Risk factors of care ability among main caregivers of stroke patients_West China Medical Journal

Authors：

HUANG Shuqi , WANG Jinyao , LI Siqin , LI Yinping ,  YANG Rong

Department of Neurology, West China Hospital / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YANG Rong, Email: hxyangrong2004@126.com

Keywords：

Stroke; Caregiver; Care ability; Psychological resilience; Illness uncertainty

DOI：

10.7507/1002-0179.201907068

Video：

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Objective To understand the status and risk factors of care ability among main caregivers of stroke patients.Methods A total of 395 stroke patients and their main caregivers were enrolled in the Department of Neurology, West China Hospital, Sichuan University from August 2017 to February 2018. General data of the patients and their main caregivers were collected. The caring ability of the main caregivers was assessed by the family care test inventory. Connor- Davision Resilience Scale and Mishel Uncertainty in Illness Scale-Family Member Form were used to assess the psychological resilience and uncertainty illness of caregivers. Single factor analysis and multiple linear regression analysis were all used to explore the risk factors.Results The care ability of the main caregivers of stroke patients was basically at a high level. Multivariate analysis showed that patients’ age [non-standardized partial regression coefficient (b)=?0.051, 95% confidence interval (CI) (?0.079, ?0.024), P<0.001], family income [b=?0.455, 95%CI (?0.770, ?0.141), P=0.005], and activities of daily living ability at admission [b=?0.017, 95%CI (?0.029, ?0.006), P=0.003], and caregivers’ sleeping status [b=0.636, 95%CI (0.340, 0.932), P<0.001], scores of resilience [b=?0.143, 95%CI (?0.202, ?0.083), P<0.001] and illness uncertainty [b=?0.127, 95%CI (?0.153, ?0.100), P<0.001] were influencing factors of caregivers’ care ability.Conclusions The main caregivers of stroke patients have good care ability. The older the patients are, the higher the family income is, and the better the ability of activities of daily living at admission is, the better the caregivers’ care ability they have. The better the caregivers’ sleep is, and the stronger the caregivers’ psychological resilience and uncertainty of disease are, the better the caring ability they have. It is suggested that we should pay more attention to the physical and mental status of caregivers, raise their awareness of stroke, teach them relevant knowledge and care skills, so as to lighten the physical and mental burden of caregivers, improve the prognosis of patients and finally improve the quality of life of patients and their caregivers.

Citation： HUANG Shuqi, WANG Jinyao, LI Siqin, LI Yinping, YANG Rong. Risk factors of care ability among main caregivers of stroke patients. West China Medical Journal, 2019, 34(10): 1162-1169. doi: 10.7507/1002-0179.201907068 Copy

