Contributing Factors to the Burden on Primary Family Caregivers of Stroke Survivors in South Korea

Bo Mi Kwon, Hyun Haeng Lee, Min Kyun Sohn, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Won Hyuk Chang, Jongmin Lee () and Yun-Hee Kim ()
Additional contact information
Bo Mi Kwon: Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of Korea
Hyun Haeng Lee: Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of Korea
Min Kyun Sohn: Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Republic of Korea
Deog Young Kim: Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
Yong-Il Shin: Department of Rehabilitation Medicine, School of Medicine, Pusan National University Yangsan Hospital, Pusan National University, Yangsan-si 50612, Republic of Korea
Gyung-Jae Oh: Department of Preventive Medicine, School of Medicine, Wonkwang University, Iksan 54538, Republic of Korea
Yang-Soo Lee: Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu 41566, Republic of Korea
Min Cheol Joo: Department of Rehabilitation Medicine, School of Medicine, Wonkwang University, Iksan 54538, Republic of Korea
So Young Lee: Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University College of Medicine l, Jeju-si 63241, Republic of Korea
Min-Keun Song: Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju 61469, Republic of Korea
Junhee Han: Department of Statistics, Hallym University, Chuncheon-si 24252, Republic of Korea
Jeonghoon Ahn: Department of Health Convergence, Ewha Womans University, Seoul 03760, Republic of Korea
Won Hyuk Chang: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Samsung Medical Center, Heart Vascular Stroke Institute, Sungkyunkwan University School of Medicine, Suwon 06351, Republic of Korea
Jongmin Lee: Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul 05030, Republic of Korea
Yun-Hee Kim: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Samsung Medical Center, Heart Vascular Stroke Institute, Sungkyunkwan University School of Medicine, Suwon 06351, Republic of Korea

IJERPH, 2023, vol. 20, issue 3, 1-11

Abstract: The purpose of this study is to identify the factors associated with the burden on primary family caregivers of stroke patients at home without care services. For this study, the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) data were used. Of the total 8010 caregivers, 1133 family caregiver burden was assessed with the shortened Caregiver Burden Inventory (CBI) 3 months after stroke. Patient and caregiver-related factors affecting the heavier burden of caregivers were identified by comparing the heavier caregiver burden group and the lighter caregiver burden group, which divided according to the CBI scores. The 719 (63.5%) family caregiver cared for patients at home without care services. Logistic regression analysis showed that four or more comorbidities ( p = 0.002), neurological impairment at early onset ( p < 0.001), dependence on daily life ( p < 0.001), aphasia ( p = 0.024), and depression( p < 0.001) were associated with a heavier burden of care. According to the shortened CBI, caregivers tended to be concerned more about psychological stress than physical strain. The findings suggest the importance of proactively guiding the emotional support services to caregivers who are at high risk of the heavier burden of patient care.

Keywords: primary caregiver; caregiver burden; neurological impairment; functional dependence; depression; intimacy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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