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Family Caregivers' Difficulties in Caring for Bedridden Stroke Patients

Year 2009, Volume: 16 Issue: 3, 17 - 31, 01.09.2009

Abstract

Objective: The aim of this study was to determine the difficulties experienced by bedridden CVA patients' caregivers at home and suggest some solve advice for problems. Methods: This is a descriptive study designed to identify difficulties experienced by bedridden CVA patients' caregivers at home and suggest some solve advice for problems. The sample group consisted of 38 relatives of CVA patients. The patients had been discharged from one of three health centers: the Hacettepe University Neurology Ward, Ankara University's Ibn-i Sina Hospital, or Ankara Numune Hospital. Using questions form that contained open-ended questions, we interviewed 38 caregivers of stroke survivors to identify their characteristics and their difficulties experienced. Data were given as numbers and percentages. Results: The results of the study indicate that family caregivers need information about the disease (CVA), and about patients' care, medications, diet, excretory system function and sleep schedule. The results also indicate that the caregivers commonly face psychosocial problems, fatigue, and insomnia. Caregivers reported financial problems in purchasing medicines and medical care. They also stated that because of limited family resources, they tend to hospitalize their patients in government-funded facilities. Conclusion: Caregivers of CVA patients encounter a variety of informational, psycho-social and financial problems and many of these can be solved successfully by education-based intervention.

References

  • Utku U. İnme tanımı, etyolojisi, sınıflandırma ve risk faktörleri, Türk Fiz Tıp Rehab Derg 2007; 53 Özel Sayı 1:1-3.
  • Okuyucu E E, Coskun O, Inan L E, Tunc T, Ozkan S. Serebrovaskuler hastalıklarda sirkadian ve sirkannual ritim, Türk Serebrovaskuler Hastalıklar Dergisi 2006; 1:11-14.
  • Global Burden of Neurological Disorders Estimates and Projections (chapter 2). URL :http://www.who. int/mental_health/neurology/chapter_2_neuro_disorders_public_h_challenges.pdf. June 10, 2008.
  • Truelsen T, Begs S, Mathers C. The Global Burden of Cerebrovasculer Disease. URL: http://www.who. int/healthinfo/statistics/bod_cerebrovasculardiseasestroke.pdf. June 10, 2008.
  • Türkiye Istatistik Kurumu (TUİK): Turkish Statistical Institude (TSI) Hastanelere Yatan Hastaların Seçilmiş 150 Hastalık Nedenine Göre Dağılımı (Distribution of 150 Specified Disease Causes for Hospitalization). URL: http:/www.tuik.gov.tr/veriBilgi.do?tb_id=6&ust_id=1.
  • TC Sağlık Bakanlığı Refik Saydam Hıfzıssıha Merkezi Başkanlığı Hıfzıssıha Mektebi Müdürlüğü. Başkent Üniversitesi Ulusal Hastalık Yükü ve Maliyet- Etkilik Projesi Hastalık Yükü Final Raporu. Ankara: 2004.
  • Effects of Stroke, National Stroke Association. URL: http://www.stroke.org/site/
  • PageServer?pagename=EFFECT. October 5, 2009.
  • Dramalı A, Demir F, Yavuz M. Problems encountered by family caregivers caring for patients at home (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Altun İ. Patients’ family members in the obligatory caregiver role (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Nahcivan ÖN. Evaluation of risks reported by individuals in the home care process (in Turkish). Proceedings, of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Johnson P, Chaboyer W F, Vooren R. Caregivers of ICU patients discharged home: What burden do they face? Intensive and Critical Care Nursing 2001;17:219-277.
  • Characteristics and Health of Caregivers and Care Recipients - North Carolina, 2005. URL: http://www. cdc.gov/mmwr/preview/mmwrhtml/mm5621a3.htm. October 5, 2009.
  • Jullamate P, Azeredo Z Pául C Subgranon. Thai Stroke Patient Caregivers: Who They Are and What They Need, Cerebrovasc Dis 2006;21:128-133. URL: http://content.karger.com/produktedb/produkte.as p?typ=fulltext&file=CED20060211_2128 October 5, 2009.
  • National Alliance for Caregiving and AARP. Caregiving in the U.S. Washington, DC: National Alliance for Caregiving and AARP; 2004. URL: http://www.caregiving.org/data/04finalreport.pdf. February 10, 2009.
  • Aksayan S, Çimete G. In-home care for chronically ill individuals: requirements, possibilities and choices (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24- 26 September 1998, Istanbul.
  • Quinn W. A new look at the old-family caregivers: Considerations, assessment, and support. Gerontology 2006 Trinity Healthforce Learning: EDA 424-0014.
  • Hackl M, Holzner B, Gunther V, Saltuari L. Care of stroke patients by relatives: social support and coping strategies. Dtsch Med Wochenschr 1997; 122:669-75.
  • Yoon H. Factors affecting quality of life of the Korean aged stroke patients. Int J Aging Hum Dev. 1997; 44(3): 167-181.
  • Forster A, Young J, Smith J, Knapp P, House A, Wring J. Information provision for stroke patients for stroke patients and their caregivers. URL: http://mrw.interscience.wiley.com/cochrane/clsysrev/ articles/CD001919/frame.html. October 5, 2009.
  • O’Connell B, Baker L, Prosser O. The educational needs of stroke survivors in acute and community setting. Journal of Neuroscience Nursing 2003 Feb; 35(1): 21.
  • Eng JJ, Chu KS, Maria KC, Dawson AS, Carswell A, Hepburn KE. A Community-based group exercise program for persons with chronic stroke. Medicine & Science in Sports & Exercise 2003; 35(8): 1271-1278
  • Olov S, Bucht G, Yngve G. Sleep apnea, delirium, depressed mood, cognition, and ADL ability after stroke. JAGS 2001;49: 391–397.
  • Handschu R, Poppe R, Rauß J, Neundörfer B, Erbguth F. Emergency Calls in Acute Stroke. Stroke 2003; 34:1005.
  • Williams M. Caregivers of persons with stroke: Their physical and emotional wellbeing. Quality of Life Research 1993; 2(3): 213-220.

