Factors Influencing Caregiver Burden During Rehabilitation of Stroke Patients
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In this study, we aimed to determine which medical conditions of the stroke patients admitted for rehabilitation more than four weeks after onset affect caregiver burden. Participants diagnosed with stroke and their respective primary caregivers were enrolled and assessed after an 8-week follow-up period. The areas of evaluation for stroke patients included neurologic state, cognition, performance in daily life movements, gait, and balance, and caregivers were evaluated in the area of burden. The evaluation was conducted at the start of the rehabilitation course and eight weeks later. Patient caregivers were found to be under mild to moderate burden while providing care throughout the hospitalization period. The patient's neurologic state and cognition were correlated with caregiver burden. In the all patient and the subacute stroke patient group, multiple regression analysis confirmed that the neurologic state and balance stability were factors that influenced caregiver burden. Hence, we suggest that improvement in the patient’s balance stability be emphasized during the course of rehabilitation to mitigate caregiver burden.
Abstract
In this study, we aimed to determine which medical conditions of the stroke patients admitted for rehabilitation more than four weeks after onset affect caregiver burden. Participants diagnosed with stroke and their respective primary caregivers were enrolled and assessed after an 8-week follow-up period. The areas of evaluation for stroke patients included neurologic state, cognition, performance in daily life movements, gait, and balance, and caregivers were evaluated in the area of burden. The evaluation was conducted at the start of the rehabilitation course and eight weeks later. Patient caregivers were found to be under mild to moderate burden while providing care throughout the hospitalization period. The patient's neurologic state and cognition were correlated with caregiver burden. In the all patient and the subacute stroke patient group, multiple regression analysis confirmed that the neurologic state and balance stability were factors that influenced caregiver burden. Hence, we suggest that improvement in the patient’s balance stability be emphasized during the course of rehabilitation to mitigate caregiver burden.
참고문헌 (30)
- T K Tatemichi, "Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities", Journal of Neurology, Neurosurgery & Psychiatry, 57(2), pp.202~207 (1994), BMJ[DOI]
- Raquel Barba, "Poststroke dementia : clinical features and risk factors", Stroke, 31(7), pp.1494~1501 (2000), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Kengo Shimoda, "The Relationship between Social Impairment and Recovery from Stroke", Psychiatry, 61(2), pp.101~111 (1998), Informa UK Limited[DOI]
- Craig S. Anderson, "A Population-Based Assessment of the Impact and Burden of Caregiving for Long-term Stroke Survivors", Stroke, 26(5), pp.843~849 (1995), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Nancy E. Mayo, "Activity, participation, and quality of life 6 months poststroke", Archives of Physical Medicine and Rehabilitation, 83(8), pp.1035~1042 (2002), Elsevier BV[DOI]
- Sandra Zinn, "The effect of poststroke cognitive impairment on rehabilitation process and functional outcome", Archives of Physical Medicine and Rehabilitation, 85(7), pp.1084~1090 (2004), Elsevier BV[DOI]
- Kim ES, "Evaluation of family function in the in patient of rehabilitation medicine department with impair-ment of activity of daily function", J Korean Acad Fam Med, 18(3), pp.336~344 (1997)
- Claude Vincent, "Burden of caregivers of people with stroke: evolution and predictors", Cerebrovascular Diseases, 27(5), pp.456~464 (2009), S. Karger AG[DOI]
- Martin Dennis, "A Quantitative Study of the Emotional Outcome of People Caring for Stroke Survivors", Stroke, 29(9), pp.1867~1872 (1998), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 곽영옥, "뇌졸중 환자 가족부양자의 스트레스 반응과 삶의 질에 영향을 미치는 요인: 일상생활 수행능력과 사회적 지지를 중심으로", 스트레스 硏究, 16(3), pp.261~269 (2008), 대한스트레스학회
- 한정희, "뇌졸중 환자인 부인을 돌보는 남성노인 배우자의 부담감과 건강 관련 삶의 질", 성인간호학회지, 24(6), pp.615~626 (2012), 한국성인간호학회
- 김남희, "재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의스트레스 영향요인", 한국산학기술학회논문지, 17(2), pp.188~201 (2016), 한국산학기술학회[DOI]
- Daniel S. Marigold, "The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke", Gait & Posture, 23(2), pp.249~255 (2006), Elsevier BV[DOI]
- S. H. Zarit, "Relatives of the Impaired Elderly: Correlates of Feelings of Burden", The Gerontologist, 20(6), pp.649~655 (1980), Oxford University Press (OUP)[DOI]
- Michel Bédard, "The Zarit Burden Interview: a new short version and screen-ing version", The Gerontologist, 41(5), pp.652~657 (2001), Oxford University Press (OUP)[DOI]
- Sarah F Tyson, "Balance Disability After Stroke", Physical Therapy, 86(1), pp.30~38 (2006), Oxford University Press (OUP)[DOI]
- Chun, C. S., "Patient Falls in Stroke Rehabilitation", Journal of Korean Academy of Rehabilitation Medicine, 23(5), pp.905~912 (1999)
- Kang, T. D., "The Factors Associated with Fall in the Stroke Patients", Journal of the Korean Academy of Rehabilitation Medicine, 21(2), pp.269~275 (1997)
- Kim, C. G., "An analysis of fall incidence rate and its related factors of fall in inpatients", Journal of Korean Society Quality Assurance Health Care, 9(2), pp.210~ (2002)
- Joshi, K. N., "Disability and its Relationship with Caregiver Burden among Stroke Survivors: A Cross-Sectional Study", Website: www. ijpot. com, 14(02), pp.287~ (2020), Institute of Medico-legal Publications Private Limited[DOI]
- 오현미, "The Sitting-Unsupported Balance Score as an Early Predictor of Functional Prognosis in Stroke Patients: A Pilot Study", Annals of Rehabilitation Medicine, 37(2), pp.241~246 (2013), 대한재활의학회
- William J. Powers, "Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association", American Stroke Association, 2019, pp.50(12), ~[DOI]
- 홍상은, "Effect of a Caregiver’s Education Program on Stroke Rehabilitation", Annals of Rehabilitation Medicine, 41(1), pp.16~24 (2017), 대한재활의학회
- Berg, K. O., "Measuring balance in the Elderly: Validation of an Instruments", Can J Public Health, 83, pp.S7~S11 (1992)
- N Maeda, "Discriminant analysis for predictor of falls in stroke patients by using the Berg Balance Scale", Singapore Medical Journal, 56(05), pp.280~283 (2015), Medknow[DOI]
- Linda D Bogle Thorbahn, "Use of the Berg Balance Test to Predict Falls in Elderly Persons", Physical Therapy, 76(6), pp.576~583 (1996), Oxford University Press (OUP)[DOI]
- Jan Lexell, "RELIABILITY OF GAIT PERFORMANCE TESTS IN MEN AND WOMEN WITH HEMIPARESIS AFTER STROKE", Journal of Rehabilitation Medicine, 37(2), pp.75~82 (2005), Medical Journals Sweden AB[DOI]
- Ping Hu, "Relationship between the anxiety", depression and care burden of the major caregiver of stroke patients, 2018, pp.97(40), e12638~[DOI]
- Camila Caminha Caro, "Burden and Quality of Life of Family Caregivers of Stroke Patients", Occupational Therapy In Health Care, 32(2), pp.154~171 (2018), Informa UK Limited[DOI]
- Smi Choi-Kwon, "Factors Affecting the Burden on Caregivers of Stroke Survivors in South Korea", Archives of Physical Medicine and Rehabilitation, 86(5), pp.1043~1048 (2005), Elsevier BV[DOI]
