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KMID : 0367020180300060669
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Journal of Korean Academic of Adult Nursing
2018 Volume.30 No. 6 p.669 ~ p.680
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Factors Influencing Family Caregivers' Self-management of Acute Stroke Survivors
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Lee Ji-Yeon
Chang Hee-Kyung
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Abstract
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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.
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KEYWORD
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Caregivers, Depression, Self-management, Stroke, Survivors
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