| Objective:To investigate the burden of care and quality of the different stages of life for caregivers of stroke patients, to explore the risk factors which affecting the quality of life, Thus offer adjustments to nursing intervention programs and to take reasonable care measures, improve the quality of life of caregivers to provide evidence.Methods:110Caregivers of stroke patients from a district secondary hospital January2013to January2014in Tianjin were included, followed up three months after discharge, and measure the quality of life for the caregivers. Zarit caregiver burden scale was used to measure nursing, as for the caregiver quality of life SF-36was used, also self-care ability Bathel index rating scale, the degree of patient disability disabled using the Oxford Scale (OHS) was helped in analyis in this study-Statistical analysis using SPSS19.0package is complete. Basic data of patients using frequency (composition ratio), the mean and standard deviation for statistical description; different characteristics at different stages of caregiver quality of life were compared using t tests and other methods to complete. While the caregiver quality of life and the various stages of the burden of care factors were univariate and multivariate regression analysis.Results:In this study,61male patients were with stroke, and49females; caregivers included68females and42males. When compared with patients discharged from hospital and the quality of life of caregivers for three months, they found a difference in RP, BP, GH and RE dimensions of quality of life; different time periods compared with the national norm, SF, RE and MH dimensions are related to the various stages of norm was no significant difference, RP dimension also differences with the national norm in hospital three months was not statistically significant, the rest were with the norm of the difference was not statistically significant. When the patient was discharged female caregiver quality of life in VT, SF and RE dimensions are better than men, no significant difference in other dimensions with men less than60years old caregiver quality of life in the PF, RP, GH and VT dimensions are superior to older than60year-old caregiver, caregiver education level quality of life in VT, SF, RE and MH dimensional differences exist, spouse, child, children, spouse or other caregiver quality of life in BP, VT, there is a difference SF dimensions of care for a short time MH caregiver quality of life was significantly better than the dimension of time to take care of the elderly, who have to take care of the quality of life to assist in PF, GH, VT and SF dimensions significantly better than no help caregivers caregiver burden of care and quality of life in VT dimensions significantly lower than the low caregiver burden of care, care for caregivers quality of life in older patients with GH, VT and MH dimensions of care for younger patients was significantly lower than caregivers, caregiver quality of life for patients with different degrees of self-care in addition to GH and RE dimensions no significant difference, but there are differences in each dimension, for different levels of quality of life for caregivers of patients with disabilities there are differences in BP, VT and SF dimensions caregiver quality of life of patients discharged from different cultural levels in PF and RP dimension differences, caregiver quality of life of different family income levels there is only a difference in VT dimension.Female patient was discharged three months caregiver quality of life in VT, SF dimensions are better than men, less than60years old caregiver quality of life in VT dimensions are older than60years than caregivers, caregiver quality levels of different cultures living in the PF there RP, GH, VT dimension differences, spouse, child, children, spouse or other caregiver quality of life, there are differences in SF and RE dimensions, there are caregivers to assist in quality of life was better than no help RP dimension caregivers, and caregivers living together and the quality of life of patients living together in PF dimension differences exist Ministry, the Ministry of the higher quality of life for caregivers living together; care for caregivers of patients with different gender in addition to the quality of life of women than men RE dimensions, each of the other dimensions are no significant difference in the quality of life of caregivers care for older patients was significantly lower than in the VT dimensions of care for patients younger caregivers, no significant difference in other dimensions, caregiver quality of life for patients with different degrees of self-care in addition to PF, RP BP dimensions and no significant difference, but there are differences in various dimensions, different levels of quality of life for caregivers of patients with disabilities in addition to PF, RP and BP dimensions no significant difference, but there are differences in each dimension; patient was discharged three different levels of culture months caregiver quality of life in the PF, differences in BP and SF dimensions, care for Medicare and non-Medicare patients, caregivers and discharged three months there are differences in the quality of life of GH and RE dimensions caregiver quality of life of different family income levels only in GH, VT and RE dimensions there are differences.At different stages after patients discharged, the impact of various risk factors for caregivers of suspicious quality of life, the heavy burden of care, older patients and caregivers is the most concentrated risk factors for reduced quality of life, good patient care ability is the most important protective factors. Discharged early and caregiver gender, time of day to take care of an association, with time, if there is someone else to help care has also become important factors focus on the impact the quality of life of caregivers.Conclusion:When stroke patients discharged from hospital and the quality of life of caregivers at discharge three months, there is a difference in RP, BP, GH and RE dimensions of quality of life; various stages of different time periods and national norms, SF, RE and MH dimensions both, RP dimension nor with the norm was no significant difference in hospital for three months with the national norm differences were statistically different from the rest of the norm. In two different stages, the quality of life of caregivers in different gender, different cultural groups, such as the distribution of the degree of different characteristics. Patients discharged at different stages of the impact of various risk factors for caregivers of suspicious quality of life, the heavy burden of care, older patients and caregivers is the most concentrated risk factors for reduced quality of life, good patient care ability is the most important protective factors. Discharged early and caregiver gender, time of day to take care of an association, with time, if there is someone else to help care has also become important factors focus on the impact the quality of life of caregivers. |
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