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2.	King RB, Hartke RJ, Lee J, et al. The stroke caregiver unmet resource needs scale: development and psychometric testing. J Neurosci Nurs, 2013, 45(6): 320-328.
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14.	吳遜. 全國第四屆腦血管病學術會議紀要. 卒中與神經疾病, 1997, 4(2): 105-109.
15.	Lee RL, Mok ES. Evaluation of the psychometric properties of a modified Chinese version of the caregiver task inventor--refinement and psychometric testing of the Chinese caregiver task inventory: a confirmatory factor analysis. J Clin Nurs, 2011, 20(23/24): 3452-3462.
16.	Wang L, Shi Z, Zhang Y, et al. Psychometric properties of 10-item conner-davidson resilience scale in Chinese earthquake victims. Psychiatry Clin Neurosci, 2010, 64(5): 499-504.
17.	崔洪艷. 慢性病患者家屬疾病不確定感與社會支持、應對方式的相關性研究. 延吉: 延邊大學, 2010.
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19.	易利娜, 余昌妹. 腦卒中病人家庭照顧者照顧能力及其影響因素研究. 護理研究, 2014, 28(7): 814-816.
20.	趙雪萍, 薛詠紅, 楊惠花, 等. 社區腦卒中病人照顧者照顧能力現狀及影響因素分析. 護理研究, 2011, 25(28): 2551-2553.
21.	何淑寧, 陳蕓娥. 腦卒中患者主要照顧者照顧能力調查及影響因素分析. 護理學報, 2012, 19(8): 25-28.
22.	戴紅, 薛慧, 尹宗杰, 等. 北京市社區康復服務供需的影響因素. 中國康復醫學雜志, 2005, 20(12): 930-932.
23.	楊帆, 曾雪梅, 劉治君, 等. 某康復中心住院腦卒中患者康復治療利用現狀分析. 衛生軟科學, 2014, 28(7): 441-444.
24.	Wang S, Shen B, Wei L, et al. Association between socioeconomic status and prognosis after ischemic stroke in South China. Neurol Res, 2019: 1-7.
25.	江萍, 陳曉悅, 胡亞平, 等. 社區腦卒中患者主要照顧者照顧能力及需求的質性研究. 中國實用護理雜志, 2017, 33(15): 1164-1169.
26.	Menon B, Salini P, Habeeba K, et al. Female caregivers and stroke severity determines caregiver stress in stroke patients. Ann Indian Acad Neurol, 2017, 20(4): 418-424.
27.	Ain QU, Dar NZ, Ahmad A, et al. Caregiver stress in stroke survivor: data from a tertiary care hospital -a cross sectional survey. BMC Psychol, 2014, 2(1): 49.
28.	彭云輝, 張碩, 王夢璇, 等. 失能老人主要照顧者心理彈性及其與照顧負擔和生存質量的相關性研究. 護士進修雜志, 2019, 34(10): 909-912.
29.	陳琴, 姜小鷹, 房曉華. 慢性阻塞性肺疾病患者自我照顧認知與自我效能的相關性研究. 中華護理雜志, 2015, 50(2): 234-238.
30.	徐江華, 胡慧, 王寧. 腦卒中患者自我效能感的研究進展. 中華護理雜志, 2014, 49(1): 87-90.
31.	Mishel MH. Uncertainty in illness. Image J Nurs Sch, 1988, 20(4): 225-232.