Yatağa Bağımlı İnmeli Hastalara Bakım Veren Hasta Yakınlarının Yaşadıkları Güçlükler

Year 2009, Volume: 16 Issue: 3, 17 - 31, 01.09.2009

Abstract

Amaç: Bu çalışmanın amacı yatağa bağımlı inmeli hastalara evde bakım veren hasta yakınlarının yaşadıkları güçlükleri belirlemek ve sorunların çözümünde yardımcı olmaktır. Gereç-Yöntem: Araştırma yatağa bağımlı inmeli hastalara evde bakım veren hasta yakınlarının yaşadıkları güçlükleri belirlemek ve sorunların çözümünde yardımcı olmak amacıyla tanımlayıcı olarak yapılmıştır. Araştırmanın örneklemini Hacettepe Üniversitesi Erişkin hastanesi, Ankara Üniversitesi İbni Sina Hastanesi ve Sağlık Bakanlığı Ankara Numune hastanesinin Nöroloji servislerinden SVO tanısı ile taburcu olan 38 hasta yakını oluşturmuştur. Araştırmada hasta yakınlarının demografik özelliklerini ve yaşadıkları güçleri belirlenmek amacıyla oluşturulan açık ve kapalı uçlu soruları içeren soru formu kullanılmıştır. Veriler sayı ve yüzdelik olarak verilmiştir. Sonuçlar: Çalışma sonucunda hasta yakınlarının hastalığa, kullandıkları ilaçlara, konstipasyon ve diyare gibi boşaltım sorunlarına ve beslenmeye ilişkin bilgi gereksimi olduğu saptanmıştır. Aynı zamanda hasta yakınlarının yaygın bir şekilde psiko-sosyal, yorgunluk ve uykusuzluk sorunları yaşadıkları saptanmıştır. Çalışmada, inmeli hasta yakınlarına ekonomik, psiko-sosyal ve çeşitli konularda eğitim verildi, verilen eğitimlerle sorunların çoğu başarıyla çözümlendi.

