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http://dx.doi.org/10.7475/kjan.2016.28.6.619

Spirituality and Quality of Life Model of Family Caregivers Caring for Patients with Stroke: Path Analysis  

Lee, Jiyeong (College of Nursing, The Catholic University of Korea)
Yong, Jinsun (College of Nursing.WHO Collaborating Centre for Training in Hospice.Palliative Care, The Catholic University of Korea)
Publication Information
Korean Journal of Adult Nursing / v.28, no.6, 2016 , pp. 619-627 More about this Journal
Abstract
Purpose: This study was to test a structural model of spirituality and the quality of life of stroke survivors' caregivers in order to provide guidelines for the development of intervention and strategies to improve their quality of life. Methods: Data were collected from 133 family caregivers of stroke patients who were hospitalized in C university hospital located in Seoul. Data collection using survey questionnaires was done from May, 2013 to February, 2014. Results: Fitness of the hypothetical model was appropriate. Physical component of quality of life of family caregivers is directly affected by two variables (51.5%), burden and depression. Mental component of quality of life of family caregivers is directly affected by three variables (77.6%), depression, burden, and functional dependence of patients. Depression as well as burden were directly affected by spirituality and functional dependence of patients respectively. Thus, spirituality directly affected depression and burden and indirectly affected the quality of life of family caregivers. Conclusion: Therefore, spiritual intervention to improve the stroke caregivers' quality of life might be necessary to support and strengthen their spirituality as a mediating variable that can contribute to decreasing their depression and burden.
Keywords
Stroke; Family caregiver; Quality of life; Spirituality;
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1 The Korean neurosurgical society. Neurosurgery. 3rd ed. Seoul: The Korean Neurosurgical Society; 2007.
2 Statistics Korea. Nationwide study on the cause of death, 2014 [Internet]. Seoul: Statistics Korea; 2014 [cited 2015 September 23]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont
3 Akosile CO, Okoye EC, Nwankwo MJ, Akosile CO, Mbada CE. Quality of life and its correlates in caregivers of stroke survivors from Nigerian population. Quality of Life Research. 2011;20:1379-84. http://dx.doi.org/10.1007/s11136-011-9876-9   DOI
4 Kim EY, Shin EY, Kim YM. Caregiver burden and health-related quality of life among stroke caregivers. Journal of Korea Community Health Nursing Academic Society. 2004;18(1):5-13.
5 Bak YJ, Jeong MY, Ann EH. A study on the factors affecting sense of well-being of stroke survivor family care taker. Journal of Korean Academy of Nursing. 2001;31(2):315-27.   DOI
6 Kim EH. Effects on the stress of family-caregivers by activities for patients of cerebro-vascular accident. [master's thesis]. Iksan: Wonkwang University; 2002.
7 Costa TF, Costa KN, Fernandes Md, Martins KP, Brito Sda S. Quality of life of caregivers for patients of cerebrovascular accidents: association of (socio-demographic) characteristics and burden. Revista da Escola de Enfermagem da U S P. 2015;42(9):243-50. http://dx.doi.org/10.1590/S0080-623420150000200009
8 Kim KB, Lee KH. The correlation among health status, burden and quality of life of the adult stroke patient's family and the elderly stroke patient's family. The Journal of Korean Academic Society of Adult Nursing. 2001;13(2):262-76.
9 Roh KH. A study of depression and quality of life in family care givers of the stroke elderly patient. Journal of Korean Public Health Nursing. 2000;14(1):41-60.
10 Choi HJ, Suh MJ, Kim KS, Kim IJ, Cho NO. Depression of stroke patient's family caregivers and the relating factors. Journal of Korean Academy of Nursing. 2000;30(6):1531-42.   DOI
11 Oh PJ, Kang KA. Spirituality: Concept Analysis. The Journal of Korean Academic Society of Nursing. 2000;30(5):1145-55.   DOI
12 Swinton J. Healthcare Spiritual: a question of knowledge. In: Cobb M, Puchalski CM, Rumbold B, editors. Concepts of spiritual care in spirituality in healthcare. Yong JS, Park, JY, Kim JH, Cho JS. translator. Seoul: The Catholic University of Korea Press; 2016. p. 21-42.
