The association between burden and quality of life among caregivers of stroke survivors_West China Medical Journal

Authors：

WANG Jinyao , GAN Li , GENG Dan , HE Lingxiao ,  YANG Rong

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

Corresponding author：

YANG Rong, Email: hxyangrong2004@126.com

Keywords：

Stroke; Caregiver burden; Quality of life

DOI：

10.7507/1002-0179.201609163

Video：

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Objective To explore the burden situation among caregivers of stroke survivors, and analyze the association between burden and the quality of life among caregivers. Method In this cross-sectional study, a total of 230 stroke survivor-caregivers were investigated with basic demographic information, Zarit Burden Interview (ZBI) and the World Health Organization Quality of Life Instrument-Short Form (WHOQOL-BREF) from May 2015 to November 2015. Results The mean age of the caregivers of stroke survivors was (66.7±11.7) years, and the caregiver burden was in the mild level with the mean ZBI score of 21.11±6.96. The multiple linear regression analysis showed that the influencing factors of caregiver burden were the complications, self-care ability, residence of stroke survivors, and the self-rating health status of caregivers (P<0.05). And the total ZBI score was negatively correlated with the total WHOQOL-BREF scores (P<0.01), physiological dimensional scores (P<0.01), social dimensional scores (P<0.01), and environmental dimensional scores of caregivers (P<0.01). Conclusions The caregivers of stroke survivors suffer from general caregiver burden, and the heavier caregiver burden is, the poorer the quality of life of the caregivers is. According to the different conditions between urban and rural areas of China, it is reasonable to formulate a targeted program with the consideration of requirements referring to stroke survivors and their caregivers. It should involve physiological, psychological, social, environmental factors and so on to improve the caregivers’ quality of life finally.

Citation： WANG Jinyao, GAN Li, GENG Dan, HE Lingxiao, YANG Rong. The association between burden and quality of life among caregivers of stroke survivors. West China Medical Journal, 2018, 33(6): 748-752. doi: 10.7507/1002-0179.201609163 Copy