References

  • Utku U. İnme tanımı, etyolojisi, sınıflandırma ve risk faktörleri, Türk Fiz Tıp Rehab Derg 2007; 53 Özel Sayı 1:1-3.
  • Okuyucu E E, Coskun O, Inan L E, Tunc T, Ozkan S. Serebrovaskuler hastalıklarda sirkadian ve sirkannual ritim, Türk Serebrovaskuler Hastalıklar Dergisi 2006; 1:11-14.
  • Global Burden of Neurological Disorders Estimates and Projections (chapter 2). URL :http://www.who. int/mental_health/neurology/chapter_2_neuro_disorders_public_h_challenges.pdf. June 10, 2008.
  • Truelsen T, Begs S, Mathers C. The Global Burden of Cerebrovasculer Disease. URL: http://www.who. int/healthinfo/statistics/bod_cerebrovasculardiseasestroke.pdf. June 10, 2008.
  • Türkiye Istatistik Kurumu (TUİK): Turkish Statistical Institude (TSI) Hastanelere Yatan Hastaların Seçilmiş 150 Hastalık Nedenine Göre Dağılımı (Distribution of 150 Specified Disease Causes for Hospitalization). URL: http:/www.tuik.gov.tr/veriBilgi.do?tb_id=6&ust_id=1.
  • TC Sağlık Bakanlığı Refik Saydam Hıfzıssıha Merkezi Başkanlığı Hıfzıssıha Mektebi Müdürlüğü. Başkent Üniversitesi Ulusal Hastalık Yükü ve Maliyet- Etkilik Projesi Hastalık Yükü Final Raporu. Ankara: 2004.
  • Effects of Stroke, National Stroke Association. URL: http://www.stroke.org/site/
  • PageServer?pagename=EFFECT. October 5, 2009.
  • Dramalı A, Demir F, Yavuz M. Problems encountered by family caregivers caring for patients at home (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Altun İ. Patients’ family members in the obligatory caregiver role (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Nahcivan ÖN. Evaluation of risks reported by individuals in the home care process (in Turkish). Proceedings, of 1st National Congress of Domestic Care, Marmara University; 24-26 September 1998; Istanbul.
  • Johnson P, Chaboyer W F, Vooren R. Caregivers of ICU patients discharged home: What burden do they face? Intensive and Critical Care Nursing 2001;17:219-277.
  • Characteristics and Health of Caregivers and Care Recipients - North Carolina, 2005. URL: http://www. cdc.gov/mmwr/preview/mmwrhtml/mm5621a3.htm. October 5, 2009.
  • Jullamate P, Azeredo Z Pául C Subgranon. Thai Stroke Patient Caregivers: Who They Are and What They Need, Cerebrovasc Dis 2006;21:128-133. URL: http://content.karger.com/produktedb/produkte.as p?typ=fulltext&file=CED20060211_2128 October 5, 2009.
  • National Alliance for Caregiving and AARP. Caregiving in the U.S. Washington, DC: National Alliance for Caregiving and AARP; 2004. URL: http://www.caregiving.org/data/04finalreport.pdf. February 10, 2009.
  • Aksayan S, Çimete G. In-home care for chronically ill individuals: requirements, possibilities and choices (in Turkish). Proceedings of 1st National Congress of Domestic Care, Marmara University; 24- 26 September 1998, Istanbul.
  • Quinn W. A new look at the old-family caregivers: Considerations, assessment, and support. Gerontology 2006 Trinity Healthforce Learning: EDA 424-0014.
  • Hackl M, Holzner B, Gunther V, Saltuari L. Care of stroke patients by relatives: social support and coping strategies. Dtsch Med Wochenschr 1997; 122:669-75.
  • Yoon H. Factors affecting quality of life of the Korean aged stroke patients. Int J Aging Hum Dev. 1997; 44(3): 167-181.
  • Forster A, Young J, Smith J, Knapp P, House A, Wring J. Information provision for stroke patients for stroke patients and their caregivers. URL: http://mrw.interscience.wiley.com/cochrane/clsysrev/ articles/CD001919/frame.html. October 5, 2009.
  • O’Connell B, Baker L, Prosser O. The educational needs of stroke survivors in acute and community setting. Journal of Neuroscience Nursing 2003 Feb; 35(1): 21.
  • Eng JJ, Chu KS, Maria KC, Dawson AS, Carswell A, Hepburn KE. A Community-based group exercise program for persons with chronic stroke. Medicine & Science in Sports & Exercise 2003; 35(8): 1271-1278
  • Olov S, Bucht G, Yngve G. Sleep apnea, delirium, depressed mood, cognition, and ADL ability after stroke. JAGS 2001;49: 391–397.
  • Handschu R, Poppe R, Rauß J, Neundörfer B, Erbguth F. Emergency Calls in Acute Stroke. Stroke 2003; 34:1005.
  • Williams M. Caregivers of persons with stroke: Their physical and emotional wellbeing. Quality of Life Research 1993; 2(3): 213-220.
There are 25 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Yard. Doç. Dr. Sevgisun Kapucu This is me

Yard. Doç. Dr. Sevinç Kutlu Türkan This is me

Prof. Dr. Hatice Fesci This is me

Publication Date September 1, 2009
Submission Date July 29, 2014
Published in Issue Year 2009 Volume: 16 Issue: 3

Cite

Vancouver Kapucu YDDS, Türkan YDDSK, Fesci PDH. Yatağa Bağımlı İnmeli Hastalara Bakım Veren Hasta Yakınlarının Yaşadıkları Güçlükler. JOHUFON. 2009;16(3):17-31.