Volume 12, Issue 4 (1-2018)                   Salmand: Iranian Journal of Ageing 2018, 12(4): 494-505 | Back to browse issues page

XML Persian Abstract Print

1- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , as.dalvandi@uswr.ac.ir
3- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:   (7837 Views)

Objectives Caregiving of stroke survivors leads to several physiopsychlogical problems for family caregiver due to excessive demand by the stroke survivors. The aim of this study was to determine general health of the caregivers of stroke survivors and their relationship with demographic factors.
Methods & Materials This was a cross-sectional study in which 60 caregivers of stroke survivors were selected by convenience sampling from Sina and Firouzgar Hospitals in Tehran province in Iran, in 2015. The data was collected by two questionnaires including demographic questionnaire and General Health Questionnaire (GHQ). The collected data were analyzed by descriptive and inferential statistics including mean and standard deviation using SPSS software (version 15).
Results The mean GHQ score was 61.41±14.9; in female caregiver, it was 63.07±16.09, and in male caregiver, the score was 58.33±12.28. Significant correlation found between overall GHQ score and either of the factors such as occupational status, age category, or type of caring (P=0.01). Unemployment in caregiver, aging, and 24-hour caring of stroke survivors were related to a reduction in GHQ score. However, there was no significant association between GHQ of stroke caregivers and either of the factors such as sex (P=0.35), time of caring (0.24), marital status (P=0.71), or educational status.
Conclusion This study showed that family caregivers of stroke survivors experience deterioration of general health at different dimensions. Therefore, it is recommended that planning for general health and social support for caregivers should be done through policy making in health and treatment.

Full-Text [PDF 2489 kb]   (2902 Downloads) |   |   Full-Text (HTML)  (3462 Views)  
Type of Study: Research | Subject: Geriatric
Received: 2017/07/26 | Accepted: 2017/10/15 | Published: 2018/01/01

