Quality of Life Among Family Caregivers for Stroke Patients Discharged From Hospital Within Six Months in Northern Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/335626
Category:
Abstract
Type:
Presentation
Title:
Quality of Life Among Family Caregivers for Stroke Patients Discharged From Hospital Within Six Months in Northern Taiwan
Author(s):
Tsai, Yu-Hsia; Liu, Hsueh-Erh
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Yu-Hsia Tsai, RN, MS, yhtsai@mail.cgu.edu.tw; Hsueh-Erh Liu, PhD, RN
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: The aims of this study were to assess the QoL of caregivers who took care of home-bound stroke patients discharged from hospital within 6 months and to identify its associated factors. Methods: This was a cross-sectional study. Participants: Name lists of stroke patients discharged within 6 months were provided by several agents located in a suburban county in the northern Taiwan. Process: After screening by the selection criteria, participants were contacted by phone call first and then completed the questionnaires by face-to-face interview at their home. Instruments: The instruments selected for data collection were Caregiver Quality of Life Index (CQLI), patients’ characteristics (including Barthel Index, BI; Short Portable Mental Status Questionnaire, SPMSQ), caregivers’ characteristics (including Caregiver Strain Index, CSI), and family resources. Data analysis: All data was managed by PSSPC-Win18.0. Descriptive statistics (means, frequencies, and percentage) were used to describe the distribution of each variable. The results of Kolmogorov-Smirnov test showed that none of these variables were normally distributed (p>.05). Therefore, non-parametric statistical analysis (Spearman correlation, Mann-Whitney test, Kruskal-Wallis test) was performed. In addition, multiple regression was performed to identify the predictors of the caregivers’ QoL. The significant level of this study was 0.05. Results: A total of 184 family caregivers completed questionnaires. Most patients were characterized as: elderly (67.3±12.3 years old), male (61.4%), married (81%), and unemployed (62.5%), first being diagnosed as stroke (70.1%), no surgery (91.3%), no intubation (89.7%), no rehabilitation (65.2%), not using devices (52.7%), no need for institutional care (BI ≥ 60, 72.8%), and intact cognitive function (SPMSQ> 5, 77.7 % ). Participants’ average duration of hospitalization was 16.5 days (SD= 21.3, range= 2 to 214 days). Most family caregivers were characterized as: middle age (49±13.7 years old), female (67.9%), high school educated (52.2%), married (84.8%), non-spouse (58.2%), co-resident (83.7%), fair health (54.3%), and their CSI was ≥ 7 (the mean score of CSI was 6.2±4.7, ranging from 0 to 13). The family resources were characterized as: most family income was around NT $20,000 to 60,000 per month (47.8%), major payer was patients’ offspring (50.5%), and the average number of co-resident family were 4.2 ± 2.6 (range: 0-22) persons. Most family had someone to help (81%), but no hired caregiver to share with their caregiving tasks (77.2%). The total CQLI was 255.1±53.9 (ranging from 0 to 400). The total CQLI were associated with patients’ characteristics (employment, using devises, BI, SPMSQ); caregivers’ characteristics (education, self-perceived health, CSI); and family resources (monthly family income, became major payer for medical fees, hired other caregiver or not). The CSI was negatively correlated with the overall CQLI (r = -.31, p<.01). Multiple regression revealed the following factors determined the caregivers’ QoL: poor and fair self-perceived health of the caregivers, CSI score, monthly family income below NT $20,000 and 2-60,000, and medical fees paid by spouse were significant predictors of the CQLI. These factors explained 33% of the total variance in this regression model. Conclusion: Caregivers’ care strains were correlated with their QoL. Caregivers with poorer self-rated health condition, with higher CSI, lower monthly family income, and patient’s spouse who paid patient’s medical fees reported a lower QoL. Caregivers’ characteristics and their financial situations are the main factors of caregivers’ QoL among these stroke patients. In order to improve stroke caregivers’ QoL, facilitating communities’ care system and providing appropriate assistance for medical fee for these long-term stroke patients would decrease caregivers’ care strains and physical burden. Thus, caregivers’ issues should be considered in discharge planning and community care system.
