Geriatric Research, Education, and Clinical Center, North, FL/South Georgia Veterans Health System, 1601 SW Archer Rd, Gainesville, FL, 32608, USA; Research Service, North, FL/South Georgia Veterans Health System, 1601 SW Archer Rd, Gainesville, FL, 32608, USA.
Research Service, North, FL/South Georgia Veterans Health System, 1601 SW Archer Rd, Gainesville, FL, 32608, USA; Department of Behavioral Sciences and Community Health, College of Public Health & Health Professions, University of Florida, 1225 Center Drive, Gainesville, FL, 32610, USA.
Disabil Health J. 2021 Apr;14(2):101019. doi: 10.1016/j.dhjo.2020.101019. Epub 2020 Nov 4.
Stroke caregiving has been associated with higher rates of caregiver burden, depression, and lower quality of life compared to non-caregivers. Little is known about relationships between stroke survivors' Cognitive/Emotional and Motor/Functional deficits and caregivers' outcomes.
To determine the relationship between stroke survivors' Cognitive/Emotional deficits and Motor/Functional deficits and caregivers' depression, burden, and quality of life.
This is a retrospective secondary data analysis. The sample consisted of 109 caregivers of stroke survivors. Step-wise linear multiple regression analyses were conducted to determine if Cognitive/Emotional deficits and/or Motor/Functional deficits, were predictive of caregivers' depressive symptoms, burden, physical quality of life, and mental quality of life.
The Cognitive/Emotional deficits category was a better predictor than the Motor/Functional deficit of caregivers' depressive symptoms, burden, and mental quality of life. The Cognitive/Emotional deficit score positively predicted both depression (β = .49, p < .001) and burden (β = 0.39, p < .001) and negatively predicted mental quality of life (β = -0.42, p < .001), though it did not significantly predict physical quality of life (β = -0.01, p = .90). The motor/functional deficits failed to significantly predict any of the caregiver outcomes (all p-values >.05).
The Cognitive/Emotional deficits appear to impact caregiver well-being more than the Motor/Functional deficits. Understanding the impact of Cognitive/Emotional and Motor/Functional deficits on caregivers can help clinicians identify caregivers at the highest risk for negative outcomes.
与非照顾者相比，照顾脑卒中患者与更高的照顾者负担、抑郁发生率和更低的生活质量相关。脑卒中幸存者的认知/情绪和运动/功能缺陷与照顾者结局之间的关系知之甚少。
确定脑卒中幸存者的认知/情绪缺陷与运动/功能缺陷与照顾者抑郁、负担和生活质量之间的关系。
这是一项回顾性的二级数据分析。样本包括 109 名脑卒中幸存者的照顾者。采用逐步线性多元回归分析，确定认知/情绪缺陷和/或运动/功能缺陷是否可预测照顾者的抑郁症状、负担、身体生活质量和心理生活质量。
认知/情绪缺陷类别比运动/功能缺陷类别更能预测照顾者的抑郁症状、负担和心理生活质量。认知/情绪缺陷得分与抑郁（β=0.49，p<0.001）和负担（β=0.39，p<0.001）呈正相关，与心理生活质量呈负相关（β=-0.42，p<0.001），但与身体生活质量无显著相关性（β=-0.01，p=0.90）。运动/功能缺陷未能显著预测任何照顾者结局（p 值均>0.05）。
认知/情绪缺陷似乎比运动/功能缺陷对照顾者的健康状况影响更大。了解认知/情绪和运动/功能缺陷对照顾者的影响，有助于临床医生识别最有可能出现负面结果的照顾者。
