Mohd Zawawi Nor Shahrina, Abd Aziz Noor Azah, Fisher Rebecca, Ahmad Kartini, Omar Mohd Azahadi, Walker Marion F
Department of Medical Rehabilitation Services, Hospital Canselor Tuanku Muhriz Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Faculty of Medicine, National University of Malaysia (Universiti Kebangsaan Malaysia), Kuala Lumpur, MYS.
Cureus. 2023 Aug 29;15(8):e44346. doi: 10.7759/cureus.44346. eCollection 2023 Aug.
Background Informal stroke caregivers in Malaysia play an important role in supporting stroke survivors following acute care. Nevertheless, there is a lack of available data to inform the sufficiency of help and resources available to address the needs of local stroke caregivers. This study aimed to determine the unmet needs in caregiving skills, support, emotions, and finances as well as the associated factors of stroke caregivers in Malaysia. Methodology This multicenter, cross-sectional study used a self-administered survey developed and validated for the Malaysian population. It was prepared in paper-based and web-based formats, and it was distributed via direct contact with the respondents, post, and email. Respondents were recruited from different sites in Malaysia. In this study, unmet needs were defined as "help that was needed more or was not provided to assist caregivers and address their specific needs." This article only presents the quantitative data of this study. Data were analyzed using descriptive analysis and logistic regression to determine factors associated with unmet needs. Results Almost all study respondents (91%) reported having unmet needs. Unmet needs ranged from 1 to 10, while the mean unmet needs was 5. The highest unmet need was related to financial support (72.5%), followed by support from professionals to address their own needs (59.2%), skills to care for stroke survivors, i.e., skills in caring for stroke survivors with their daily activities (57.9%), and skills in supporting stroke survivors to perform rehabilitation at home (53.1%). The lowest unmet need was related to support in transporting stroke survivors from place to place (45.3%). Additionally, this study did not identify an association between the reported unmet needs and gender, age, ethnicity, duration of caregiving, and site of participation. Conclusions This study reported a range of unmet needs perceived by stroke caregivers in Malaysia. Further research is warranted to understand the gaps in supporting local stroke caregivers to inform future post-stroke support and services in the country.
背景
马来西亚的非正式中风照料者在急性护理后支持中风幸存者方面发挥着重要作用。然而,缺乏可用数据来了解为满足当地中风照料者需求而提供的帮助和资源是否充足。本研究旨在确定马来西亚中风照料者在护理技能、支持、情感和经济方面未得到满足的需求以及相关因素。
方法
这项多中心横断面研究使用了一份为马来西亚人群开发并验证的自填式调查问卷。它以纸质和网络两种形式准备,并通过与受访者直接联系、邮寄和电子邮件进行分发。受访者从马来西亚的不同地点招募。在本研究中,未得到满足的需求被定义为“为协助照料者并满足其特定需求而更需要或未提供的帮助”。本文仅呈现本研究的定量数据。使用描述性分析和逻辑回归分析数据,以确定与未得到满足的需求相关的因素。
结果
几乎所有研究受访者(91%)都报告有未得到满足的需求。未得到满足的需求范围为1至10,平均未得到满足的需求为5。未得到满足需求最高的是经济支持(72.5%),其次是专业人员满足自身需求的支持(59.2%)、照料中风幸存者的技能,即照顾中风幸存者日常生活的技能(57.9%)以及支持中风幸存者在家中进行康复的技能(53.1%)。未得到满足需求最低的是在将中风幸存者从一个地方运送到另一个地方方面的支持(45.3%)。此外,本研究未发现报告的未得到满足的需求与性别、年龄、种族、照料时长和参与地点之间存在关联。
结论
本研究报告了马来西亚中风照料者感知到的一系列未得到满足的需求。有必要进行进一步研究,以了解在支持当地中风照料者方面存在的差距,为该国未来的中风后支持和服务提供参考。