Back to Search
Start Over
Predictors of Burden for First-Ever Stroke Survivor's Long-Term Caregivers: A Study of KOSCO.
- Source :
-
Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Mar 29; Vol. 60 (4). Date of Electronic Publication: 2024 Mar 29. - Publication Year :
- 2024
-
Abstract
- Long-term changes in caregiver burden should be clarified considering that extended post-stroke disability can increase caregiver stress. We assessed long-term changes in caregiver burden severity and its predictors. This study was a retrospective analysis of the Korean Stroke Cohort for Functioning and Rehabilitation. Patients with an acute first-ever stroke were enrolled from August 2012 to May 2015. Data were collected at 6 months and 6 years after stroke onset. The caregiver burden was measured with a subjective caregiver burden questionnaire based on the Korean version of the Caregiver Burden Inventory. The caregivers' characteristics and patients' clinical and functional status were also examined at each follow-up. A high caregiver burden, which suggests a risk of burnout, was reported by 37.9% and 51.7% of caregivers at 6 months and 6 years post-stroke, respectively. Both the caregiver burden total score and proportion of caregivers at risk of burnout did not decrease between 6 months and 6 years. The patients' disability (OR = 11.60; 95% CI 1.58-85.08; p = 0.016), caregivers' self-rated stress (OR = 0.03; 95% CI 0.00-0.47; p = 0.013), and caregivers' quality of life (OR = 0.76; 95% CI 0.59-0.99; p = 0.042) were burden predictors at 6 months. At 6 years, only the patients' disability (OR = 5.88; 95% CI 2.19-15.82; p < 0.001) and caregivers' psychosocial stress (OR = 1.26; 95% CI 1.10-1.44; p = 0.001) showed significance. Nearly half of the caregivers were at risk of burnout, which lasted for 6 years after stroke onset. The patients' disability and caregivers' stress were burden predictors in both subacute and chronic phases of stroke. The findings suggest that consistent interventions, such as emotional support or counseling on stress relief strategies for caregivers of stroke survivors, may reduce caregiver burden. Further research is needed to establish specific strategies appropriate for Korean caregivers to alleviate their burden in caring for stroke patients.
- Subjects :
- Humans
Male
Female
Middle Aged
Retrospective Studies
Aged
Surveys and Questionnaires
Republic of Korea
Survivors psychology
Survivors statistics & numerical data
Adult
Stress, Psychological psychology
Stress, Psychological complications
Stress, Psychological etiology
Stroke Rehabilitation psychology
Stroke Rehabilitation statistics & numerical data
Stroke psychology
Stroke complications
Caregivers psychology
Caregivers statistics & numerical data
Quality of Life psychology
Caregiver Burden psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1648-9144
- Volume :
- 60
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Medicina (Kaunas, Lithuania)
- Publication Type :
- Academic Journal
- Accession number :
- 38674206
- Full Text :
- https://doi.org/10.3390/medicina60040559