Information de reference pour ce titreAccession Number: | 00019038-201007000-00032.
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Author: | Greenwood, Nan; Mackenzie, Ann
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Institution: | Authors: Nan Greenwood, MSc, Senior Research Fellow, Faculty of Health and Social Care Sciences, St George's University of London and Kingston University; Ann Mackenzie, PhD, MA, RGN, DN RNT, Professor of Gerontological Nursing, Faculty of Health and Social Care Sciences, St George's University of London and Kingston University, London, UK
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Title: | |
Source: | Journal of Clinical Nursing. 19(13-14):2032-2038, July 2010.
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Abstract: | Aims and objectives. To investigate anxiety in informal carers of stroke survivors in the first three months after discharge.
Background. Informal carers, also called caregivers, play a vital role in supporting stroke survivors. However, caring for stroke survivors can have adverse consequences amongst carers such as burden, stress and reduced quality of life. Emotional distress is also commonly reported but anxiety has received less attention than depression.
Design. Prospective, longitudinal, descriptive study.
Method. Forty-five carers completed the Hospital Anxiety and Depression Scale on two occasions - within one month and at three months after discharge from stroke and rehabilitation units.
Results. Carers were more likely to have scores indicating anxiety than depression. In the first month, half the carers (51[middle dot]1%) scored in the cut-off for anxiety and a third were in the cut-off for depression (31[middle dot]1%). At three months, the picture was very similar with nearly identical proportions in the anxious and depressed categories (48[middle dot]9% and 28[middle dot]9%, respectively). Changes in numbers of cases of anxiety and depression and in mean anxiety scores were non-significant but there was a significant decrease in depression scores (p = 0[middle dot]048). Fourteen carers (31[middle dot]1%) at one month and eleven (24[middle dot]4%) at three months fell into both anxious and depressed categories.
Conclusions. Anxiety is a relatively neglected emotional outcome in stroke carers. Our study suggests anxiety is an important issue very early in caring whilst other research suggests it remains prevalent for many months. Given the significant role carers play in rehabilitation of stroke survivors, greater recognition of their emotional state is required. Further, longitudinal research with larger sample sizes from a range of geographical areas and improved understanding of factors associated with anxiety is needed.
Relevance to clinical practice. Nurses working in the community are ideally placed to identify and support carers suffering from anxiety.
Copyright (C) 2010 Blackwell Publishing Ltd.
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Author Keywords: | anxiety; caregiver; depression; emotional distress; informal carer; stroke.
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Language: | English.
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Document Type: | Professional roles, patients' experiences and family participation: Patients and carer perspectives.
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Journal Subset: | Nursing.
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ISSN: | 0962-1067
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NLM Journal Code: | bzz, 9207302
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DOI Number: | https://dx.doi.org/10.1111/j.136...- ouverture dans une nouvelle fenêtre
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