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Table of Contents
Vol. 18, No. 2, 2004
Issue release date: August 2004
Cerebrovasc Dis 2004;18:145–153
(DOI:10.1159/000079268)

Impact and Influences on Caregiver Outcomes at One Year Post-Stroke

Smith L.N. · Norrie J. · Kerr S.M. · Lawrence I.M. · Langhorne P. · Lees K.R.
aNursing & Midwifery School, University of Glasgow, Glasgow; bHealth Services Research Unit, Aberdeen Trials Service, Aberdeen; cSchool of Nursing, Midwifery & Community Health, and dNMAHP Research Unit, Glasgow Caledonian University; eAcademic Section of Geriatric Medicine, and fUniversity Department of Medicine & Therapeutics, University of Glasgow, Glasgow, UK

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Abstract

Background and Purpose: Four outcome measures of carer stress and coping at one year post-stroke were identified: carer general health, anxiety, depression and perception of stress. Methods: Each outcome was assessed using valid and reliable instruments. In addition, we collected demographic data from both carers and patients which could reasonably be expected to influence carer stress and coping (e.g. age, deprivation levels) as well as information specific to the caring role. Results: Carers were found to be more anxious than previously reported. Neither satisfaction with caring nor the adoption of helpful coping strategies were associated with positive carer outcomes but, nevertheless, carers were not reluctant to care. The SF-36 is a useful predictor of carer stress, in particular the vitality score. Conclusions: Patient data are not sufficient to predict carer general health at one year. At one year, both patients and carers are more anxious than depressed. And there may be a group of patients and carers who can be characterised as borderline anxious and/or depressed and who warrant specific attention to prevent carer burnout.



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References

  1. Dewey HM, Thrift AG, Mihalopoulos C, Carter R, Macdonell R, McNeil JJ, Donnan GA: Informal care for stroke survivors: Results from the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke 2002;33:1028–1033.
  2. Van den Heuvel ET, de Witte LP, Schure LM, Sanderman R, Meyboom-de Jong B: Risk factors for burn-out in caregivers of stroke patients, and possibilities for intervention. Clin Rehabil 2001;15:669–677.
  3. Dennis M, O’Rourke S, Lewis S, Sharpe M, Warlow C: A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke 1998;29:1867–1872.
  4. Han B, Haley WE: Family caregiving for patients with stroke. Stroke 1999;30:1478–1485.
  5. Hackett M, Vandal AC, Anderson C, Rubenach S: Long-term outcome in stroke patients and caregivers following accelerated hospital discharge and home-based rehabilitation. Stroke 2002;33:643–645.
  6. Bugge C, Alexander H, Hagen S: Stroke patients’ informal caregivers. Stroke 1999;30:1517–1523.
  7. WHO: Annual Health Statistics. Geneva, WHO, 1990.
  8. McLoone P: Carstairs scores for Scottish postcode sectors from the 1991 census. Glasgow, Public Health Research Unit, University of Glasgow, 1997.
  9. Duncan PW, Jorgensen HS, Wade DT: Outcome measures in acute stroke trials: A systematic review and some recommendations to improve practice. Stroke 2000;31:1429–1438.
  10. Hsieh CL, Hsueh IP: A cross-validation of the comprehensive assessment of activities of daily living after stroke. Scand J Rehabil Med 1999;31:83–88.
  11. Wade DT: Measurement in Neurological Rehabilitation. Oxford, Oxford Medical Publishers, 1992.
  12. Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370.
  13. Nolan M, Keady J, Grant G: Assessing the needs of family carers: A Guide for Practitioners. London, Pavilion, 1998.
  14. Ware J, Snow K, Kosinski M: The SF-36 Health Survey: Manual and Interpretation Guide. Lincoln: Quality Metric Incorporated, 2000.
  15. Nolan M, Keady J, Grant G: CAMI: A basis for assessment and support with family carers. Br J Nurs 1995;4:822–826.
  16. Lazarus RS: Psychological Stress and the Coping Process. New York, MacGraw-Hill, 1966.
  17. Taylor R, Ford G, Dunbar M: The effects of caring on health: A community-based longitudinal study. Soc Sci Med 1995;40:1407–1415.


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