目的:本研究旨在评估照顾者的社会人口统计学特征与卒中患者之间的关联,中风的临床数据,和照顾者负担的残疾,绝望,和焦虑。
方法:这项横断面研究包括两种性别的中风患者,年龄>18岁。数据收集时间为2020年1月至2021年7月。患者人口统计包括年龄,性别,行程类型,严重程度,病因学,地形,治疗,和中风复发。在出院后90天使用改良的Rankin量表和Barthel指数评估卒中残疾。此外,照顾者的负担,绝望,和焦虑在患者咨询期间使用Zarit负担访谈(ZBI)进行评估,贝克绝望量表(BHS),和贝克焦虑量表(BAI)。
结果:我们纳入了104例中风患者及其护理人员。总体照顾者负担中等(ZBI:24[25]),轻度绝望(BHS:4[4])和轻微至轻度焦虑(BAI:8[13])。表3中提供的线性回归模型显示,女性护理人员在Zarit负担访谈中得分高达11分(p=0.011)。此外,在Zarit负担访谈中,患者年龄增加与更高的照顾者负担相关(p=0.002).与腔隙性卒中相比,后循环卒中和全前循环卒中也与更高的Zarit负担访谈分数相关(p=0.017)。在整个样本中,年龄与护理人员负担无关。然而,仅在女性群体中发现年龄与照顾者负担之间存在关联.此外,65岁及以上的女性比18~64岁的女性经历了更严重的负担(p<0.001).卒中残疾与照顾者负担无关。
结论:老年女性照顾者在照顾中风患者时受到显著影响。总前循环中风和后循环中风增加了ZaritBurden访谈分数。然而,未观察到卒中残疾与照顾者负担之间的关联.
OBJECTIVE: This study aimed to evaluate the association between the sociodemographic characteristics of caregivers and patients with stroke, clinical data on stroke, and disability with caregiver burden, hopelessness, and anxiety.
METHODS: This cross-sectional study included patients with stroke of either sex, aged >18 years. Data were collected between January 2020 and July 2021. Patient demographic included age, sex, stroke type, severity, etiology, topography, treatment, and stroke recurrence. Stroke disability was assessed using the modified Rankin Scale and Barthel Index at 90 days post-discharge. Additionally, caregiver burden, hopelessness, and anxiety were evaluated during patient consultations using the Zarit Burden Interview (ZBI), Beck Hopelessness Scale (BHS), and Beck Anxiety Inventory (BAI).
RESULTS: We included 104 patients with stroke and their caregivers. Overall caregiver burden was moderate (ZBI: 24 [25]), with mild hopelessness (BHS: 4 [4]) and minimal to mild anxiety (BAI: 8 [13]). The linear regression model presented in Table 3 showed that female caregivers scored up to 11 points higher on the Zarit Burden Interview (p=0.011). Additionally, increased patient age was associated with a higher caregiver burden (p=0.002) on the Zarit
Burden Interview. Posterior circulation stroke and total anterior circulation stroke were also associated with higher Zarit Burden Interview scores compared to lacunar stroke (p=0.017). Age was not associated with caregiver
burden in the entire sample. However, an association between age and caregiver
burden was found only in the female group. Furthermore, women aged 65 years and older experienced a more severe burden than women aged 18 to 64 years (p<0.001). Stroke disability was not associated with caregiver
burden.
CONCLUSIONS: Older female caregivers were significantly affected when caring for stroke patients. Total anterior circulation stroke and Posterior circulation stroke increased Zarit Burden Interview scores. However, no association was observed between stroke disability and the caregiver
burden.