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性别对脑卒中患者照顾者负担的影响:叙事性综述。

The impact of sex and gender on burden for caregivers of stroke patients: A narrative review.

机构信息

Indiana University, American Medical Association, United States; American Medical Association, United States.

Iowa University School of Medicine, United States.

出版信息

J Stroke Cerebrovasc Dis. 2024 Nov;33(11):107854. doi: 10.1016/j.jstrokecerebrovasdis.2024.107854. Epub 2024 Jul 14.

Abstract

BACKGROUND

When a patient is disabled after stroke, they require both emotional support and medical management and may require the assistance of a caregiver. Given the often-sudden onset of disability and the complex challenges related to caring for someone after stroke, caregivers can experience a heavy burden. Caregiver burden negatively affects quality of care, quality of life, and physical and psychological health. The impact of gender on caregiver burden has been in many other conditions; however, the association has not yet been thoroughly assessed in stroke.

OBJECTIVE

The aim of this paper is to define caregiver burden, discuss how it is assessed, discuss unique aspects of burden for stroke caregivers, and determine the impact of sex and gender on stroke caregiver role and burden.

METHODS

A narrative review was performed to synthesize the available literature and explore how the role of sex and gender impact caregiving for patients who have suffered stroke and whether sex and gender of the caregiver contribute to caregiver burden r.

RESULTS

Review of the available literature suggests that sex and gender significantly impact caregiving burden following stroke dipropionately affecting women.

CONCLUSIONS

Caregiving for patients who have suffered stroke is often provided by women both inside the home and when patients are within institutions. Women who serve as caregivers to stroke patients may be at higher risk of experiencing burden and its negative effects, including emotional strain, anxiety, and/or depression. More research is needed to determine the best ways to provide support for women who act as caregivers for stroke patients to mitigate caregiver burden.

摘要

背景

当患者中风后残疾时,他们既需要情感支持,也需要医疗管理,并且可能需要护理人员的帮助。由于残疾通常是突然发生的,并且与中风后照顾他人相关的挑战很复杂,护理人员可能会承受沉重的负担。护理人员的负担会对护理质量、生活质量以及身心健康产生负面影响。在许多其他情况下,性别对护理人员负担的影响已得到研究;然而,在中风中,这种关联尚未得到彻底评估。

目的

本文旨在定义护理人员负担,讨论如何评估它,讨论中风护理人员负担的独特方面,并确定性别对中风护理人员角色和负担的影响。

方法

进行了叙述性综述,以综合现有文献并探讨性别如何影响中风患者的护理,以及护理人员的性别是否会导致护理人员负担。

结果

对现有文献的回顾表明,性别会显著影响中风后的护理负担,对女性的影响不成比例。

结论

中风患者的护理通常由女性在家中或在医疗机构内提供。作为中风患者护理人员的女性可能面临更高的负担和其负面影响的风险,包括情绪紧张、焦虑和/或抑郁。需要进一步研究以确定为中风患者的护理人员提供支持的最佳方法,以减轻护理人员负担。

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