Impact of Stroke Survivors' Physical Disability on the Presence of Caregiver Burden: A Systematic Review

Abstract

BACKGROUND: Caregiver burden associated with caring for stroke survivors remains a prominent issue in nursing. With stroke being a leading cause of disability worldwide, it is essential that the impact of the stroke survivor's physical disability be analyzed so interventions can be developed to relieve related caregiver burden. The purpose of this systematic review is to review the existing nursing and allied-health literature aimed at the impact of stroke survivors' physical disability on the presence of caregiver burden. METHODS: A systematic review of the CINAHL W and PubMed databases was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines (searched on June 16, 2021). Study inclusion criteria for this review were as follows: (1) publication in the last 5 years, (2) examined the impact of stroke survivors' physical disability on caregiver burden, (3) caregiver-survivor dyads 18 years or older, (4) published in English, and (5) longitudinal study designs (an exception for reports that present findings not demonstrated in longitudinal studies). Data extracted from articles included sample characteristics, study design, instruments, analyses, and results. RESULTS: A total of 7 studies met the inclusion criteria and were synthesized for use in this systematic review. These studies implemented a variety of instruments to assess for both physical disability in the stroke patient and caregiver burden. A positive correlation between physical disability and caregiver burden was universally reported. CONCLUSION: Further nursing research is warranted to explore the aspects of physical disability that contribute to caregiver burden and to develop interventions to improve the physical functioning of stroke survivors, include social determinants of health, and specifically address the greatest contributors to caregiver burden.

The moderating effect of care time on care-related characteristics and caregiver burden: differences between formal and informal caregivers of dependent older adults

“…In previous studies, disease type ( 10 , 61 ) and trajectory ( 63 ) were reported to affect the caregiver burden. In particular, the caregiver burden is high for dementia ( 61 ), stroke ( 12 ), and schizophrenia ( 19 ). In cases of dementia, the caregiver burden differs depending on the type of dementia (Lewy body disease > Alzheimer’s disease) ( 61 ).…”

“…In a systematic review study (10), factors related to care burden were classified into three categories: care-recipient-, caregiver-, and society-related factors. Care-recipient factors influencing care burden were physical disability (11)(12)(13), mental dependency (11), and behavioral and psychological symptoms of dementia (13). Caregiver factors were gender (11), age (13)(14)(15), satisfaction with care (16), caring time (10,17,18), duration of caregiving (11), care attitude (19), and stress (6,11).…”

Study on the Cutoff Value of Backward Walking Speed to Distinguish the Mobility Deficits of Stroke Patients

“…Nursing implications. Because rehabilitation measures to improve mobility are considered the most effective strategy for stroke patients 24 and mobility is associated with depression, 25 caregiver burden, 26 and adverse outcomes, backward walking speed can guide nurses in developing rehabilitation plans, assessing rehabilitation outcomes, and developing risk intervention strategies in community rehabilitation. The 3MBW is currently a common tool for testing backward walking speed.…”

Prevalence and Impact of Poststroke Fatigue on Patient Outcomes in the First 6 Months After Stroke: A Systematic Review and Meta-analysis

“…troke is the leading cause of disability and death affecting people worldwide. 1,2 Poststroke fatigue (PSF) is one of the most common debilitating and pervasive syndromes after stroke. The prevalence of PSF occurs in up to 72% of stroke survivors.…”