The Caregiver Experience After Stroke in a COVID-19 Environment: A Qualitative Study in Inpatient Rehabilitation
| Autor: | Rachel Sutter-Leve, Debra K. Ness, Aaron Rindflesch, Emily Passint |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
inpatient rehabilitation
Adult Male 030506 rehabilitation medicine.medical_treatment Hospitals Rehabilitation Clinical Neurology Perceived Stress Scale Qualitative property Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Nursing discharge caregiver stress Adaptation Psychological medicine Humans Family Research Articles Qualitative Research Aged CVA Rehabilitation pandemic Social distance Stroke Rehabilitation Attendance COVID-19 Middle Aged Mental health Stroke Caregivers ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female Neurology (clinical) 0305 other medical science Psychology Stress Psychological 030217 neurology & neurosurgery Qualitative research Primary research |
| Zdroj: | Journal of Neurologic Physical Therapy |
| ISSN: | 1557-0576 |
| DOI: | 10.1097/npt.0000000000000336 |
| Popis: | Supplemental Digital Content is Available in the Text. Background and Purpose: Stroke is the leading cause of disability in the United States. Two-thirds of stroke survivors will require caregiver assistance. Evidence suggests the mental health of caregivers is closely related to patients' health outcomes. The timing of this study intersected with the beginning of the coronavirus disease-2019 (COVID-19) pandemic that required strict social distancing and hospital visitor policy changes. This study aims to answer the primary research question: What is the level and nature of stress experienced by caregivers of persons with newly-acquired stroke in the inpatient rehabilitation setting and how has the COVID-19 pandemic impacted the caregiver experience? Methods: Recruitment occurred from a single inpatient rehabilitation facility. Participants were administered the Perceived Stress Scale and then completed qualitative semistructured interviews. The investigators used a phenomenological, iterative approach to collect and analyze qualitative data. The data were independently coded and categorized before consolidated into primary themes and subthemes. Results: Eleven informal caregivers' perspectives generated 13 subthemes across 4 primary thematic categories: COVID-19 impact, concerns of the caregiver, coping strategies, and important aspects of the caregiver experience. COVID-19 social distancing necessitated new visitor policies, which presented additional challenges for caregivers. Discussion and Conclusions: Caregiver attendance at therapy sessions and frequent, direct communication between staff and caregivers improved caregiver readiness for family member discharge following inpatient rehabilitation. This study shared perspectives from a distinctive time during the COVID-19 pandemic. If visitation for multiple therapy sessions is prohibited, we recommend taking alternative measures to keep the caregiver involved in the plan of care. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A326). |
| Databáze: | OpenAIRE |
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