Korean J Adult Nurs.  2018 Dec;30(6):669-680. 10.7475/kjan.2018.30.6.669.

Factors Influencing Family Caregivers' Self-management of Acute Stroke Survivors

• Lee JY
• Chang HK

• KMID: 2429773
• DOI: http://doi.org/10.7475/kjan.2018.30.6.669

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.

MeSH Terms

Caregivers
Comorbidity
Depression
Humans
Mass Screening
Memory
Nursing
Problem Behavior
Self Care*
Stroke*
Survivors*

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