1. GBD 2016 Causes of Death Collaborators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 2017, 390(10100): 1151-1210.
2. King RB, Hartke RJ, Lee J, et al. The stroke caregiver unmet resource needs scale: development and psychometric testing. J Neurosci Nurs, 2013, 45(6): 320-328.
3. Liu M, Wu B, Wang W Z, et al. Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol, 2007, 6(5): 456-464.
4. 中國心血管病報告編寫組. 《中國心血管病報告2016》概要. 中國循環雜志, 2017, 32(6): 521-530.
5. van Mierlo M, van Heugten C, Post MWM, et al. Trajectories of health-related quality of life after stroke: results from a one-year prospective cohort study. Disabil Rehabil, 2018, 40(9): 997-1006.
6. Em S, Bozkurt M, Caglayan M, et al. Psychological health of caregivers and association with functional status of stroke patients. Top Stroke Rehabil, 2017, 24(5): 323-329.
7. Gbiri CA, Olawale OA, Isaac SO. Stroke management: informal caregivers’ burdens and strians of caring for stroke survivors. Ann Phys Rehabil Med, 2015, 58(2): 98-103.
8. Savini S, Buck HG, Dickson VV, et al. Quality of life in stroke survivor-caregiver dyads: a new conceptual framework and longitudinal study protocol. J Adv Nurs, 2015, 71(3): 676-687.
9. van Mierlo ML, van Heugten C, Post MW, et al. A longitudinal cohort study on quality of life in stroke patients and their partners: restore 4 stroke cohort. Int J Stroke, 2014, 9(1): 148-154.
10. Joo H, Liang D. Economic burden of informal care attributable to stroke among those aged 65 years or older in China. Int J Stroke, 2017, 12(2): 205-207.
11. 鐘代曲, 錢春榮, 沈盈盈, 等. 腦卒中三級預防健康教育方案的設計與應用. 護理管理雜志, 2016, 16(10): 755-757.
12. 黃素云, 丁立東, 康小燕, 等. 家庭主要照顧者照顧能力對腦卒中患者再入院的影響. 實用臨床醫藥雜志, 2018, 22(10): 1-4.
13. Mirkowski M, Pereira S, Janzen S, et al. Caregiver availability for severe stroke results in improved functional ability at discharge from inpatient rehabilitation. Disabil Rehabil, 2018, 40(4): 457-461.
14. 吳遜. 全國第四屆腦血管病學術會議紀要. 卒中與神經疾病, 1997, 4(2): 105-109.
15. Lee RL, Mok ES. Evaluation of the psychometric properties of a modified Chinese version of the caregiver task inventor--refinement and psychometric testing of the Chinese caregiver task inventory: a confirmatory factor analysis. J Clin Nurs, 2011, 20(23/24): 3452-3462.
16. Wang L, Shi Z, Zhang Y, et al. Psychometric properties of 10-item conner-davidson resilience scale in Chinese earthquake victims. Psychiatry Clin Neurosci, 2010, 64(5): 499-504.
17. 崔洪艷. 慢性病患者家屬疾病不確定感與社會支持、應對方式的相關性研究. 延吉: 延邊大學, 2010.
18. 侯東哲, 張穎, 巫嘉陵, 等. 中文版Barthel指數的信度與效度研究. 臨床薈萃, 2012, 27(3): 219-221.
19. 易利娜, 余昌妹. 腦卒中病人家庭照顧者照顧能力及其影響因素研究. 護理研究, 2014, 28(7): 814-816.
20. 趙雪萍, 薛詠紅, 楊惠花, 等. 社區腦卒中病人照顧者照顧能力現狀及影響因素分析. 護理研究, 2011, 25(28): 2551-2553.
21. 何淑寧, 陳蕓娥. 腦卒中患者主要照顧者照顧能力調查及影響因素分析. 護理學報, 2012, 19(8): 25-28.
22. 戴紅, 薛慧, 尹宗杰, 等. 北京市社區康復服務供需的影響因素. 中國康復醫學雜志, 2005, 20(12): 930-932.
23. 楊帆, 曾雪梅, 劉治君, 等. 某康復中心住院腦卒中患者康復治療利用現狀分析. 衛生軟科學, 2014, 28(7): 441-444.
24. Wang S, Shen B, Wei L, et al. Association between socioeconomic status and prognosis after ischemic stroke in South China. Neurol Res, 2019: 1-7.
25. 江萍, 陳曉悅, 胡亞平, 等. 社區腦卒中患者主要照顧者照顧能力及需求的質性研究. 中國實用護理雜志, 2017, 33(15): 1164-1169.
26. Menon B, Salini P, Habeeba K, et al. Female caregivers and stroke severity determines caregiver stress in stroke patients. Ann Indian Acad Neurol, 2017, 20(4): 418-424.
27. Ain QU, Dar NZ, Ahmad A, et al. Caregiver stress in stroke survivor: data from a tertiary care hospital -a cross sectional survey. BMC Psychol, 2014, 2(1): 49.
28. 彭云輝, 張碩, 王夢璇, 等. 失能老人主要照顧者心理彈性及其與照顧負擔和生存質量的相關性研究. 護士進修雜志, 2019, 34(10): 909-912.
29. 陳琴, 姜小鷹, 房曉華. 慢性阻塞性肺疾病患者自我照顧認知與自我效能的相關性研究. 中華護理雜志, 2015, 50(2): 234-238.
30. 徐江華, 胡慧, 王寧. 腦卒中患者自我效能感的研究進展. 中華護理雜志, 2014, 49(1): 87-90.
31. Mishel MH. Uncertainty in illness. Image J Nurs Sch, 1988, 20(4): 225-232.

West China Medical Journal

Risk factors of care ability among main caregivers of stroke patients

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