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Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample

Year 2021, Volume: 11 Issue: 4, 667 - 673, 26.10.2021
https://doi.org/10.33808/clinexphealthsci.685431

Abstract

Objective: This study aimed to evaluate caregiver burden among caregivers of acute stroke patients with a biopsychosocial perspective in a Turkey sample.
Methods: 72 stroke patients and 72 their caregivers were included the study. The mean age of the stroke patients included in the study was 65±12.39. The mean age of caregivers was 44.5±14 and 66.7% of them were females. Modified Motor Assessment Scale (MMAS), Standardized Mini Mental State Examination (SMMSE) and The Barthel Index (BI) were used to assess the patients with stroke. The caregivers were evaluated by using the Bakas Caregiving Outcomes Scale, Family Sense of Coherence Scale-Short Form (FSOC-S), Hospital Anxiety and Depression Scale (HADS), WHOQOL-Bref-Short Form and Multidimensional Scale of Perceived Social Support (MSPSS).
Results: There were significant positive correlation between the BCOS score and the SMMSE (r=0.36; p=0.002) and BI (r=0.22; p=0.05) scores. A significant positive correlation was found between the BCOS score and MSPSS’s family (r=0.31; p=0.007), friend (r=0.41; p<0.01) and special human (r=0.46; p<0.01) sub-parameters. In addition, there were significant positive correlations between BCOS score and the physical (r=0.35; p=0.02) and environmental (r=0.42; p<0.01) sub-dimensions of the WHOQOL-BREF, also HADS Depression sub-score (r=0.93; p=0.01). Correlations between BCOS score and patients' age, MMAS, FSOC-S, scores and HAD Anxiety sub-score were not statistically significant (p>0.05).
Conclusion: The cognitive function and independence level of the patients is associated with care burden. Furthermore, psychosocial features such as poor social functioning, quality of life and emotional health of caregiver have adverse effects on caregiver burden.

