復健期腦中風病患的主要家庭照顧者負荷之相關因素探討

Factors Associated with Primary Caregiver Burden of Stroke Patients during Rehabilitation Stage

吳姿蓉(Tzu-Jung Wu) ； 何啟中(Chi-Chung Ho) ； 盧香涵(Siang-Han Lu) ； 李美樺(Mei-Hua Lee) ； 顏文娟(Wen-Jiuan Yen)

《長期照護雜誌》 15卷3期 (2011/12) Pp. 237-248

https://doi.org/10.6317/LTC.201112_15(3).0007

摘要

The purpose of this study was to investigate relative factors influencing the level of caregiver burden on primary caregivers of stroke patients during the rehabilitation stage. Cross-sectional research was conducted by purposive sampling with 80 primary caregivers in the rehabilitation ward of a medicine center in central Taiwan. The demographic data, take care pattern, Caregiver Burden Inventory, and Chinese Type A Behavior Scale were employed as the research tools. The research results revealed that the average level of caregiver burden was 2.82±0.93 (range from 0 to 4). In terms of importance, social burden was the most significant burden by primary caregivers, followed by emotional and time-dependence burden. Female primary caregivers (t=3.10, p＜.01), family financial stress (t=2.76 p＜.01) significantly felt more burden than male and non- family financial stressor; A sense of time urgency (r=.25, p＜.05) was significantly correlative to the level of caregiver burden. The results of stepwise regression analysis indicate that gender and family financial stress are important predictive factors influencing the level of caregiver burden; the regression formula is Y (the level of caregiver burden felt by family caregivers) = 45.00+9.32 (gender) +12.68 (family financial stress), and the total variance accounts for 20%. The level of primary caregiver burden of stroke patients during rehabilitation phase is found to be moderate. The nursing staff serving in the rehabilitation ward should evaluate the burden of caregivers regularly and help caregivers relieve their pressure. They can also actively provide relative resources to those who have financial difficulties. Thus, stroke patients’ primary caregivers can be relieved from the burden during the rehabilitation stage.

關鍵字

腦中風 ； 復健期 ； 照顧者負荷

並列摘要

The purpose of this study was to investigate relative factors influencing the level of caregiver burden on primary caregivers of stroke patients during the rehabilitation stage. Cross-sectional research was conducted by purposive sampling with 80 primary caregivers in the rehabilitation ward of a medicine center in central Taiwan. The demographic data, take care pattern, Caregiver Burden Inventory, and Chinese Type A Behavior Scale were employed as the research tools. The research results revealed that the average level of caregiver burden was 2.82±0.93 (range from 0 to 4). In terms of importance, social burden was the most significant burden by primary caregivers, followed by emotional and time-dependence burden. Female primary caregivers (t=3.10, p＜.01), family financial stress (t=2.76 p＜.01) significantly felt more burden than male and non- family financial stressor; A sense of time urgency (r=.25, p＜.05) was significantly correlative to the level of caregiver burden. The results of stepwise regression analysis indicate that gender and family financial stress are important predictive factors influencing the level of caregiver burden; the regression formula is Y (the level of caregiver burden felt by family caregivers) = 45.00+9.32 (gender) +12.68 (family financial stress), and the total variance accounts for 20%. The level of primary caregiver burden of stroke patients during rehabilitation phase is found to be moderate. The nursing staff serving in the rehabilitation ward should evaluate the burden of caregivers regularly and help caregivers relieve their pressure. They can also actively provide relative resources to those who have financial difficulties. Thus, stroke patients’ primary caregivers can be relieved from the burden during the rehabilitation stage.

並列關鍵字

stroke ； rehabilitation stage ； caregiver burden