Transition to home care after stroke: Depression, physical health, and adaptive processes in support persons

被引:65
作者
King, RB
Carlson, CE
Shade-Zeldow, Y
Bares, KK
Roth, EJ
Heinemann, AW
机构
[1] Rehabil Inst Chicago, Chicago, IL 60611 USA
[2] Northwestern Univ, Sch Med, Dept Phys Med & Rehabil, Chicago, IL USA
[3] Cedarville Coll, Dept Nursing, Cedarville, OH USA
[4] Chicago Inst Neurosurg & Neurores, Dept Behav Med, Chicago, IL 60614 USA
[5] Northwestern Univ, Sch Med, Dept Psychiat & Behav Sci, Chicago, IL USA
[6] Vet Affairs Med Ctr, Mental & Behav Hlth Serv, Minneapolis, MN USA
关键词
depression; health; adaptation; stroke; caregivers;
D O I
10.1002/nur.1032
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
A longitudinal design was used to examine adaptation in primary support persons (PSP) of stroke survivors during the transition from hospitalization (TI) to home care (T2). The major purposes of the study were (a) to examine changes in depression, physical health, and contextual and coping factors from hospitalization of the stroke survivor through the first 6-10 weeks of home care; and (b) to identify predictors of depression. Data (N=136) were collected on depression, physical health, background, survivor illness, and social environmental variables; appraisal of impact; social support resources; and coping skills. Reduction in mean PSP depression was significant at T2, but the change in physical health was not significant. Significant changes occurred in survivor function, family functioning, and three of six coping skills. Hierarchical multiple regression analyses were used to predict depression. T1 variables accounted for 29% of the variance in TI PSP depression, with gender and appraisal of impact the strongest of seven predictors. Tl depression, T2 health, family functioning, and avoidance coping were the strongest of seven predictors, explaining 50% of the variance in T2 depression. Findings highlight the importance of maintaining caregiver health and preventing depression and identify variables to target for the reduction of PSP depression. (C) 2001 John Wiley & Sons, Inc.
引用
收藏
页码:307 / 323
页数:17
相关论文
共 56 条
[1]   A POPULATION-BASED ASSESSMENT OF THE IMPACT AND BURDEN OF CAREGIVING FOR LONG-TERM STROKE SURVIVORS [J].
ANDERSON, CS ;
LINTO, J ;
STEWARTWYNNE, EG .
STROKE, 1995, 26 (05) :843-849
[2]   MUTUALITY AND PREPAREDNESS AS PREDICTORS OF CAREGIVER ROLE STRAIN [J].
ARCHBOLD, PG ;
STEWART, BJ ;
GREENLICK, MR ;
HARVATH, T .
RESEARCH IN NURSING & HEALTH, 1990, 13 (06) :375-384
[3]   STROKE - MORALE, FAMILY FUNCTIONING, HEALTH-STATUS, AND FUNCTIONAL-CAPACITY [J].
BISHOP, DS ;
EPSTEIN, NB ;
KEITNER, GI ;
MILLER, IW ;
SRINIVASAN, SV .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1986, 67 (02) :84-87
[4]   SOCIAL EFFECTS OF STROKE [J].
BROCKLEHURST, JC ;
MORRIS, P ;
ANDREWS, K ;
RICHARDS, B ;
LAYCOCK, P .
SOCIAL SCIENCE & MEDICINE PART A-MEDICAL SOCIOLOGY, 1981, 15 (01) :35-39
[5]   The Greater Cincinnati Northern Kentucky Stroke Study - Preliminary first-ever and total incidence rates of stroke among blacks [J].
Broderick, J ;
Brott, T ;
Kothari, R ;
Miller, R ;
Khoury, J ;
Pancioli, A ;
Gebel, J ;
Mills, D ;
Minneci, L ;
Shukla, R .
STROKE, 1998, 29 (02) :415-421
[6]  
BULL MJ, 1995, NURS RES, V44, P132
[7]   PSYCHIATRIC MORBIDITY AMONG SPOUSES OF PATIENTS WITH STROKE [J].
CARNWATH, TCM ;
JOHNSON, DAW .
BMJ-BRITISH MEDICAL JOURNAL, 1987, 294 (6569) :409-411
[8]   DEMENTIA AND CANCER - A COMPARISON OF SPOUSE CAREGIVERS [J].
CLIPP, EC ;
GEORGE, LK .
GERONTOLOGIST, 1993, 33 (04) :534-541
[9]  
Cohen S., 1985, NATO ASI Series, P73, DOI [DOI 10.1007/978-94-009-5115-0_5, 10.1007/978-94-009-5115-0_5]
[10]   Racial, ethnic, and cultural differences in dementia caregiving: Review and analysis [J].
Connell, CM ;
Gibson, GD .
GERONTOLOGIST, 1997, 37 (03) :355-364