The level of depression and quality of life of caregivers to stroke survivors

Yıl 2016, Cilt: 2 Sayı: 2, 23 - 28, 17.04.2016

Halil Ekrem Akkurt , Halim Yılmaz , İlknur Albayrak Gezer Haluk Gümüş , Faruk Ömer Odabaş Metin Turan Büşra Varman Alparslan İzki

Öz

This study aimed at determining the level of depression
and quality of life and investigating their correlations with
certain concurrent problems in caregivers to stroke patients
and comparing these results to those obtained in
healthy volunteers.
84 caregivers to stroke patients were included in the patient
group while the control group included 77 healthy
volunteers who were not responsible for caregiving to any
chronic patient. The Modified Rankin Scale was used to
determine the disability level of stroke survivors and the
National Institute of Health Stroke Scale (NIHSS) was used
to determine the severity of stroke; the Functional Independence
Measure (FIM) was used to determine the functional
level of stroke survivors. The Beck Depression Inventory
(BDI) was used to determine the level of depression
and Visual Analogue Scale (VAS) was used to determine
the level of pain. The level of depression in the caregiver
and control groups was assessed by using the BDI, their
quality of life was assessed by using the Short Form-36 (SF-
36) and their level of pain was assessed by using the VAS.
In addition, the level of fatigue of caregivers and controls
was assessed by using a 0 to 10 scale (no fatigue at all and
extreme fatigue).
Intergroup comparisons revealed that the level of depression,
the level of fatigue and the level of pain were statistically
significantly higher while mental quality of life was
lower in the caregiver group (p<0.05), and no significant
difference was found between two groups in the physical
component of the quality of life (p>0.05).
The level of depression, the level of pain and the level of
fatigue in caregiver group revealed a negative impact associated
with caregiving to a stroke survivor. Therefore,
these parameters should be assessed in people who are
responsible for caregiving to stroke survivors and especially
mental and psychological influences of caregiving should
be taken in consideration.

Anahtar Kelimeler

inme, bakımveren, depresyon düzeyi, yaşam kalitesi

Kaynakça

• Teel C. S., Duncan, P., Lai, S. M. Caregiving experiences after stroke. Nursing Research, 2001;50(1):53-60. PMID: 19785245
• Rodgers, H., Francis, J. J., Brittain, K., et al. Who cares?-Caring for the carers of stroke patients. Disability and Rehabilitation, 2007;29(5):425-427. PMID: 17364796
• Peyrovi H, Mohammad-Saeid D, Farahani-Nia M, et al The Relationship Between Perceived Life Changes and Depression in Caregivers of Stroke Patients. Journal of Neuroscience Nursing 2012;44(6):329-336. PMID: 23124123
• Greenwood, N., Mackenzie, A., Cloud, G. C. et al. Informal primary carers of stroke survivors living at home-challenges, satisfactions and coping: A systematic review of qualitative studies. Disability and Rehabilitation, 2009;31(5):337-351. PMID: 18608402
• Bakas T, Austin, J. K., Jessup, S. L. et al. Time and difficulty of tasks provided by family caregivers of stroke survivors. Journal of Neuroscience Nursing, 2004;36(2):95-106. PMID: 15115364
• Berg H, Palomäki H, Lönnqvist J et al. Depression among caregivers of stroke survivors. Stroke2005:36(3);639-643. PMID: 15677575
• Chen Y, Lu J, Wong KS, et al Health-related quality of life in the family caregivers of stroke survivors. International Journal of Rehabilitation Research 2010: 33(3):232-237. PMID: 20308912
• Bethoux F, Calmels P, Gautheron V, et al. Quality of life of the spouses of stroke patients: a preliminary study. Int J Rehabil Res 1996;19:291–299. PMID: 8982798
• Isle BI, Feys H, De Wit L, et al. Stroke caregivers’ strain: prevalence and determinants in the first six months after stroke. Disability and Rehabilitation. 2008;30(7):523–530. PMID:18365864
• WHO MONICA Project Principal Investigators. The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. J Clin Epidemiol 1988;41:105–114. PMID:17477226
• van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients.Stroke. 1988; 19: 604–607.
• Brott T, Adams Jr HP, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20:864–70. PMID:2749846
• Küçükdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil 2001;15:311-8. PMID:11386402
• Beck AT, Guth D, Steer RA, Ball R Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behav Res Ther 1997;35(8):785-791. PMID:9256522
• Stewart JW, Quitkin FM, McGrath PJ, et al.Social functioning in chronic depression: Effect of 6 weeks of antidepressant treatment. Psychiatry Res 1988;25(2): 213-222. PMID:3051072
• Ferrell WR, Tennant N, Sturrock RD, et al () Amelioration of symptoms by enhancement of proprio- ception in patients with joint hypermobility syndrome. Arthritis Rheum 2004;50(10):3323-3328. PMID:15476239
• Feldman FH, Waliser MN, Gould DA, et al. When the caregivers needs care: the plight of vulnerable caregivers. American Journal of Public Health, 2002; 92(3): 409–13. PMID:11867321
• Greenwood N, Mackenzie A. An exploratory study of anxiety in carers of stroke survivors. Journal of Clinical Nursing 2010;19:2032-2038. PMID:20920029
• Morimoto T, Schreiner AS, Asano H. Caregiver burden and health- related quality of life among Japanese stroke caregivers. Age Ageing 2003; 32:218-223. PMID:12615568
• Dennis M, O’Rourke S, Lewis S, et al A quantitative study of the emotional outcome of people caring for stroke survivors. Stroke, 1998; 29(9), 1867-1872. PMID:9731610
• Collins CE, Given BA, Given CW. Interventions with family caregivers of persons with Alzheimer’s disease. Nursing Clinics of North America 1994;29(1):195-207. PMID:8121821
• Sanford JT, Johnson AD, Townsend-Rocchiccioli J. The health status of rural caregivers. Journal of Gerontological Nursing 2005;31(4):25-31. PMID: 15839522
• Greenwood N, Mackenzıe A, Cloud GC, et al. Informal carers of stroke survivors–factors influencing carers: A systematic review of quantitative studies. Disability and Rehabilitation, 2008;30(18), 1329 – 1349. PMID:19230230
• Park YH. Day healthcare services for family caregivers of older people with stroke: needs and satisfaction. Journal of Advanced Nursing, 2008;61(6), 619–630. PMID:18302603