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References

  • Referans1 W.H. Organization, WHO STEPS stroke manual: the WHO STEPwise approach to stroke surveillance, (2005). Referans2 A.S. Go, D. Mozaffarian, V.L. Roger, E.J. Benjamin, J.D. Berry, M.J. Blaha, S. Dai, E.S. Ford, C.S. Fox, S. Franco, Heart disease and stroke statistics—2014 update: a report from the American Heart Association, Circulation (2013) 01. cir. 0000441139.02102. 80. Referans3 R. Sharma, D. Goel, Timely presentation of stroke to hospital–A problem in Uttarakhand, SRHU MEDICAL JOURNAL 1(1) (2017) 22-25. Referans4 V.L. Feigin, M.H. Forouzanfar, R. Krishnamurthi, G.A. Mensah, M. Connor, D.A. Bennett, A.E. Moran, R.L. Sacco, L. Anderson, T. Truelsen, Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010, The Lancet 383(9913) (2014) 245-255. Referans5 I. Skibicka, M. Niewada, M. Skowrońska, A. Członkowska, A. Członkowski, Care for patients after stroke. Results of a two-year prospective observational study from Mazowieckie province in Poland, Neurologia i neurochirurgia polska 44(3) (2010) 231-237. Referans6 B. Thommessen, T. Wyller, E. Bautz-Holter, K. Laake, Acute phase predictors of subsequent psychosocial burden in carers of elderly stroke patients, Cerebrovascular Diseases 11(3) (2001) 201-206. Referans7 S. Carretero, J. Garcés, F. Ródenas, V. Sanjosé, The informal caregiver's burden of dependent people: Theory and empirical review, Archives of gerontology and geriatrics 49(1) (2009) 74-79. Referans8 Y.P. Demir, N.Ç. Balci, N.Ö. Ünlüer, N. Uluğ, E. Dogru, M. Kilinç, S.A. Yildirim, Ö. Yilmaz, Three different points of view in stroke rehabilitation: patient, caregiver, and physiotherapist, Topics in stroke rehabilitation 22(5) (2015) 377-385. Referans9 I.B. Ilse, H. Feys, L. De Wit, K. Putman, W. De Weerdt, Stroke caregivers' strain: prevalence and determinants in the first six months after stroke, Disability and Rehabilitation 30(7) (2008) 523-530. Referans10 K. Jaracz, B. Grabowska-Fudala, K. Górna, W. Kozubski, Caregiving burden and its determinants in Polish caregivers of stroke survivors, Archives of medical science: AMS 10(5) (2014) 941. Referans11 Y.-G. Jeong, Y.-J. Jeong, W.-C. Kim, J.-S. Kim, The mediating effect of caregiver burden on the caregivers’ quality of life, Journal of physical therapy science 27(5) (2015) 1543-1547. Referans12 Y.-G. Jeong, J.-P. Myong, J.-W. Koo, The modifying role of caregiver burden on predictors of quality of life of caregivers of hospitalized chronic stroke patients, Disability and health journal 8(4) (2015) 619-625. Referans13 E. McCullagh, G. Brigstocke, N. Donaldson, L. Kalra, Determinants of caregiving burden and quality of life in caregivers of stroke patients, Stroke 36(10) (2005) 2181-2186. Referans14 W.S.o. Reimer, R. De Haan, P. Rijnders, M. Limburg, G. Van Den Bos, The burden of caregiving in partners of long-term stroke survivors, Stroke 29(8) (1998) 1605-1611. Referans15 H. Rigby, G. Gubitz, S. Phillips, A systematic review of caregiver burden following stroke, International Journal of Stroke 4(4) (2009) 285-292. Referans16 C.O. Akosile, T.O. Banjo, E.C. Okoye, P.O. Ibikunle, A.C. Odole, Informal caregiving burden and perceived social support in an acute stroke care facility, Health and quality of life outcomes 16(1) (2018) 57. Referans17 Y.-W. Hsieh, C.-H. Wang, S.-C. Wu, P.-C. Chen, C.-F. Sheu, C.