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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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.
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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.
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19.	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.
20.	赵雪萍, 薛詠红, 杨惠花, 等. 社区脑卒中病人照顾者照顾能力现状及影响因素分析. 护理研究, 2011, 25(28): 2551-2553.
21.	何淑宁, 陈芸娥. 脑卒中患者主要照顾者照顾能力调查及影响因素分析. 护理学报, 2012, 19(8): 25-28.
22.	戴红, 薛慧, 尹宗杰, 等. 北京市社区康复服务供需的影响因素. 中国康复医学杂志, 2005, 20(12): 930-932.
23.	杨帆, 曾雪梅, 刘治君, 等. 某康复中心住院脑卒中患者康复治疗利用现状分析. 卫生软科学, 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, 陈晓悦, 胡亚平, 等. 社区脑卒中患者主要照顾者照顾能力及需求的质性研究. 中国实用护理杂志, 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.	彭云辉, 张硕, 王梦璇, 等. 失能老人主要照顾者心理弹性及其与照顾负担和生存质量的相关性研究. 护士进修杂志, 2019, 34(10): 909-912.
29.	陈琴, 姜小鹰, 房晓华. 慢性阻塞性肺疾病患者自我照顾认知与自我效能的相关性研究. 中华护理杂志, 2015, 50(2): 234-238.
30.	徐江华, 胡慧, 王宁. 脑卒中患者自我效能感的研究进展. 中华护理杂志, 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. 中国心血管病报告编写组. 《中国心血管病报告2016》概要. 中国循环杂志, 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. 钟代曲, 钱春荣, 沈盈盈, 等. 脑卒中三级预防健康教育方案的设计与应用. 护理管理杂志, 2016, 16(10): 755-757.
12. 黄素云, 丁立东, 康小燕, 等. 家庭主要照顾者照顾能力对脑卒中患者再入院的影响. 实用临床医药杂志, 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. 吴逊. 全国第四届脑血管病学术会议纪要. 卒中与神经疾病, 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. 崔洪艳. 慢性病患者家属疾病不确定感与社会支持、应对方式的相关性研究. 延吉: 延边大学, 2010.
18. 侯东哲, 张颖, 巫嘉陵, 等. 中文版Barthel指数的信度与效度研究. 临床荟萃, 2012, 27(3): 219-221.
19. 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.
20. 赵雪萍, 薛詠红, 杨惠花, 等. 社区脑卒中病人照顾者照顾能力现状及影响因素分析. 护理研究, 2011, 25(28): 2551-2553.
21. 何淑宁, 陈芸娥. 脑卒中患者主要照顾者照顾能力调查及影响因素分析. 护理学报, 2012, 19(8): 25-28.
22. 戴红, 薛慧, 尹宗杰, 等. 北京市社区康复服务供需的影响因素. 中国康复医学杂志, 2005, 20(12): 930-932.
23. 杨帆, 曾雪梅, 刘治君, 等. 某康复中心住院脑卒中患者康复治疗利用现状分析. 卫生软科学, 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, 陈晓悦, 胡亚平, 等. 社区脑卒中患者主要照顾者照顾能力及需求的质性研究. 中国实用护理杂志, 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. 彭云辉, 张硕, 王梦璇, 等. 失能老人主要照顾者心理弹性及其与照顾负担和生存质量的相关性研究. 护士进修杂志, 2019, 34(10): 909-912.
29. 陈琴, 姜小鹰, 房晓华. 慢性阻塞性肺疾病患者自我照顾认知与自我效能的相关性研究. 中华护理杂志, 2015, 50(2): 234-238.
30. 徐江华, 胡慧, 王宁. 脑卒中患者自我效能感的研究进展. 中华护理杂志, 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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