ภาระของผู้ดูแลผู้ป่วยโรคหลอดเลือดสมอง 1 ปี หลังจำหน่ายออกจากโรงพยาบาล: การศึกษาสหสถาบัน
ภาระของผู้ดูแลผู้ป่วยโรคหลอดเลือดสมอง 1 ปี หลังจำหน่ายออกจากโรงพยาบาล: การศึกษาสหสถาบัน
Keywords:
caregiver burden, stroke, multivariate, rehabilitation, geriatricAbstract
Objective: To investigate the burden of caregivers at the 1-year follow-up in stroke patients who had received inpatients post-stroke rehabilitation, and to identify factors associated with burden.
Study design: Cross-sectional study
Subjects and setting: One-hundred and sixty stroke patients who were discharged from the rehabilitation wards of nine tertiary care hospitals and their caregivers
Methods: The caregivers were asked to rate the degree of overall burden, and in physical, mental, social, and economic dimensions of burden. Degree of burden was categorized into no burden, slight burden, somewhat burden, moderate burden, and extreme burden. Factors associated with caregiver burden were analyzed using univariate and multivariate analysis.
Results: Mean ± standard deviation age of caregivers was 44.6±13.7 years and 76% were female. Regarding degree of caregiver burden, 30% rated burden of taking care as no burden, 20% slight, 30% somewhat, and 20% moderate to extreme burden. Responses of moderate to extreme burden in the physical and economic dimensions (19.4-20.0%) were more than those in the mental and social dimensions (12.5-16.9%). The only factor significantly associated with burden on caregiver was level of walking ability <10 meters, with an adjusted odds ratio of 3.30 (95% CI: 1.60, 6.83).
Conclusion: Twenty percent of caregivers rated themselves as being moderately to extremely physical and economic burden from taking care of stroke patients. Health policy strategies to effectively relieve caregiver burden should be developed in order to improve the post-stroke experience for both caregiver and patient.
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