-L. Hsieh, Establishing the minimal clinically important difference of the Barthel Index in stroke patients, Neurorehabilitation and neural repair 21(3) (2007) 233-238. Referans18 J.H. Carr, R.B. Shepherd, L. Nordholm, D. Lynne, Investigation of a new motor assessment scale for stroke patients, Physical therapy 65(2) (1985) 175-180. Referans19 M.K. Holden, K.M. Gill, M.R. Magliozzi, J. Nathan, L. Piehl-Baker, Clinical gait assessment in the neurologically impaired: reliability and meaningfulness, Physical therapy 64(1) (1984) 35-40. Referans20 C. Collin, D. Wade, S. Davies, V. Horne, The Barthel ADL Index: a reliability study, International disability studies 10(2) (1988) 61-63. Referans21 T. Bakas, V. Champion, S.M. Perkins, C.J. Farran, L.S. Williams, Psychometric testing of the revised 15-item Bakas Caregiving Outcomes Scale, Nursing research 55(5) (2006) 346-355. Referans22 S. Sagy, Effects of personal, family, and community characteristics on emotional reactions in a stress situation: The Golan Heights negotiations, Youth & Society 29(3) (1998) 311-329. Referans23 A.S. Zigmond, R.P. Snaith, The hospital anxiety and depression scale, Acta psychiatrica scandinavica 67(6) (1983) 361-370. Referans24 W. Group, Development of the World Health Organization WHOQOL-BREF quality of life assessment, Psychological medicine 28(3) (1998) 551-558. Referans25 G.D. Zimet, S.S. Powell, G.K. Farley, S. Werkman, K.A. Berkoff, Psychometric characteristics of the multidimensional scale of perceived social support, Journal of personality assessment 55(3-4) (1990) 610-617. Referans26 D.E. Hinkle, W. Wiersma, S.G. Jurs, Applied statistics for the behavioral sciences, (1988). Referans27 W. Zhu, Y. Jiang, A Meta-analytic Study of Predictors for Informal Caregiver Burden in Patients With Stroke, Journal of Stroke and Cerebrovascular Diseases 27(12) (2018) 3636-3646. Referans28 N.R. Chumbler, M. Rittman, M. Van Puymbroeck, W.B. Vogel, H. Qnin, The sense of coherence, burden, and depressive symptoms in informal caregivers during the first month after stroke, International Journal of Geriatric Psychiatry 19(10) (2004) 944-953. Referans29 J.I. Cameron, A.M. Cheung, D.L. Streiner, P.C. Coyte, D.E. Stewart, Stroke survivor depressive symptoms are associated with family caregiver depression during the first 2 years poststroke, Stroke 42(2) (2011) 302-306. Referans30 S. Yildirim, E. Engin, V.A. Baskaya, Inmeli Hastalara Bakim Verenlerin Yükü ve Yükü Etkileyen Faktörler/The Burden of Caregivers of Stroke Patients and the Factors Affecting the Burden, Noro-Psikyatri Arsivi 50(2) (2013) 169. Referans31 Y.-H. Tsai, M.-F. Lou, T.-H. Feng, T.-L. Chu, Y.-J. Chen, H.-E. Liu, Mediating effects of burden on quality of life for caregivers of first-time stroke patients discharged from the hospital within one year, BMC neurology 18(1) (2018) 50. Referans32 Y. Yu, J. Hu, J.T. Efird, T.P. McCoy, Social support, coping strategies and health‐related quality of life among primary caregivers of stroke survivors in China, Journal of clinical nursing 22(15-16) (2013) 2160-2171. Referans33 P. Efi, K. Fani, T. Eleni, K. Stylianos, K. Vassilios, B. Konstantinos, L. Chrysoula, M. Kyriaki, Quality of Life and Psychological Distress of Caregivers' of Stroke People, Acta neurologica Taiwanica 26(4) (2017) 154-166. Referans34 C.C. Caro, P.V.B. Mendes, J.D. Costa, L.J. Nock, D.M.C.d. Cruz, Independence and cognition post-stroke and its relationship to burden and quality of life of family caregivers, Topics in stroke rehabilitation 24(3) (2017) 194-199. Referans35 J.A. Opara, K. Jaracz, Quality of life of post–stroke patients and their caregivers, Journal of medicine and life 3(3) (2010) 216.
Year 2021, Volume: 11 Issue: 4, 667 - 673, 26.10.2021
https://doi.org/10.33808/clinexphealthsci.685431

