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Caregiver burden after stroke: changes over time?
Winke Pont1,2, Iris Groeneveld1,2,3, Henk Arwert2,4
1Rijnlands Rehabilitation Centre, Leiden, The Netherlands.
Most stroke patient caregivers experience consistent burden, but some develop high burden later. Monitoring caregiver burden for the first year post-stroke is recommended, especially for those caring for patients with hemorrhagic stroke.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychology
Background:
- Caregiver burden is a significant issue for individuals supporting stroke survivors.
- Understanding the trajectory of this burden is crucial for effective support.
Purpose of the Study:
- To describe the longitudinal course of caregiver burden in the first year following a stroke.
- To identify factors influencing caregiver burden over time.
Main Methods:
- A multicentre, longitudinal cohort study involving stroke patients and their caregivers.
- Caregiver Strain Index and sociodemographic data collected at 6 and 12 months post-admission.
- Patient clinical and sociodemographic data extracted from medical records.
Main Results:
- 129 caregivers were included; 72 completed the survey twice.
- The majority (68.1%) reported consistently low burden, while 20.8% reported consistently high burden.
- 11.1% of caregivers experienced a change in burden level between 6 and 12 months post-stroke.
Conclusions:
- Caregiver burden in stroke survivors is generally stable over the first year.
- A notable percentage of caregivers show changing burden levels, necessitating repeated assessments.
- Living with a patient who had a hemorrhagic stroke increases the risk of high caregiver burden.
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