Outcomes and predictors of stress among Turkish family caregivers of patients with acquired brain injury.

IF 1.7 4区 心理学 Applied Neuropsychology-Adult Pub Date : 2024-11-01 Epub Date: 2022-09-08 DOI:10.1080/23279095.2022.2115909
Fatma Özcan, Eda Gürçay, Ayşe Naz Kalem Özgen, Yasin Demir
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Abstract

Objective: This study examined family caregiver stress and factors predicting the stress among caregivers of patients with acquired brain injury (ABI).

Methods: Sixty caregivers of patients with ABI took part in this study. All participants completed assessments of Caregiver Strain Index, Pittsburgh Sleep Quality Index, Hospital Anxiety and Depression Scale, Nottingham Health Profile (NHP), and Satisfaction with Life Scale (SWLS). The patients with ABI were also assessed on the Functional Independence Measure, Disability Rating Scale, Rancho Los Amigos Cognitive Scale-revised, Functional Ambulation Classification Scale, and Neurobehavioral Rating Scale-revised. Relationship between caregiver's stress and clinical outcomes was analyzed, together with factors significantly associated with stress.

Results: Elevated levels of stress were determined in 40% of caregivers. Higher stress was seen in caregivers of patients with shorter disease duration, worse functioning, who had more depression and anxiety, poorer perceived health status particularly for pain and emotional reaction domains, and less life satisfaction. Linear regression analysis demonstrated that caregiver's stress was predicted by NHP pain domain (β = 0.062, p = 0.016) and SWLS (β = -0.133, p = 0.040).

Conclusion: Caregivers with more pain and less life satisfaction are at higher risk of developing stress. In order to overcome this difficult process and improve the quality of care, it would be appropriate to reveal predictors of stress and produce appropriate interventions/approaches.

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后天性脑损伤患者的土耳其家庭照顾者压力的结果和预测因素。
目的:本研究探讨了后天性脑损伤(ABI)患者护理者的家庭护理压力和预测压力的因素:本研究探讨了后天性脑损伤(ABI)患者护理者的家庭护理压力和预测压力的因素:60名后天性脑损伤(ABI)患者的护理人员参与了这项研究。所有参与者都完成了照顾者压力指数、匹兹堡睡眠质量指数、医院焦虑抑郁量表、诺丁汉健康档案(NHP)和生活满意度量表(SWLS)的评估。此外,还对 ABI 患者进行了功能独立性测量、残疾评定量表、Rancho Los Amigos 认知量表(修订版)、功能性行走分类量表和神经行为评定量表(修订版)的评估。分析了护理人员的压力与临床结果之间的关系,以及与压力显著相关的因素:结果:40%的护理人员压力水平升高。病程较短、功能较差、抑郁和焦虑较多、健康状况感知较差(尤其是疼痛和情绪反应方面)以及生活满意度较低的患者的护理人员压力较大。线性回归分析表明,NHP 疼痛域(β = 0.062,p = 0.016)和 SWLS(β = -0.133,p = 0.040)可预测护理人员的压力:结论:疼痛较重、生活满意度较低的护理人员产生压力的风险较高。为了克服这一困难过程并提高护理质量,应揭示压力的预测因素并制定适当的干预措施/方法。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
自引率
11.80%
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0
审稿时长
>12 weeks
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