Abstract

Project Number

-

References

  • Referans1 W.H. Organization, WHO STEPS stroke manual: the WHO STEPwise approach to stroke surveillance, (2005). Referans2 A.S. Go, D. Mozaffarian, V.L. Roger, E.J. Benjamin, J.D. Berry, M.J. Blaha, S. Dai, E.S. Ford, C.S. Fox, S. Franco, Heart disease and stroke statistics—2014 update: a report from the American Heart Association, Circulation (2013) 01. cir. 0000441139.02102. 80. Referans3 R. Sharma, D. Goel, Timely presentation of stroke to hospital–A problem in Uttarakhand, SRHU MEDICAL JOURNAL 1(1) (2017) 22-25. Referans4 V.L. Feigin, M.H. Forouzanfar, R. Krishnamurthi, G.A. Mensah, M. Connor, D.A. Bennett, A.E. Moran, R.L. Sacco, L. Anderson, T. Truelsen, Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010, The Lancet 383(9913) (2014) 245-255. Referans5 I. Skibicka, M. Niewada, M. Skowrońska, A. Członkowska, A. Członkowski, Care for patients after stroke. Results of a two-year prospective observational study from Mazowieckie province in Poland, Neurologia i neurochirurgia polska 44(3) (2010) 231-237. Referans6 B. Thommessen, T. Wyller, E. Bautz-Holter, K. Laake, Acute phase predictors of subsequent psychosocial burden in carers of elderly stroke patients, Cerebrovascular Diseases 11(3) (2001) 201-206. Referans7 S. Carretero, J. Garcés, F. Ródenas, V. Sanjosé, The informal caregiver's burden of dependent people: Theory and empirical review, Archives of gerontology and geriatrics 49(1) (2009) 74-79. Referans8 Y.P. Demir, N.Ç. Balci, N.Ö. Ünlüer, N. Uluğ, E. Dogru, M. Kilinç, S.A. Yildirim, Ö. Yilmaz, Three different points of view in stroke rehabilitation: patient, caregiver, and physiotherapist, Topics in stroke rehabilitation 22(5) (2015) 377-385. Referans9 I.B. Ilse, H. Feys, L. De Wit, K. Putman, W. De Weerdt, Stroke caregivers' strain: prevalence and determinants in the first six months after stroke, Disability and Rehabilitation 30(7) (2008) 523-530. Referans10 K. Jaracz, B. Grabowska-Fudala, K. Górna, W. Kozubski, Caregiving burden and its determinants in Polish caregivers of stroke survivors, Archives of medical science: AMS 10(5) (2014) 941. Referans11 Y.-G. Jeong, Y.-J. Jeong, W.-C. Kim, J.-S. Kim, The mediating effect of caregiver burden on the caregivers’ quality of life, Journal of physical therapy science 27(5) (2015) 1543-1547. Referans12 Y.-G. Jeong, J.-P. Myong, J.-W. Koo, The modifying role of caregiver burden on predictors of quality of life of caregivers of hospitalized chronic stroke patients, Disability and health journal 8(4) (2015) 619-625. Referans13 E. McCullagh, G. Brigstocke, N. Donaldson, L. Kalra, Determinants of caregiving burden and quality of life in caregivers of stroke patients, Stroke 36(10) (2005) 2181-2186. Referans14 W.S.o. Reimer, R. De Haan, P. Rijnders, M. Limburg, G. Van Den Bos, The burden of caregiving in partners of long-term stroke survivors, Stroke 29(8) (1998) 1605-1611. Referans15 H. Rigby, G. Gubitz, S. Phillips, A systematic review of caregiver burden following stroke, International Journal of Stroke 4(4) (2009) 285-292. Referans16 C.O. Akosile, T.O. Banjo, E.C. Okoye, P.O. Ibikunle, A.C. Odole, Informal caregiving burden and perceived social support in an acute stroke care facility, Health and quality of life outcomes 16(1) (2018) 57. Referans17 Y.-W. Hsieh, C.-H. Wang, S.-C. Wu, P.-C. Chen, C.-F. Sheu, C.-L. Hsieh, Establishing the minimal clinically important difference of the Barthel Index in stroke patients, Neurorehabilitation and neural repair 21(3) (2007) 233-238. Referans18 J.H. Carr, R.B. Shepherd, L. Nordholm, D. Lynne, Investigation of a new motor assessment scale for stroke patients, Physical therapy 65(2) (1985) 175-180. Referans19 M.K. Holden, K.M. Gill, M.R. Magliozzi, J. Nathan, L. Piehl-Baker, Clinical gait assessment in the neurologically impaired: reliability and meaningfulness, Physical therapy 64(1) (1984) 35-40. Referans20 C. Collin, D. Wade, S. Davies, V. Horne, The Barthel ADL Index: a reliability study, International disability studies 10(2) (1988) 61-63. Referans21 T. Bakas, V. Champion, S.M. Perkins, C.J. Farran, L.S. Williams, Psychometric testing of the revised 15-item Bakas Caregiving Outcomes Scale, Nursing research 55(5) (2006) 346-355. Referans22 S. Sagy, Effects of personal, family, and community characteristics on emotional reactions in a stress situation: The Golan Heights negotiations, Youth & Society 29(3) (1998) 311-329. Referans23 A.S. Zigmond, R.P. Snaith, The hospital anxiety and depression scale, Acta psychiatrica scandinavica 67(6) (1983) 361-370. Referans24 W. Group, Development of the World Health Organization WHOQOL-BREF quality of life assessment, Psychological medicine 28(3) (1998) 551-558. Referans25 G.D. Zimet, S.S. Powell, G.K. Farley, S. Werkman, K.A. Berkoff, Psychometric characteristics of the multidimensional scale of perceived social support, Journal of personality assessment 55(3-4) (1990) 610-617. Referans26 D.E. Hinkle, W. Wiersma, S.G. Jurs, Applied statistics for the behavioral sciences, (1988). Referans27 W. Zhu, Y. Jiang, A Meta-analytic Study of Predictors for Informal Caregiver Burden in Patients With Stroke, Journal of Stroke and Cerebrovascular Diseases 27(12) (2018) 3636-3646. Referans28 N.R. Chumbler, M. Rittman, M. Van Puymbroeck, W.B. Vogel, H. Qnin, The sense of coherence, burden, and depressive symptoms in informal caregivers during the first month after stroke, International Journal of Geriatric Psychiatry 19(10) (2004) 944-953. Referans29 J.I. Cameron, A.M. Cheung, D.L. Streiner, P.C. Coyte, D.E. Stewart, Stroke survivor depressive symptoms are associated with family caregiver depression during the first 2 years poststroke, Stroke 42(2) (2011) 302-306. Referans30 S. Yildirim, E. Engin, V.A. Baskaya, Inmeli Hastalara Bakim Verenlerin Yükü ve Yükü Etkileyen Faktörler/The Burden of Caregivers of Stroke Patients and the Factors Affecting the Burden, Noro-Psikyatri Arsivi 50(2) (2013) 169. Referans31 Y.-H. Tsai, M.-F. Lou, T.-H. Feng, T.-L. Chu, Y.-J. Chen, H.-E. Liu, Mediating effects of burden on quality of life for caregivers of first-time stroke patients discharged from the hospital within one year, BMC neurology 18(1) (2018) 50. Referans32 Y. Yu, J. Hu, J.T. Efird, T.P. McCoy, Social support, coping strategies and health‐related quality of life among primary caregivers of stroke survivors in China, Journal of clinical nursing 22(15-16) (2013) 2160-2171. Referans33 P. Efi, K. Fani, T. Eleni, K. Stylianos, K. Vassilios, B. Konstantinos, L. Chrysoula, M. Kyriaki, Quality of Life and Psychological Distress of Caregivers' of Stroke People, Acta neurologica Taiwanica 26(4) (2017) 154-166. Referans34 C.C. Caro, P.V.B. Mendes, J.D. Costa, L.J. Nock, D.M.C.d. Cruz, Independence and cognition post-stroke and its relationship to burden and quality of life of family caregivers, Topics in stroke rehabilitation 24(3) (2017) 194-199. Referans35 J.A. Opara, K. Jaracz, Quality of life of post–stroke patients and their caregivers, Journal of medicine and life 3(3) (2010) 216.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Burcu Ersöz Hüseyinsinoğlu 0000-0002-4694-4440

