[Caring for a stroke victim: the emotional reactions of male and female caregivers].
The objective of this study was to assess the emotional response to caregiving among stroke caregivers and to assess the social and psychological impact of strokes on households two years after the event. Questionnaires were administered to 62 patient (64.4 years old)/caregiver (59.3 years old) dyads. The survey focused on: 1) residual impairments, based on the American Heart Association Stroke Outcome Classification; 2) the Caregiver Reaction Assessment (CRA ? 24 items ? 5 dimensions); and 3) changes in the division of household tasks (seven items). Although male and female caregivers care for patients with similar residual impairments, the study found that female caregivers were more likely to be affected by the impact of caregiving on their health and schedule and by lack of family support. Women were more likely to feel "tired all the time" (50% vs. 12.5%), to struggle to "find time to relax" (35.7% vs. 6.3%) and to feel that "others dumped caring onto them" (35.7% vs. 11.8%). Since the onset of stroke, women had also taken on more responsibilities in the household (37.5% vs. 5.9%), while men were more likely to "enjoy caring" for patients (93.8% vs. 67.9%) and to have become more involved in organizing holidays (29% vs. 5.6%) and seeing friends (20.6% vs. 10.5%). Because of the high level of exhaustion, particularly among women, caregivers are a high-risk population for the healthcare system. Interventions such as trialogue and counseling are required to meet the needs of male and female caregivers.
Cotutelle de thèse entre Unite Recherche INSIDE université du Luxembourg-L7201 Walferdange-Luxembourg et EA4360 APEMAC Université de Nancy-Université Paul Verlaine Metz-Université Paris Descartes, EPSaM, 57000 Metz-France.
Barbara
B
Bucki
Elisabeth
E
Spitz
Michèle
M
Baumann
D017028:Caregivers / Q000523:psychology*; D005221:Fatigue / Q000523:psychology; D005260:Female; D006801:Humans; D008189:Luxembourg; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012944:Social Support; D020521:Stroke / Q000523:psychology*; D011795:Surveys and Questionnaires