Effects of Uncertainty on Perceived and Physiological Stress and Psychological Outcomes in Stroke-Survivor Caregivers

摘要: Caregiver status is a known risk factor for morbidity and mortality. In the time period immediately after stroke, high levels of uncertainty about family member's recovery sudden assumption new caregiver role may be acutely stressful. Little known, however, caregivers' experiences in very early caregiving or how stress contribute subsequently to health. The purpose this study was examine effect on perceived physiological psychological outcomes (burden, health-related quality life [HRQOL] depressive symptoms) within 2 weeks poststroke (baseline) at 6 poststroke. addition, mediator relationship between explored. A prospective, longitudinal observational conducted using convenience sample 63 caregivers their stroke-survivor relatives recruited from acute-care settings two academic health-science centers. Multivariate stepwise regression used achieve overall aim study. Additionally, multivariate explore outcomes. Level baseline higher than reported several other populations it remained so Greater level associated with (p < 0.001) 0.001). Uncertainty, not significant predictor either point. Overall, greater burden 0.001 p = 0.031 poststroke), poorer HRQOL 0.023 only univariate analysis poststroke) symptoms 0.002 both observations). By poststroke, fully mediated symptoms. Healthcare providers neuroscience must become sensitized caregiving. Using as help identify stress, burden, poor symptoms, that is, those need additional support. Further research exploring development testing target interventions reduce stroke survivors prevent negative longer term health Degree Type Dissertation Name Doctor Philosophy (PhD) Graduate Group Nursing First Advisor Lois K. Evans Second Barbara J. Riegel This dissertation available ScholarlyCommons: http://repository.upenn.edu/edissertations/616