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患者和照料者特征对脑卒中幸存者家庭照料负担的影响。

The Effects of Patients' and Caregivers' Characteristics on the Burden of Families Caring for Stroke Survivors.

机构信息

Nursing Department, University of West Attica, 12243 Egaleo, Greece.

Nursing Department, 2nd Health Center of Athens, 12131 Athens, Greece.

出版信息

Int J Environ Res Public Health. 2021 Jul 8;18(14):7298. doi: 10.3390/ijerph18147298.

Abstract

BACKGROUND

Vascular strokes are the leading cause of long-term disability for adults. They impose high levels of burden on the patient, the family, and national healthcare systems worldwide. This study aimed to assess the effects of patients' and caregivers' characteristics on the perceptions of burden in families caring for a loved one living with stroke in Greece.

METHODS

Using purposive sampling, 109 dyads of patients and their respective caregivers were recruited from the Attica region. Patients completed a questionnaire that included personal characteristics and the Barthel Index, while caregivers completed a set of questionnaires-personal characteristics, revised Bakas Caregiving Outcomes Scale (BCOS), Personal Resource Questionnaire (PRQ 2000), and Center for Epidemiological Studies-Depression (CES-D).

RESULTS

Caregiving burden was linked to both patients' and caregivers' characteristics. A patient's educational level, the number of family members living in the same house, the existence of equipment and facilities in the house, and the duration of provided care were associated with perception of greater burden. Regarding caregivers' characteristics, those in good health had a significantly lower perception of burden. Higher PRQ 2000 scores were significantly associated with higher BCOS scores (less burden), and higher CES-D scores were significantly associated with lower BCOS scores (more burden).

CONCLUSION

Caring for a loved one affected by stroke places a considerable burden on the caregiver. Systematic assessment and intervention strategies can help to identify caregivers at risk so that suitably targeted assistance may be provided.

摘要

背景

血管性中风是成年人长期残疾的主要原因。它们给患者、家庭和全球的国家医疗保健系统带来了沉重的负担。本研究旨在评估患者和照顾者特征对照顾中风患者的家庭中照顾者负担认知的影响。

方法

采用目的抽样法,从阿提卡地区招募了 109 对患者及其各自的照顾者。患者填写了一份包括个人特征和巴氏量表的问卷,而照顾者填写了一套问卷,包括个人特征、修订后的巴卡照顾者结局量表(BCOS)、个人资源问卷(PRQ 2000)和流行病学研究中心抑郁量表(CES-D)。

结果

照顾负担与患者和照顾者的特征有关。患者的教育水平、同住家庭成员的数量、家中设备和设施的存在以及提供的护理时间与感知到的更大负担有关。关于照顾者的特征,身体健康的照顾者感知到的负担明显较低。较高的 PRQ 2000 评分与较高的 BCOS 评分(负担较低)显著相关,较高的 CES-D 评分与较低的 BCOS 评分(负担较高)显著相关。

结论

照顾中风患者会给照顾者带来相当大的负担。系统的评估和干预策略可以帮助识别有风险的照顾者,以便提供有针对性的适当帮助。

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A Meta-analytic Study of Predictors for Informal Caregiver Burden in Patients With Stroke.一项关于中风患者非正式照顾者负担预测因素的荟萃分析研究。
J Stroke Cerebrovasc Dis. 2018 Dec;27(12):3636-3646. doi: 10.1016/j.jstrokecerebrovasdis.2018.08.037. Epub 2018 Sep 27.
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