| ObjectiveEvaluation of stroke caregivers’ care burden and quality of life, to explore the effect of cognitive behavior intervention on stroke caregivers’ burden and quality of life.MethodThe research was an experimental study. Divided into two stages, the first stage was the care burden, quality of life, simple coping style and social support in caregivers at baseline survey. The patients are selected from the Second Affiliated Hospital of Zhengzhou University, the Department of neurology, neurological rehabilitation, the first cadre ward, and the second cadre ward, the subjects were their caregivers. evaluating their care burden,quality of life, simple coping style and social support; The second stage was the psychological intervention implementing stage. According to the burden scale score, singled out98caregivers of stroke patients with scores≥21points as the experimental objects, separate the four units into different groups randomly using the draw method, to determine the control group (49cases) and intervention group (49cases). The intervention group not only received routine hospital propaganda, but also received cognitive behavioral intervention, once a week,30-60minutes each time, a total of8weeks. The control group received only routine hospital propaganda. Each group received three evaluation, which were before intervention, intervention for1month, after the intervention. Explore the impact of cognitive behavior intervention on the caregivers’burden and quality of life and analysis the effect of cognitive behavior intervention..Result(1)The comparison of the two groups on data balance, and the statistical description of the questionnaires’scores.①comparing all aspects of the general information of caregivers and the general information of stroke patients, the results showed that the differences were not statistically significant (P>0.05), with comparability.②The survey showed that98caregivers’burden (ZBI) score were35.44±12.99,③The caregivers’quality of life scores in each dimension: PCS (physical function score) was45.80±8.63, MCS (mental function score) was45.12±8.99.④The caregivers’coping style scores in each dimension:positive coping score was23.52±5.68, negative coping score was10.86±3.72.⑤The caregivers’ social support total score and the scores of each dimension:total score was64.62±11.41, inside family support score was the23.74±4.10,outside family support score was40.88±8.11.(2)Different classification according to the general information of caregivers and the general information of stroke patients,and then comparing the care burden total scores of each classify by using Two independent-samples T test, rank sum test and one-way ANOVA.The results showed that ZBI score of these aspects,which include caregivers’age, sex, relationships with patients, culture level, monthly income, chronic disease,sustainable attend time, daily attend time, other common caregivers and patients’age, payment of medical expenses, type of disease, degree of self-care,were significant (P<0.05), While the caregivers’working condition and the patients’ sex and culture degree isn’t statistically significant in ZBI score(P>0.05).(3) By repeated measure analysis of variance comparing ZBI total score and each dimension score respectively between the two groups at three time(before intervention,1month after the intervention,2months after the intervention), results showed:①the main effect of time on ZBI total score, ZBI personal burden and roles burden were significant (P<0.05), which means if don’t consider the intervention factor, ZBI total score and each dimension score change over time;②the main effect of intervention on ZBI total score, ZBI personal burden and roles burden were significant (P<0.05), which means if don’t consider the effect of time, each dimension have difference between groups (intervention group and control group);③the interaction between time and intervention on the ZBI total score,personal burden score and roles burden score were significant(P<0.05).(4) By repeated measure analysis of variance, comparing each dimension score of sf-12respectively between the two groups at three time(before intervention,1month after the intervention,2months after the intervention). The results showed that①the main effect of time,the main effect of intervention and the interaction on PCS score were no significant (P>0.05).②the main effect of time,the main effect of intervention and the interaction on MCS score were statistically significant (P<0.05).(5) By repeated measure analysis of variance, comparing each dimension score of SCSQ respectively between the two groups at three time(before intervention,1month after the intervention,2months after the intervention), results showed that①the main effect of time,the main effect of intervention and the interaction on positive coping score were significant (P<0.05).②the main effect of time, the main effect of intervention and the interaction on negative coping score were statistically significant (P<0.05).(6) By repeated measure analysis of variance,comparing PSSS total score and each dimension score respectively between the two groups at three time(before intervention,1month after the intervention,2months after the intervention), results showed:①the main effect of time on PSSS total score, inside family support and outside family support were significant (P<0.05), which means if don’t consider the intervention factors, PSSS total score and each dimension score change over time;②the main effect of intervention on PSSS total score, inside family support and outside family support were significant (P<0.05), which means if don’t consider the effect of time, each dimension have difference between groups (intervention and control);③the interaction between time and intervention on PSSS total score outside family support and inside family support were significant(P<0.05).Conclusion1. The cognitive behavioral intervention can effectively reduce the burden of main caregivers of stroke patients, and can improve the personal burden and the roles burden.2.Cognitive behavioral interventions can effectively improve the main caregivers’quality of life, can obviously improved the mental health, but have no apparent effects on physical health.3. Cognitive behavioral interventions can effectively improve the main caregivers of stroke patients’ inside family support and outside family support.4. Cognitive behavioral interventions can effectively improve the main caregivers of stroke patients’ positive coping style, reducing negative coping style. |
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