A Scoping Review on Coping Strategies and Quality of Life of Stroke Caregivers: Often Underestimated Variables in Stroke Recovery Process?

SPG biomed Pub Date : 2023-07-18 DOI:10.3390/biomed3030029
A. Tsiakiri, Pinelopi Vlotinou, Aikaterini Paschalidou, Christos Konstantinidis, F. Christidi, D. Tsiptsios, Georgia Detsaridou, Alexandra Petridou, Aimilios Gkantzios, Stella Karatzetzou, K. Tsamakis, E. Giannakou, Maria Emmanouilidou, K. Vadikolias, N. Aggelousis
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Abstract

The purpose of the present study was to review all available work published within the last decade focusing on coping strategies in stroke caregivers and their impact on quality of Life (QoL) and psycho-emotional status. A literature search of two databases (MEDLINE, Scopus) was conducted to identify all relevant full-text English studies published between 2013–2023. Sixteen articles were traced and were finally included. Cognitive and behavioral coping strategies were beneficial for stroke caregivers’ and survivors’ QoL. The level of mutuality in the caregiver-survivor relationship was associated with the impact of depressive symptoms on caregivers’ QoL and the protective effect of mutuality on survivors’ QoL over time. The level and quality of social support were positively associated with QoL for stroke caregivers and survivors. Caregivers’ preparedness was a moderator for the impact of depression on both caregivers’ and survivors’ QoL. High levels of spirituality had a significant role in ameliorating the negative impact of depressive symptoms on the psychological and physical QoL of stroke caregivers and survivors. In conclusion, the study of coping strategies can be used as a psychological reserve in the process of stroke rehabilitation and actively contribute to improving the QoL of both caregivers and stroke survivors.
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脑卒中护理人员的应对策略和生活质量:脑卒中恢复过程中经常被低估的变量?
本研究的目的是回顾过去十年中发表的所有关于中风护理人员应对策略及其对生活质量(QoL)和心理情绪状态的影响的研究。对两个数据库(MEDLINE, Scopus)进行文献检索,以确定2013-2023年间发表的所有相关英文全文研究。16篇文章被追踪并最终收录。认知和行为应对策略对脑卒中照护者和幸存者的生活质量均有改善作用。随着时间的推移,照顾者-幸存者关系中的相互性水平与抑郁症状对照顾者生活质量的影响以及相互性对幸存者生活质量的保护作用有关。社会支持水平和质量与脑卒中照护者和幸存者的生活质量呈正相关。照顾者的准备是抑郁症对照顾者和幸存者生活质量影响的调节因子。在改善抑郁症状对中风照顾者和幸存者心理和身体生活质量的负面影响方面,高水平的灵性具有显著作用。综上所述,应对策略的研究可作为脑卒中康复过程中的心理储备,积极促进护理者和脑卒中幸存者生活质量的提高。
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