Preparedness, Demand, and Burden of Informal Caregivers of Stroke Survivors From Hospital to Home: A Longitudinal Study Based on Transition Theory.

IF 1.7 4区医学 Q2 NURSING

Public Health Nursing Pub Date : 2025-05-23 DOI:10.1111/phn.13573

Xingxing Ding, Aiyao Wang, Jie Tian, Yun Zhang, Heng Zhang, Yinfeng Dong

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引用次数: 0

Abstract

Objectives: To investigate the levels, predictors, and relationships between preparedness, demand, and burden among informal caregivers of stroke survivors.

Design: Longitudinal study.

Sample: One hundred and forty-two informal caregivers of stroke survivors.

Measurements: Preparedness, demand, and burden of informal caregivers were assessed at 2 days pre-discharge (T0), 2 weeks post-discharge (T1) and 4 weeks (T2) post-discharge.

Results: Caregiver preparedness was lowest and demand and burden were highest at T0. Preparedness increased over time, whereas demand and burden decreased. Preparedness was predicted by caregiver occupation and stroke survivor age, while demand was predicted by caregiver age, education, occupation, and caregiver-stroke survivor relationship. Burden was predicted by the caregiver-stroke survivor relationship. Additionally, caregiver preparedness was significantly negatively correlated with demand, and demand was positively correlated with burden.

Conclusions: Informal caregivers had low preparedness, as well as high demand and burden, 2 days before discharge, highlighting the need for tailored nursing interventions to support their transition from hospital to home care.

Trial registration: Chinese Clinical Trial Registry (ChiCTR2300076487).

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脑卒中幸存者从医院到家的非正式照顾者的准备、需求和负担：基于过渡理论的纵向研究

目的：调查脑卒中幸存者非正式照护者的准备、需求和负担之间的水平、预测因素和关系。设计：纵向研究。样本：142名中风幸存者的非正式照护者。测量方法：在出院前2天（T0）、出院后2周（T1）和出院后4周（T2）对非正式护理人员的准备情况、需求和负担进行评估。结果：护理人员准备程度最低，需求和负担最高。随着时间的推移，准备工作越来越多，而需求和负担却减少了。准备程度由照顾者职业和中风幸存者年龄预测，而需求由照顾者年龄、教育程度、职业和照顾者与中风幸存者关系预测。照顾者与中风幸存者的关系预测了负担。照料者准备程度与需求呈显著负相关，需求与负担呈显著正相关。结论：非正式护理人员在出院前2天的准备程度低，需求和负担高，强调需要有针对性的护理干预措施，以支持他们从医院到家庭护理的过渡。试验注册：中国临床试验注册中心（ChiCTR2300076487）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.