Family functioning and depression in primary caregivers of stroke patients in China

Guo, Yuanli; Liu, Yan-Jin

doi:10.1016/j.ijnss.2015.05.002

Cited by 31 publications

(36 citation statements)

References 29 publications

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“…Also, 33.57% to 42.16% of all caregivers were depressed as reported in an Iranian population (16). In a survey in a Chinese population, 71% of stroke caregivers was reported to have experienced depressive symptoms (17).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression Among Primary Caregivers of Stroke Survivors in Nigeria

Ifeanyi

Saad

Ogbueche

et al. 2018

Middle East J Rehabil Health Stud

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Background: Stroke has a great adverse effect not only on the lives of stroke survivors but also on the informal caregivers, as they provide care ranging from assistance in activities of daily living, leading to a high risk of depression and other psychological morbidities. Objectives: This study explored the prevalence of depression and associated factors among primary caregivers of stroke survivors in Nigeria. Methods: A cross sectional survey on the prevalence of depression among primary caregivers of stroke survivors was conducted at selected hospitals in Maiduguri, Nigeria. A sample of convenience was used to recruit participants in this study. The Beck depression inventory was used to screen for depression. Data form and patients folders were used to obtain socio-demographics and clinical characteristics of participants and stroke survivors. Result: A total of 115 primary caregivers participated, out of which 53% were male and 47% were female. The mean age and overall beck depression inventory score were 30.78 ± 9.66 and 15.42 ± 7.84, respectively. The overall prevalence of depression was found to be 46.1%. Type of stroke (P = 0.03) and post stroke duration (P = 0.02) of stroke survivors cared for was found to be associated with depression among caregivers of stroke survivors. Conclusions: Caring for the patients with stroke presents increased in the psychological impact of caregiving for stroke survivors, it is therefore recommended that information, education, and support should be provided to primary caregivers as they are key in sustaining rehabilitation gains and long term overall well-being of stroke survivors.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Depression Among Primary Caregivers of Stroke Survivors in Nigeria

Ifeanyi

Saad

Ogbueche

et al. 2018

Middle East J Rehabil Health Stud

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“…About 80% of stroke survivors have to discharge to home for later physical and functional rehabilitation due to deficient rehabilitation centers and nursing homes in China [9][10][11]. Family caregivers play a crucial role in assisting stroke survivors in self-care and rehabilitation during hospital to home transition [12,13]. However, they usually received little preparation for their caregivers' role.…”

Section: Introductionmentioning

confidence: 99%

“…However, they usually received little preparation for their caregivers' role. It is reported that a lack of support for caregivers is associated with physical and psychological stress, caregiving burden and a low level of quality of life [13][14][15][16]. Transition care interventions therefore need to consider support for caregivers.…”

Section: Introductionmentioning

confidence: 99%

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Lin

Xiao

Chamberlain

2020

Trials

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Background: Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care. Methods: This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as "participant dyads", and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcome is changes in self-efficacy of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors' and quality of life, functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers' self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline. Discussion: This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.

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“…Em relação à ideação suicida, observou-se que pequena parcela dos cuidadores apresentou tais pensamentos entre uma ou duas vezes na semana, o que representa sinal de alerta, haja vista que o cuidado diário ao familiar dependente pode potencializar a vivência de sofrimento e aumentar a frequência de pensamentos relacionados à morte. Corroborando com esses achados, estudo realizado na China identificou que o cuidado ao familiar sobrevivente de acidente vascular encefálico provocou o desenvolvimento de sentimentos negativos, os quais eram intensificados progressivamente, à medida que o tempo de cuidado se elevava (14) .…”

Section: Discussionunclassified

“…A ideação suicida está frequentemente atrelada à presença constante de vivências de sofrimento e alterações psicológicas, sobretudo, a depressão, tornando o indivíduo mais vulnerável ao sofrimento emocional à ocorrência de pensamentos de frustração e inutilidade (4,(14)(15) . A depressão é um problema bastante comum entre cuidadores de pessoas que requerem cuidados de longa duração, como os sobreviventes de acidente vascular encefálico, tornando-se fator que pode predispor o cuidador à violência autoinflingida e ao suicídio (7,16) .…”

Section: Discussionunclassified

Fatores associados à ideação suicida em cuidadores de sobreviventes de acidente vascular encefálico

et al. 2020

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Fatores associados à ideação suicida em cuidadores de sobreviventes de acidente vascular encefálicoFactors associated with suicidal ideation in caregivers of stroke survivors RESUMO Objetivo: identificar os fatores associados à presença de ideação suicida em cuidadores de sobreviventes de acidente vascular encefálico. Métodos: pesquisa transversal, realizada com 151 cuidadores informais primários. Utilizaram-se da Escala de Depressão, Ansiedade e Estresse-21 (Depression Anxiety and Stress Scale) e de questionário para avaliação da presença de pensamentos de ideação suicida, cujos dados foram analisados por estatística descritiva e inferencial. Resultados: a maior parte dos cuidadores apresentou níveis normais de depressão (76,8%), ansiedade (76,2%) e estresse (79,5%), assim como a ausência de pensamentos de ideação suicida (70,9%). A correlação entre as escalas evidenciou que à medida que os níveis de ansiedade, depressão e estresse aumentam, os pensamentos de ideação suicida se elevam de maneira proporcional. Conclusão: observou-se que níveis elevados de depressão, ansiedade e estresse favoreceram o aumento da frequência de pensamentos de ideação suicida entre os cuidadores de sobreviventes de acidente vascular encefálico.ABSTRACT Objective: to identify factors associated with the presence of suicidal ideation in caregivers of stroke survivors. Methods: cross-sectional survey conducted with 151 primary informal caregivers. The Depression Anxiety and Stress Scale-21 and a questionnaire were used to evaluate the presence of thoughts of suicidal ideation, whose data were analyzed by descriptive and inferential statistics. Results: most caregivers had normal levels of depression (76.8%), anxiety (76.2%) and stress (79.5%), and showed no thoughts of suicidal ideation (70.9%). The correlation between scales showed that thoughts of suicidal ideation rise proportionally to the increase of anxiety, depression and stress levels. Conclusion: it was observed that high levels of depression, anxiety and stress favored the increased frequency of suicidal thoughts among caregivers of stroke survivors.

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Family functioning and depression in primary caregivers of stroke patients in China

Cited by 31 publications

References 29 publications

Prevalence of Depression Among Primary Caregivers of Stroke Survivors in Nigeria

Prevalence of Depression Among Primary Caregivers of Stroke Survivors in Nigeria

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Fatores associados à ideação suicida em cuidadores de sobreviventes de acidente vascular encefálico

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