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Informal Caregiving for Stroke Survivors
Informal Caregiving for Stroke Survivors
Informal Caregiving for Stroke Survivors

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260209102843
ISBN  
9798290658438
DDC  
300
저자명  
Chou, Aileen.
서명/저자  
Informal Caregiving for Stroke Survivors
발행사항  
[Sl] : University of Pittsburgh, 2023
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2023
형태사항  
178 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
주기사항  
Advisor: Freburger, Janet;Beach, Scott R.;Rodakowski, Juleen;Terhorst, Lauren.
학위논문주기  
Thesis (Ph.D.)--University of Pittsburgh, 2023.
초록/해제  
요약Half of stroke survivors have residual physical and cognitive impairments and rely on informal caregiver assistance to perform activities of daily living (ADL) within the community. Without adequate support, stroke survivors are vulnerable to poor health outcomes. Within this dissertation, we explored the predictors of quantity and quality of caregiving; how informal caregiving mitigate adverse outcomes; and the available evidence of informal caregiver training that impacts physical function in stroke survivors.Using the National Health and Aging Trends Study (NHATS) data, we conducted observational studies with first-time community-dwelling stroke survivors from 2011-2020. Stroke survivors with 5-7 ADL limitations had 27 more weekly informal care hours than those with 0-1 ADL limitations. Stroke survivors with 6-7 ADL limitations were predicted to have 1 additional ADL limitation with inadequate assistance than those with 1-3 ADL limitations. Every 100 hours of weekly formal care was predicted to prevent 1 inadequately assisted ADL limitation.Two years following a stroke, stroke survivors with more ADL limitations experienced more adverse outcomes, such as a fall, hospitalization, or decline in functional mobility. However, the rate at which adverse outcomes occur varied by two factors: the stroke survivors' ADL limitations and how many informal weekly care hours were received. Stroke survivors with 3-7 ADL limitations receiving 27.2-350.4 weekly informal care hours experienced less adverse outcomes than those with the same number of ADL limitations receiving 0-5.7 weekly informal care hours.Among the available literature on informal caregiver training addressing physical function of stroke survivors, our scoping review of 21 studies revealed that most studies were conducted in non-US countries and had inconsistent caregiver demographic data reported. Stroke survivors with physical function improvement after caregiver training tended to have initially fewer cognitive and functional mobility limitations, and caregivers that received earlier and more intensive training.Our work advocates for informal caregivers to receive adequate support in order to address stroke survivors' ADL limitations so that stroke survivors may live safely in the community. Additionally, appropriate informal caregiver training may be an important element that supports caregivers' involvement in improving stroke survivors' physical function.
일반주제명  
Patients
일반주제명  
Quality of life
일반주제명  
Falls
일반주제명  
Stroke
일반주제명  
Frailty
일반주제명  
Health care policy
일반주제명  
Demographics
일반주제명  
Activities of daily living
일반주제명  
Librarians
일반주제명  
Older people
일반주제명  
Trainers
일반주제명  
Caregivers
일반주제명  
Disability
일반주제명  
Mobility
일반주제명  
Hospitalization
일반주제명  
Skills
일반주제명  
Physical therapy
일반주제명  
Medicine
일반주제명  
Clinical psychology
키워드  
Physical function
키워드  
Stroke survivors
기타저자  
University of Pittsburgh.
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aChou,  Aileen.
■24510▼aInformal  Caregiving  for  Stroke  Survivors
■260    ▼a[Sl]▼bUniversity  of  Pittsburgh▼c2023
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2023
■300    ▼a178  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  B.
■500    ▼aAdvisor:  Freburger,  Janet;Beach,  Scott  R.;Rodakowski,  Juleen;Terhorst,  Lauren.
■5021  ▼aThesis  (Ph.D.)--University  of  Pittsburgh,  2023.
■520    ▼aHalf  of  stroke  survivors  have  residual  physical  and  cognitive  impairments  and  rely  on  informal  caregiver  assistance  to  perform  activities  of  daily  living  (ADL)  within  the  community.  Without  adequate  support,  stroke  survivors  are  vulnerable  to  poor  health  outcomes.  Within  this  dissertation,  we  explored  the  predictors  of  quantity  and  quality  of  caregiving;  how  informal  caregiving  mitigate  adverse  outcomes;  and  the  available  evidence  of  informal  caregiver  training  that  impacts  physical  function  in  stroke  survivors.Using  the  National  Health  and  Aging  Trends  Study  (NHATS)  data,  we  conducted  observational  studies  with  first-time  community-dwelling  stroke  survivors  from  2011-2020.  Stroke  survivors  with  5-7  ADL  limitations  had  27  more  weekly  informal  care  hours  than  those  with  0-1  ADL  limitations.  Stroke  survivors  with  6-7  ADL  limitations  were  predicted  to  have  1  additional  ADL  limitation  with  inadequate  assistance  than  those  with  1-3  ADL  limitations.  Every  100  hours  of  weekly  formal  care  was  predicted  to  prevent  1  inadequately  assisted  ADL  limitation.Two  years  following  a  stroke,  stroke  survivors  with  more  ADL  limitations  experienced  more  adverse  outcomes,  such  as  a  fall,  hospitalization,  or  decline  in  functional  mobility.  However,  the  rate  at  which  adverse  outcomes  occur  varied  by  two  factors:  the  stroke  survivors'  ADL  limitations  and  how  many  informal  weekly  care  hours  were  received.  Stroke  survivors  with  3-7  ADL  limitations  receiving  27.2-350.4  weekly  informal  care  hours  experienced  less  adverse  outcomes  than  those  with  the  same  number  of  ADL  limitations  receiving  0-5.7  weekly  informal  care  hours.Among  the  available  literature  on  informal  caregiver  training  addressing  physical  function  of  stroke  survivors,  our  scoping  review  of  21  studies  revealed  that  most  studies  were  conducted  in  non-US  countries  and  had  inconsistent  caregiver  demographic  data  reported.  Stroke  survivors  with  physical  function  improvement  after  caregiver  training  tended  to  have  initially  fewer  cognitive  and  functional  mobility  limitations,  and  caregivers  that  received  earlier  and  more  intensive  training.Our  work  advocates  for  informal  caregivers  to  receive  adequate  support  in  order  to  address  stroke  survivors'  ADL  limitations  so  that  stroke  survivors  may  live  safely  in  the  community.  Additionally,  appropriate  informal  caregiver  training  may  be  an  important  element  that  supports  caregivers'  involvement  in  improving  stroke  survivors'  physical  function.
■590    ▼aSchool  code:  0178.
■650  4▼aPatients
■650  4▼aQuality  of  life
■650  4▼aFalls
■650  4▼aStroke
■650  4▼aFrailty
■650  4▼aHealth  care  policy
■650  4▼aDemographics
■650  4▼aActivities  of  daily  living
■650  4▼aLibrarians
■650  4▼aOlder  people
■650  4▼aTrainers
■650  4▼aCaregivers
■650  4▼aDisability
■650  4▼aMobility
■650  4▼aHospitalization
■650  4▼aSkills
■650  4▼aPhysical  therapy
■650  4▼aMedicine
■650  4▼aClinical  psychology
■653    ▼aPhysical  function
■653    ▼aStroke  survivors
■690    ▼a0564
■690    ▼a0622
■690    ▼a0382
■71020▼aUniversity  of  Pittsburgh.
■7730  ▼tDissertations  Abstracts  International▼g87-03B.
■790    ▼a0178
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17365869▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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