Long Ngo X, Pinyopasakul Wanpen, Pongthavornkamol Kanaungnit, Panitrat Rungnapa
(International and Collaborative with Foreign University Program), Faculty of Nursing and Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
Department of Geriatrics and Mental Health Nursing, Faculty of Nursing Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen city, Vietnam.
Nurs Health Sci. 2019 Jun;21(2):262-268. doi: 10.1111/nhs.12591. Epub 2019 Jan 7.
In this cross-sectional study, we aimed to determine factors influencing the health status of caregivers of stroke survivors. A total of 126 caregivers of stroke survivors were recruited from three outpatient clinics in Thai Nguyen National General Hospital, Vietnam, from November 2016 to March 2017. Data were collected through six instruments: a demographic questionnaire, the Modified Barthel Index, the Zarit Burden Interview Scale, the Multidimensional Scale of Perceived Social Support, the Family Caregiver Conflict Scale, and the Short Form-36 Health Survey. Stepwise multiple regression was employed to analyze the data. Caregiver burden, patient's functional status, caregiver's age, and social support together explained 80.3% of the variations in health status of caregivers of stroke survivors. Caregiver burden was the strongest predictor of health status of these caregivers. Based on the findings, nurses should take caregiver's age, functional status of stroke survivors, caregiver burden, and social support into consideration when preparing family caregivers to provide care for stroke survivors. To reduce perceived caregiver burden, family support interventions should be embraced to enhance health status of the caregivers of stroke survivors.
在这项横断面研究中,我们旨在确定影响中风幸存者照料者健康状况的因素。2016年11月至2017年3月期间,从越南太原国立综合医院的三个门诊诊所招募了126名中风幸存者的照料者。通过六种工具收集数据:一份人口统计学调查问卷、改良巴氏指数、扎里特负担访谈量表、多维感知社会支持量表、家庭照料者冲突量表和简短健康调查-36。采用逐步多元回归分析数据。照料者负担、患者功能状态、照料者年龄和社会支持共同解释了中风幸存者照料者健康状况变异的80.3%。照料者负担是这些照料者健康状况的最强预测因素。基于这些发现,护士在为家庭照料者准备照料中风幸存者时,应考虑照料者年龄、中风幸存者的功能状态、照料者负担和社会支持。为了减轻感知到的照料者负担,应采用家庭支持干预措施来改善中风幸存者照料者的健康状况。