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2.	Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet, 2014, 383(9913): 245-254.
3.	Carod-Artal J, Egido JA, González JL, et al. Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit. Stroke, 2000, 31(12): 2995-3000.
4.	Pallesen H, Pedersen AD, Holst R. Health and functioning in a stroke population five years after first incidence. Scand J Disabil Res, 2013, 16(2): 114-126.
5.	Byun E, Evans LK. Concept analysis of burden in caregivers of stroke survivors during the early poststroke period. Clin Nurs Res, 2015, 24(5): 468-486.
6.	Rigby H, Gubitz G, Phillips S. A systematic review of caregiver burden following stroke. Int J Stroke, 2009, 4(4): 285-292.
7.	White CL, Poissant L, Cotéleblanc G, et al. Long-term caregiving after stroke: the impact on caregivers’ quality of life. J Neurosci Nurs, 2006, 38(5): 354-360.
8.	Denno MS, Gillard PJ, Graham GD, et al. Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity. Arch Phys Med Rehabil, 2013, 94(9): 1731-1736.
9.	中华医学会神经病学分会脑血管组急性缺血性脑卒中诊治指南撰写组. 中国急性缺血性脑卒中诊治指南2012. 中华神经科杂志, 2010, 43(2): 1-8.
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12.	梅永霞, 张振香, 林蓓蕾, 等. 社区脑卒中照顾者负担及其影响因素. 中国老年学杂志, 2015(4): 1054-1056.
13.	Jaracz K, Grabowska-Fudala B, Kozubski W. Caregiver burden after stroke: towards a structural model. Neurol Neurochir Pol, 2012, 46(3): 224-232.
14.	Jaracz K, Grabowska-Fudala B, Gorna KA, et al. Burden in caregivers of long-term stroke survivors: prevalence and determinants at 6 months and 5 years after stroke. Patient Educ Couns, 2015, 98(8): 1011-1016.
15.	Brereton L, Nolan M. ‘You do know he’s had a stroke, don’t you?’ Preparation for family care-giving--the neglected dimension. J Clin Nurs, 2000, 9(4): 498-506.
16.	Yeh PM, Chang Y. Use of zarit burden interview in analysis of family caregivers’ perception among taiwanese caring with hospitalized relatives. Int J Nurs Pract, 2014, 21(5): 622-634.
17.	Ilse IB, Feys H, De WL, et al. Stroke caregivers’ strain: prevalence and determinants in the first six months after stroke. Disabil Rehabil, 2009, 30(7): 523-530.
18.	Ferri CP, Schoenborn C, Kalra L, et al. Prevalence of stroke and related burden among older people living in Latin America, India and China. J Neurol Neurosurg Psychiatry, 2011, 82(10): 1074-1082.
19.	Wang Y, Cui L, Ji X, et al. The China National Stroke Registry for patients with acute cerebrovascular events: design, rationale, and baseline patient characteristics. Int J Stroke, 2011, 6(4):355-361.
20.	Redzuan NS, Engkasan JP, Mazlan MA. Effectiveness of a video-based therapy program at home after acute stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2012, 93(12): 2177-2183.
21.	Cao QQ, Zhou SY, Cai BY, et al. The impacts of premorbid hypertension treatment on functional outcomes of ischemic stroke. J Neurol Sci, 2016, 363: 1-4.
22.	易利娜, 余昌妹. 脑卒中病人家庭照顾者照顾能力及其影响因素研究. 护理研究, 2014, 28(7): 814-816.
23.	van Exel NJ, Koopmanschap MA, van den Berg B et al. Burden of informal caregiving for stroke patients. Identification of caregivers at risk of adverse health effects. Cerebrovasc Dis, 2005, 19(1): 11-17.
24.	李兰翠, 巫嘉陵, 董虹. 脑卒中经济负担的影响因素. 中国慢性病预防与控制, 2016, 24(3): 230-232.
25.	Clark NM, Rakowski W. Family caregivers of older adults: improving helping skills. Gerontologist, 1983, 23(6): 637-642.
26.	Sit JW, Wong TK, Clinton M, et al. Stroke care in home: the impact of social support on the general health of family caregivers. J Clin Nurs, 2004, 13(7): 816-824.
27.	Jeong YG, Myong JP, Koo JW. The modifying role of caregiver burden on predictors of quality of life of caregivers of hospitalized chronic stroke patients. Disabil Health J, 2015, 8(4): 619-625.
28.	Greenwood N, Mackenzie A. An exploratory study of anxiety in carers of stroke survivors. J Clin Nurs, 2010, 19(13/14): 2032-2038.
29.	Greenwood N, Mackenzie A. Informal caring for stroke survivors: meta-ethnographic review of qualitative literature. Maturitas, 2010, 66(3): 268-276.
30.	Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation, 2012, 125(1): e2-e220.

