Contributing Factors to the Burden on Primary Family Caregivers of Stroke Survivors in South Korea.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Caregivers*/psychology ; Stroke*/epidemiology ; Stroke*/psychology; Humans ; Emotions ; Republic of Korea/epidemiology ; Survivors

The purpose of this study is to identify the factors associated with the burden on primary family caregivers of stroke patients at home without care services. For this study, the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) data were used. Of the total 8010 caregivers, 1133 family caregiver burden was assessed with the shortened Caregiver Burden Inventory (CBI) 3 months after stroke. Patient and caregiver-related factors affecting the heavier burden of caregivers were identified by comparing the heavier caregiver burden group and the lighter caregiver burden group, which divided according to the CBI scores. The 719 (63.5%) family caregiver cared for patients at home without care services. Logistic regression analysis showed that four or more comorbidities ( p = 0.002), neurological impairment at early onset ( p < 0.001), dependence on daily life ( p < 0.001), aphasia ( p = 0.024), and depression( p < 0.001) were associated with a heavier burden of care. According to the shortened CBI, caregivers tended to be concerned more about psychological stress than physical strain. The findings suggest the importance of proactively guiding the emotional support services to caregivers who are at high risk of the heavier burden of patient care.

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Keywords: caregiver burden; depression; functional dependence; intimacy; neurological impairment; primary caregiver

Date Created: 20230211 Date Completed: 20230214 Latest Revision: 20230311

20240513

PMC9914967

10.3390/ijerph20032760

36768126