Kaseke Farayi, Gwanzura Lovemore, Kaseke Timothy, Musarurwa Cuthbert, Gori Elizabeth, Nyengerai Tawanda, Stewart Aimee
Department of Physiotherapy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Department of Rehabilitation, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
S Afr J Physiother. 2024 Nov 26;80(1):2080. doi: 10.4102/sajp.v80i1.2080. eCollection 2024.
Stroke presents significant challenges for both survivors and caregivers, particularly in resource-limited settings like Zimbabwe. Identifying factors contributing to caregiver burden strain (CBS) is crucial to enhance support strategies.
This longitudinal study identified caregiver and stroke survivor characteristics associated with CBS among caregivers in Harare, Zimbabwe.
Altogether 188 stroke survivors and their caregivers participated with CBS assessed at 3 months and 12 months using the Caregivers Strain Index. Multiple linear regression was used to evaluate the association of explanatory variables with CBS. Model fit was evaluated using the Akaike's Information Criterion and .
Caregivers experiencing anxiety or depression showed increased CBS at 3 months (β = 2.46, < 0.001) and 12 months (β = 2.73, = 0.016). Work adjustments were associated with higher CBS at 3 months (β = 3.84, < 0.001). Caregivers feeling overwhelmed had significantly higher CBS at 3 months (β = 3.36, < 0.001). Stroke survivors' poor physical outcomes and reliance on health insurance were associated with CBS at 12 months (β = 4.34, = 0.006). Caring for married stroke survivors was associated with reduced CBS (β = -2.83, < 0.001).
Caregiver anxiety, depression, work adjustments and poor physical and social outcomes in stroke survivors contributed to increased CBS. Targeted interventions addressing mental health and social support are essential to reduce CBS.
Multifaceted interventions that address caregiver mental health and social support are vital to reduce CBS and improve outcomes in resource-constrained settings like Zimbabwe.
中风给幸存者和照料者都带来了重大挑战，在津巴布韦这样资源有限的环境中尤其如此。确定导致照料者负担压力（CBS）的因素对于加强支持策略至关重要。
这项纵向研究确定了津巴布韦哈拉雷照料者中与CBS相关的照料者和中风幸存者特征。
共有188名中风幸存者及其照料者参与研究，使用照料者压力指数在3个月和12个月时评估CBS。采用多元线性回归评估解释变量与CBS的关联。使用赤池信息准则评估模型拟合情况。
经历焦虑或抑郁的照料者在3个月时CBS增加（β = 2.46，<0.001），在12个月时CBS增加（β = 2.73，= 0.016）。工作调整与3个月时较高的CBS相关（β = 3.84，<0.001）。感到不堪重负的照料者在3个月时CBS显著更高（β = 3.36，<0.001）。中风幸存者较差的身体状况和对医疗保险的依赖与12个月时的CBS相关（β = 4.34，= 0.006）。照料已婚中风幸存者与CBS降低相关（β = -2.83，<0.001）。
照料者的焦虑、抑郁、工作调整以及中风幸存者较差的身体和社会状况导致CBS增加。针对心理健康和社会支持的有针对性干预对于降低CBS至关重要。
在津巴布韦这样资源有限的环境中，解决照料者心理健康和社会支持问题的多方面干预对于降低CBS和改善结果至关重要。