Emrah Zirek 0000-0002-0546-5961

Guzin Kaya Aytutuldu This is me 0000-0002-0192-9861

Hayriye Küçükoğlu This is me 0000-0002-5804-3818

Project Number -
Publication Date October 26, 2021
Submission Date February 20, 2020
Published in Issue Year 2021 Volume: 11 Issue: 4

Cite

APA Ersöz Hüseyinsinoğlu, B., Zirek, E., Kaya Aytutuldu, G., Küçükoğlu, H. (2021). Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample. Clinical and Experimental Health Sciences, 11(4), 667-673. https://doi.org/10.33808/clinexphealthsci.685431
AMA Ersöz Hüseyinsinoğlu B, Zirek E, Kaya Aytutuldu G, Küçükoğlu H. Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample. Clinical and Experimental Health Sciences. October 2021;11(4):667-673. doi:10.33808/clinexphealthsci.685431
Chicago Ersöz Hüseyinsinoğlu, Burcu, Emrah Zirek, Guzin Kaya Aytutuldu, and Hayriye Küçükoğlu. “Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample”. Clinical and Experimental Health Sciences 11, no. 4 (October 2021): 667-73. https://doi.org/10.33808/clinexphealthsci.685431.
EndNote Ersöz Hüseyinsinoğlu B, Zirek E, Kaya Aytutuldu G, Küçükoğlu H (October 1, 2021) Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample. Clinical and Experimental Health Sciences 11 4 667–673.
IEEE B. Ersöz Hüseyinsinoğlu, E. Zirek, G. Kaya Aytutuldu, and H. Küçükoğlu, “Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample”, Clinical and Experimental Health Sciences, vol. 11, no. 4, pp. 667–673, 2021, doi: 10.33808/clinexphealthsci.685431.
ISNAD Ersöz Hüseyinsinoğlu, Burcu et al. “Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample”. Clinical and Experimental Health Sciences 11/4 (October 2021), 667-673. https://doi.org/10.33808/clinexphealthsci.685431.
JAMA Ersöz Hüseyinsinoğlu B, Zirek E, Kaya Aytutuldu G, Küçükoğlu H. Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample. Clinical and Experimental Health Sciences. 2021;11:667–673.
MLA Ersöz Hüseyinsinoğlu, Burcu et al. “Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample”. Clinical and Experimental Health Sciences, vol. 11, no. 4, 2021, pp. 667-73, doi:10.33808/clinexphealthsci.685431.
Vancouver Ersöz Hüseyinsinoğlu B, Zirek E, Kaya Aytutuldu G, Küçükoğlu H. Caregiver Burden in Caregivers of Acute Stroke Patients: From a Biopsychosocial Perspective in a Turkey Sample. Clinical and Experimental Health Sciences. 2021;11(4):667-73.

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