Journal List > Korean J Adult Nurs > v.30(6) > 1109669

Lee and Chang: Factors Influencing Family Caregivers' Self-management of Acute Stroke Survivors

Abstract

Purpose

The purpose of this study was to identify factors associated with family caregivers' self-management of acute stroke survivors.

Methods

The study participants were 130 stroke survivors and their caregivers. Data on participant characteristics, depression, task difficulty, survivor memory and behavioral problem, and self-management were collected from July 1 to September 30, 2017 using a structured questionnaire. Data were analyzed with the SPSS/WIN 23.0 program for descriptive statistics, using independent t-test, one-way analysis of variance, Pearson's correlation coefficient and enter multiple regression analysis.

Results

Significant factors associated with self-management for family caregivers were survivors' age, the presence of comorbidities, the relationship between caregivers and survivors, and the presence of an alternative caregiver. Self-management has negative correlations with depression, task difficulty, and the occurrence of survivor memory and behavioral problems. The determining factors affecting caregiver self-management were caregiver depression (β=−.46, p<.001) and survivor age (β=.32, p=.004), and their explanation power was about 37%.

Conclusion

The results suggest that caregiver depression and survivor age should be considered in developing the nursing interventions to improve family caregiver self-management. Furthermore, findings underscore the importance of early screening and ongoing psychological assessments for depression in family caregivers of stroke survivors.

Figures and Tables

Table 1

General Characteristics of Stroke Survivors and Caregivers (N=130)

kjan-30-669-i001

NIHSS=the national institutes of health stroke scale; Multiple responses.

Table 2

Degree of Depression, Task Difficulty, Perception of Survivors Memory and Behavioral Problems and Caregivers Self-management (N=130)

kjan-30-669-i002

K-RMBPC=Korean version of the revised memory and behavioral problems checklist.

Table 3

Differences in Caregivers Self-management according to General Characteristics (N=130)

kjan-30-669-i003

NIHSS=the national institutes of health stroke scale.

Table 4

Correlations among Depression, Care Difficulty, Survivors Memory and Behavioral Problems and Caregivers Sel-fmanagement (N=130)

kjan-30-669-i004

K-RMBPC=Korean version of the revised memory and behavioral problems checklist.

Table 5

Factors Affecting Family Caregivers Self-management (N=130)

kjan-30-669-i005

SE=standard error; CI=confidence interval; K-RMBPC=Korean version of the revised memory and behavioral problems checklist.

ACKNOWLEDGEMENT

This article is a revision of the first author's master's thesis from Gyeongsang National University.

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

AUTHORSHIP

  • Study conception and design acquisition - LJY and CHK.

  • Data collection - LJY.

  • Analysis and interpretation of the data - LJY and CHK.

  • Drafting and critical revision of the manuscript - LJY and CHK.

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TOOLS
ORCID iDs

Ji Yeon Lee
https://orcid.org/0000-0002-1313-3422

Hee Kyung Chang
https://orcid.org/0000-0003-3581-9430

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