1. Gorgulu U, Polat U, Kahraman BB, Ozen S, Arslan E. Factors affecting the burden on caregivers of stroke survivors in Turkey. Medical Science and Dis-covery. 2016; 3(4):159-65. doi: 10.17546/msd.18253 [DOI:10.17546/msd.18253]
2. Azam Zeinali AD. [Estimation relationship uncertainty with coping strategy and functional independence in patients stroke who were reffered to Sina and Firouzgar hospitals (Persian)] [MSc. thesis]. Tehran: University of Social Welfare and Rehabilitation Sciences; 2016.
3. Costa TFd, Gomes TM, Viana LRdC, Martins KP, Costa KNdFM. [Stroke: patient characteristics and quality of life of caregivers (Portuguese)]. Revista Brasileira de Enfermagem. 2016; 69(5):933-9. doi: 10.1590/0034-7167-2015-0064. [DOI:10.1590/0034-7167-2015-0064]
4. Hesamzadeh A, Dalvandi A, Maddah SB, Khoshknab MF, Ahmadi F. Family adaptation to stroke: a metasynthesis of qualitative research based on dou-ble ABCX model. Asian Nursing Research. 2015; 9(3):177-84. doi: 10.1016/j.anr.2015.03.005 [DOI:10.1016/j.anr.2015.03.005]
5. Dalvandi A, Heikkilä K, Maddah S, Khankeh H, Ekman SL. Life experiences after stroke among Iranian stroke survivors. International Nursing Review. 2010; 57(2):247-53. doi: 10.1111/j.1466-7657.2009.00786.x [DOI:10.1111/j.1466-7657.2009.00786.x]
6. Araújo JS, Da SILVA SED, De Santana ME, Dos Santos LS, Sousa RF, Vasconcelos EV, et al. [The parallel side of caring revealed by the representations of caregivers of people suffering from stroke (Portuguese)]. Revista Brasileira de Ciências da Saúde. 2015; 18(2):109-14. doi: 10.4034/rbcs.2014.18.02.03 [DOI:10.4034/RBCS.2014.18.02.03]
7. McCullagh E, Brigstocke G, Donaldson N, Kalra L. Determinants of caregiving burden and quality of life in caregivers of stroke patients. Stroke. 2005; 36(10):2181-6. doi: 10.1161/01.str.0000181755.23914.53 [DOI:10.1161/01.STR.0000181755.23914.53]
8. Rahmani AH, Mahmoudi GR, Roohi G, Asayesh H, Nasiri H, Rakhshani H. [General health status of neurologic patients'caregivers and the related factors (Persian)]. Journal of Research Development in Nursing And Midwifery. 2013; 9(2):49-55.
9. Mollaoğlu M, Özkan Tuncay F, Kars Fertellİ T. The Burden of caregivers of stroke patients and the factors affecting the burden. Archives of Neuropsychia-try. 2011; 49(1):169-74.
10. Opara JA, Jaracz K. Quality of life of post-stroke patients and their caregivers. Journal of Medicine and Life. 2010; 3(3):216-20. PMCID: PMC3018998 [PMID] [PMCID]
11. Tuna HM, Olgun N. The Role of perceived social support in burnout in patients with stroke care. Journal of Hacettepe University Nursing of Faculty. 2010;17(1):041-52.
12. Simon C, Kumar S, Kendrick T. Cohort study of informal carers of first-time stroke survivors: Profile of health and social changes in the first year of caregiv-ing. Social science & medicine. 2009; 69(3):404-10. doi: 10.1016/j.socscimed.2009.04.007 [DOI:10.1016/j.socscimed.2009.04.007]
13. Chow SK, Wong FK, Poon CY. Coping and caring: support for family caregivers of stroke survivors. Journal of Clinical Nursing. 2007; 16(7b):133-43. doi: 10.1111/j.1365-2702.2006.01711.x [DOI:10.1111/j.1365-2702.2006.01711.x]
14. Han B, Haley WE. Family caregiving for patients with stroke review and analysis. Stroke. 1999; 30(7):1478-85. doi: 10.1161/01.str.30.7.1478 [DOI:10.1161/01.STR.30.7.1478]
15. Visser-Meily JA, Rhebergen ML, Rinkel GJ, van Zandvoort MJ, Post MW. Long-term health-related quality of life after aneurysmal subarachnoid hemorrhage relationship with psychological symptoms and personality characteristics. Stroke. 2009; 40(4):1526-9. doi: 10.1161/strokeaha.108.531277 [DOI:10.1161/STROKEAHA.108.531277]
16. Anderson JA, Willson P. Clinical decision support systems in nursing: Synthesis of the science for evidence-based practice. Computers Informatics Nursing. 2008; 26(3):151-8. doi: 10.1097/01.ncn.0000304783.72811.8e [DOI:10.1097/01.NCN.0000304783.72811.8e]
17. Rahmani Anaraki H, Mahmoodi G R, Rouhi G, Asayesh H, Nasiri H, Rakhshani H. [General health status of neurologic patients' caregivers and the relat-ed factors (Persian)]. Journal of Research Development in Nursing and Midwifery. 2013;9(2):49-55.
18. Koohestani H, Baghcheghi N. [Burn out in caregivers of patients with stroke and its related factors (Persian)]. Hakim Health System Research Journal. 2012;14(4):242-8.
19. Ferreira CG, Alexandre TdS, Lemos ND. [Factors associated with the quality of life of caregivers of elderly individuals in home care (Portuguese)]. Saúde e Sociedade. 2011; 20(2):398-409. doi: 10.1590/S0104-12902011000200012 [DOI:10.1590/S0104-12902011000200012]
20. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychological Medicine. 1979; 9(01):139-45. doi: 1017/s0033291700021644
21. Navidian A, Masoudi G, Mousavi S. [Work-related stress and the general health of nursing staffs in zahedans' hospitals emergency wards (Persian)]. Jour-nal of Kermanshah University of Medical Sciences. 2005; 9(3):22-8.
22. Kaviani H, Mohit A. [Interviews and psychological tests (Persian)]. Tehran: Sana Publisher; 2002.
23. Omidi A, Sazvar SA, Akashe G. [Epidemiology of Mental Disorders in Urbanized Areas of Natanz (Persian)]. Iraninan Psychiatry and Clinical Psycholo-gy. 2004; 8(4):32-8.
24. Baumann M, Lurbe-Puerto K, Alzahouri K, Aïach P. Increased residual disability among poststroke survivors and the repercussions for the lives of infor-mal caregivers. Topics in Stroke Rehabilitation. 2011; 18(2):162-71. doi: 10.1310/tsr1802-162 [DOI:10.1310/tsr1802-162]
25. Salter K, Zettler L, Foley N, Teasell R. Impact of caring for individuals with stroke on perceived physical health of informal caregivers. Disability and Re-habilitation. 2010; 32(4):273-81. doi: 10.3109/09638280903114394 [DOI:10.3109/09638280903114394]
26. Parag V, Hackett ML, Yapa CM, Kerse N, McNaughton H, Feigin VL, et al. The impact of stroke on unpaid caregivers: Results from The Auckland Re-gional Community Stroke study, 2002–2003. Cerebrovascular Diseases. 2008; 25(6):548-54. doi: 10.1159/000131673 [DOI:10.1159/000131673]
27. Jönsson A-C, Lindgren I, Hallström B, Norrving B, Lindgren A. Determinants of quality of life in stroke survivors and their informal caregivers. Stroke. 2005; 36(4):803-8. doi: 10.1161/01.str.0000160873.32791.20 [DOI:10.1161/01.STR.0000160873.32791.20]
28. Anderson CS, Linto J, Stewart-Wynne EG. A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke. 1995;26(5):843-9. [DOI:10.1161/01.STR.26.5.843] [PMID]
29. Kausar R. Cognitive appraisal, coping and psychological distress in carers of physically disabled people in Pakistan. Journal of Behavioural Sciences. 2001;12(1-2):47-68.
30. Rigby H, Gubitz G, Phillips S. A systematic review of caregiver burden following stroke. International Journal of Stroke. 2009;4(4):285-92. doi: 10.1111/j.1747-4949.2009.00289.x [DOI:10.1111/j.1747-4949.2009.00289.x]
31. Salmani A, Ashketorab T, Hasanvand SH. [The Burden of Caregiverand Related Factorsof Oncology Patients of Shah Vali Hospital (Persian)]. Advances in Nursing & Midwifery. 2015; 24(2):11-7.
32. Gbiri CA, Olawale OA, Isaac SO. Stroke management: Informal caregivers' burdens and strians of caring for stroke survivors. Annals of Physical and Re-habilitation Medicine. 2015; 58(2):98-103. doi: 10.1016/j.rehab.2014.09.017 [DOI:10.1016/j.rehab.2014.09.017]
33. Scannell AU. The longterm psychosocial impacts of caregiving on the caregivers of persons with stroke [PhD thesis]. Portland: Portland State University; 1989.
34. Hanratty B, Holland P, Jacoby A, Whitehead M. Review article: financial stress and strain associated with terminal cancer—a review of the evidence. Palli-ative Medicine. 2007; 21(7):595-607. doi: 10.1177/0269216307082476 [DOI:10.1177/0269216307082476]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.