1. 王陇德. 中国脑卒中防治报告. 北京: 中国协和医科大学出版社, 2015.
2. Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet, 2014, 383(9913): 245-254.
3. Carod-Artal J, Egido JA, González JL, et al. Quality of life among stroke survivors evaluated 1 year after stroke: experience of a stroke unit. Stroke, 2000, 31(12): 2995-3000.
4. Pallesen H, Pedersen AD, Holst R. Health and functioning in a stroke population five years after first incidence. Scand J Disabil Res, 2013, 16(2): 114-126.
5. Byun E, Evans LK. Concept analysis of burden in caregivers of stroke survivors during the early poststroke period. Clin Nurs Res, 2015, 24(5): 468-486.
6. Rigby H, Gubitz G, Phillips S. A systematic review of caregiver burden following stroke. Int J Stroke, 2009, 4(4): 285-292.
7. White CL, Poissant L, Cotéleblanc G, et al. Long-term caregiving after stroke: the impact on caregivers’ quality of life. J Neurosci Nurs, 2006, 38(5): 354-360.
8. Denno MS, Gillard PJ, Graham GD, et al. Anxiety and depression associated with caregiver burden in caregivers of stroke survivors with spasticity. Arch Phys Med Rehabil, 2013, 94(9): 1731-1736.
9. 中华医学会神经病学分会脑血管组急性缺血性脑卒中诊治指南撰写组. 中国急性缺血性脑卒中诊治指南2012. 中华神经科杂志, 2010, 43(2): 1-8.
10. 王烈, 杨小湜, 侯哲, 等. 护理者负担量表中文版的应用与评价. 中国公共卫生, 2006, 22(8): 970-972.
11. 郝元涛, 方积乾. 世界卫生组织生存质量测定量表中文版介绍及其使用说明. 现代康复, 2000, 4(8): 1127-1129, 1145.
12. 梅永霞, 张振香, 林蓓蕾, 等. 社区脑卒中照顾者负担及其影响因素. 中国老年学杂志, 2015(4): 1054-1056.
13. Jaracz K, Grabowska-Fudala B, Kozubski W. Caregiver burden after stroke: towards a structural model. Neurol Neurochir Pol, 2012, 46(3): 224-232.
14. Jaracz K, Grabowska-Fudala B, Gorna KA, et al. Burden in caregivers of long-term stroke survivors: prevalence and determinants at 6 months and 5 years after stroke. Patient Educ Couns, 2015, 98(8): 1011-1016.
15. Brereton L, Nolan M. ‘You do know he’s had a stroke, don’t you?’ Preparation for family care-giving--the neglected dimension. J Clin Nurs, 2000, 9(4): 498-506.
16. Yeh PM, Chang Y. Use of zarit burden interview in analysis of family caregivers’ perception among taiwanese caring with hospitalized relatives. Int J Nurs Pract, 2014, 21(5): 622-634.
17. Ilse IB, Feys H, De WL, et al. Stroke caregivers’ strain: prevalence and determinants in the first six months after stroke. Disabil Rehabil, 2009, 30(7): 523-530.
18. Ferri CP, Schoenborn C, Kalra L, et al. Prevalence of stroke and related burden among older people living in Latin America, India and China. J Neurol Neurosurg Psychiatry, 2011, 82(10): 1074-1082.
19. Wang Y, Cui L, Ji X, et al. The China National Stroke Registry for patients with acute cerebrovascular events: design, rationale, and baseline patient characteristics. Int J Stroke, 2011, 6(4):355-361.
20. Redzuan NS, Engkasan JP, Mazlan MA. Effectiveness of a video-based therapy program at home after acute stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2012, 93(12): 2177-2183.
21. Cao QQ, Zhou SY, Cai BY, et al. The impacts of premorbid hypertension treatment on functional outcomes of ischemic stroke. J Neurol Sci, 2016, 363: 1-4.
22. 易利娜, 余昌妹. 脑卒中病人家庭照顾者照顾能力及其影响因素研究. 护理研究, 2014, 28(7): 814-816.
23. van Exel NJ, Koopmanschap MA, van den Berg B et al. Burden of informal caregiving for stroke patients. Identification of caregivers at risk of adverse health effects. Cerebrovasc Dis, 2005, 19(1): 11-17.
24. 李兰翠, 巫嘉陵, 董虹. 脑卒中经济负担的影响因素. 中国慢性病预防与控制, 2016, 24(3): 230-232.
25. Clark NM, Rakowski W. Family caregivers of older adults: improving helping skills. Gerontologist, 1983, 23(6): 637-642.
26. Sit JW, Wong TK, Clinton M, et al. Stroke care in home: the impact of social support on the general health of family caregivers. J Clin Nurs, 2004, 13(7): 816-824.
27. Jeong YG, Myong JP, Koo JW. The modifying role of caregiver burden on predictors of quality of life of caregivers of hospitalized chronic stroke patients. Disabil Health J, 2015, 8(4): 619-625.
28. Greenwood N, Mackenzie A. An exploratory study of anxiety in carers of stroke survivors. J Clin Nurs, 2010, 19(13/14): 2032-2038.
29. Greenwood N, Mackenzie A. Informal caring for stroke survivors: meta-ethnographic review of qualitative literature. Maturitas, 2010, 66(3): 268-276.
30. Roger VL, Go AS, Lloyd-Jones DM, et al. Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation, 2012, 125(1): e2-e220.

West China Medical Journal

The association between burden and quality of life among caregivers of stroke survivors

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