction (U = 384.5, P<0.01), and also caregiving burden (U = 382.5, P<0.01) compared to their male counterparts; while older (U = 330; P<0.05) and employed (U = 437.5, P<0.05) family caregivers reported higher caregiving satisfaction and burden respectively than younger and unemployed family caregivers. Given the comparatively higher positive caregiving appraisal, and the documented benefits of positive caregiving appraisal, efforts should be geared towards identifying effective means of reinforcing positive appraisal, and reducing negative stroke caregiving appraisal, especially for female, older and employed family caregivers.
关注中风幸存者家庭照顾者的照顾经历，对于以患者为中心的中风康复至关重要。本研究探讨了尼日利亚中风幸存者家庭照顾者的照顾评价。使用24项4领域修订版照顾评价量表（rCAS）对家庭照顾者对照顾的负面和正面评价进行了横断面调查。采用曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验，以确定基于特定照顾者和中风幸存者变量的照顾评价差异。73对照顾者与被照顾者参与了该研究。照顾者的平均年龄为31.51（9.82）岁。从5分起计分，分数越高表示评价越高，照顾满意度和照顾掌控感（正面评价领域）的平均（标准差）分数分别为4.23（0.97）和4.04（0.92），而照顾负担和环境影响（负面评价）的分数分别为2.29（0.98）和2.11（0.93）。照顾者的性别、年龄和就业状况导致评价存在显著差异，与男性照顾者相比，女性照顾者的照顾掌控感更高（U = 446，P<0.05），照顾满意度更高（U = 384.5，P<0.01），照顾负担也更高（U = 382.5，P<0.01）；而年龄较大（U = 330；P<0.05）和有工作的（U = 437.5，P<0.05）家庭照顾者分别比年龄较小和无工作的家庭照顾者报告了更高的照顾满意度和照顾负担。鉴于相对较高的正面照顾评价，以及已记录的正面照顾评价的益处，应努力寻找有效的方法来加强正面评价，并减少负面的中风照顾评价，特别是对于女性、年龄较大和有工作的家庭照顾者。