Keywords:
caregiver; stroke; quality of life
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleQuality of Life Among Family Caregivers for Stroke Patients Discharged From Hospital Within Six Months in Northern Taiwanen_GB
dc.contributor.authorTsai, Yu-Hsiaen_GB
dc.contributor.authorLiu, Hsueh-Erhen_GB
dc.contributor.departmentLambda Beta-at-Largeen_GB
dc.author.detailsYu-Hsia Tsai, RN, MS, yhtsai@mail.cgu.edu.tw; Hsueh-Erh Liu, PhD, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335626-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: The aims of this study were to assess the QoL of caregivers who took care of home-bound stroke patients discharged from hospital within 6 months and to identify its associated factors. Methods: This was a cross-sectional study. Participants: Name lists of stroke patients discharged within 6 months were provided by several agents located in a suburban county in the northern Taiwan. Process: After screening by the selection criteria, participants were contacted by phone call first and then completed the questionnaires by face-to-face interview at their home. Instruments: The instruments selected for data collection were Caregiver Quality of Life Index (CQLI), patients’ characteristics (including Barthel Index, BI; Short Portable Mental Status Questionnaire, SPMSQ), caregivers’ characteristics (including Caregiver Strain Index, CSI), and family resources. Data analysis: All data was managed by PSSPC-Win18.0. Descriptive statistics (means, frequencies, and percentage) were used to describe the distribution of each variable. The results of Kolmogorov-Smirnov test showed that none of these variables were normally distributed (p>.05). Therefore, non-parametric statistical analysis (Spearman correlation, Mann-Whitney test, Kruskal-Wallis test) was performed. In addition, multiple regression was performed to identify the predictors of the caregivers’ QoL. The significant level of this study was 0.05. Results: A total of 184 family caregivers completed questionnaires. Most patients were characterized as: elderly (67.3±12.3 years old), male (61.4%), married (81%), and unemployed (62.5%), first being diagnosed as stroke (70.1%), no surgery (91.3%), no intubation (89.7%), no rehabilitation (65.2%), not using devices (52.7%), no need for institutional care (BI ≥ 60, 72.8%), and intact cognitive function (SPMSQ> 5, 77.7 % ). Participants’ average duration of hospitalization was 16.5 days (SD= 21.3, range= 2 to 214 days). Most family caregivers were characterized as: middle age (49±13.7 years old), female (67.9%), high school educated (52.2%), married (84.8%), non-spouse (58.2%), co-resident (83.7%), fair health (54.3%), and their CSI was ≥ 7 (the mean score of CSI was 6.2±4.7, ranging from 0 to 13). The family resources were characterized as: most family income was around NT $20,000 to 60,000 per month (47.8%), major payer was patients’ offspring (50.5%), and the average number of co-resident family were 4.2 ± 2.6 (range: 0-22) persons. Most family had someone to help (81%), but no hired caregiver to share with their caregiving tasks (77.2%). The total CQLI was 255.1±53.9 (ranging from 0 to 400). The total CQLI were associated with patients’ characteristics (employment, using devises, BI, SPMSQ); caregivers’ characteristics (education, self-perceived health, CSI); and family resources (monthly family income, became major payer for medical fees, hired other caregiver or not). The CSI was negatively correlated with the overall CQLI (r = -.31, p<.01). Multiple regression revealed the following factors determined the caregivers’ QoL: poor and fair self-perceived health of the caregivers, CSI score, monthly family income below NT $20,000 and 2-60,000, and medical fees paid by spouse were significant predictors of the CQLI. These factors explained 33% of the total variance in this regression model. Conclusion: Caregivers’ care strains were correlated with their QoL. Caregivers with poorer self-rated health condition, with higher CSI, lower monthly family income, and patient’s spouse who paid patient’s medical fees reported a lower QoL. Caregivers’ characteristics and their financial situations are the main factors of caregivers’ QoL among these stroke patients. In order to improve stroke caregivers’ QoL, facilitating communities’ care system and providing appropriate assistance for medical fee for these long-term stroke patients would decrease caregivers’ care strains and physical burden. Thus, caregivers’ issues should be considered in discharge planning and community care system.en_GB
dc.subjectcaregiveren_GB
dc.subjectstrokeen_GB
dc.subjectquality of lifeen_GB
dc.date.available2014-11-17T13:56:05Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:56:05Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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