Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of Korea.
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Republic of Korea.
Int J Environ Res Public Health. 2023 Feb 3;20(3):2760. doi: 10.3390/ijerph20032760.
The purpose of this study is to identify the factors associated with the burden on primary family caregivers of stroke patients at home without care services. For this study, the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) data were used. Of the total 8010 caregivers, 1133 family caregiver burden was assessed with the shortened Caregiver Burden Inventory (CBI) 3 months after stroke. Patient and caregiver-related factors affecting the heavier burden of caregivers were identified by comparing the heavier caregiver burden group and the lighter caregiver burden group, which divided according to the CBI scores. The 719 (63.5%) family caregiver cared for patients at home without care services. Logistic regression analysis showed that four or more comorbidities ( = 0.002), neurological impairment at early onset ( < 0.001), dependence on daily life ( < 0.001), aphasia ( = 0.024), and depression( < 0.001) were associated with a heavier burden of care. According to the shortened CBI, caregivers tended to be concerned more about psychological stress than physical strain. The findings suggest the importance of proactively guiding the emotional support services to caregivers who are at high risk of the heavier burden of patient care.
本研究旨在确定与无照护服务的居家脑卒中患者主要家庭照顾者负担相关的因素。本研究使用了韩国脑卒中功能与康复队列（KOSCO）的数据。在总计 8010 名照顾者中，1133 名家庭照顾者在脑卒中后 3 个月接受了简短照顾者负担量表（CBI）评估。通过比较 CBI 评分划分的较重照顾者负担组和较轻照顾者负担组，确定影响照顾者较重负担的患者和照顾者相关因素。719 名（63.5%）家庭照顾者在家中照顾无照护服务的患者。Logistic 回归分析显示，合并 4 种或以上疾病（ = 0.002）、早期神经功能缺损（ < 0.001）、日常生活依赖（ < 0.001）、失语症（ = 0.024）和抑郁（ < 0.001）与较重的照顾负担相关。根据简短 CBI，照顾者往往更关注心理压力而非身体疲劳。这些发现表明，积极为面临较高患者照顾负担风险的照顾者提供情感支持服务非常重要。