13 Zhang J, Lee DT. Meaning in stroke family caregiving: A literature review. American Journal of Nursing Company. 2016:1-9. http://dx.doi.org/10.1016/j.gerinurse.2016.07.005
14 Koenig HG. Religion, spirituality, and health: the research and clinical implications. International Scholarly Research Network Psychiatry. 2012;2012:1-33. http://dx.doi.org/10.5402/2012/278730
15 Bennett KS, Shepherd JM. Depression in Australian women: the varied roles of spirituality and social support. Journal of Health Psychology. 2013;18(3):429-38.   DOI
16 Johnson KS, Tulsky JA, Hays JC, Arnold RM, Olsen MK, Lindquist JH, et al. Which domains of spiritualiry are associated with anxiety and depression in patients with advanced illness? Journal of General Internal Medicine. 2011;26(7):751-8. http://dx.doi.org/10.1007/s11606-011-1656-2   DOI
17 Pagnini F, Lunetta C, Rossi G, Banfi P, Gorni K, Cellotto N, et al. Existential well-being and spirituality of individuals with amyotrophic lateral sclerosis is related to psychological wellbeing of their caregivers. Amyotrophic Lateral Sclerosis. 2011;12(2):105-8. http://dx.doi.org/10.3109/17482968.2010.502941   DOI
18 Mahoney RL, Barthel DW. Functional evaluation: the Barthel Index. Maryland State Medical Journal. 1965;14:61-5.
19 Bomann JE, Gifford AL, Shively M, Smith TL, Redwine L, Kelly A, et al. Effects of spiritual mantram repetition on HIV outcomes: a randomized controlled trial. Journal of Behavioral Medicine. 2006;29(4):359-76. http://dx.doi.org/10.1007/s10865-006-9063-6   DOI
20 Sulmasy DP. The Rebirth of the Clinic. Washington, D.C.: Georgetown University Press; 2006.
21 Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology. 1989;42(8):703-9. http://dx.doi.org/10.1016/0895-4356(89)90065-6   DOI
22 Howden JW. Development & psychometric characteristics of the Spiritual Assessment Scale. [dissertation]. Texas: Texas Woman's University;1992.
23 Oh PJ, Chun HS. So WS. Spiritual Assessment Scale: psychometric evaluation of the Korean version. Asian Oncology Nursing. 2001;1(2):168-79.
24 Novak M, Guest C. Application of a multidimensional caregiver Burden Inventory. The Gerontologist. 1989;29(6):798-803. http://dx.doi.org/10.1093/geront/29.6.798   DOI
25 Radloff LS. The CES-D scale: A self-report Depression Scale or research in the general population. Applied Psychological Measurement. 1977;1(3):385-401.   DOI
26 Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology. 2001;6(1):59-76.
27 Ware JE. SF-36 health survey update. Spine. 2000;25(24):3130-9. http://dx.doi.org/10.1097/00007632-200012150-00008   DOI
28 Huh J. Amos structural equation model. Seoul: Hannarae; 2013.
29 Konopack JK, McAuley E. Efficacy-mediated effects of spirituality and physical activity on quality of life: a path analysis. Health and Quality of Life Outcomes. 2012;10(1):57-62. http://dx.doi.org/10.1186/1477-7525-10-57   DOI
30 Nir Z, Greenberger C, Bacfhner YG. Profile, burden, and quality of life of Israeli stroke survivor caregivers: a longitudinal study. Journal of Neuroscience Nursing. 2009;41(2):92-105. http://dx.doi.org/10.1097/jnn.0b013e318193456b   DOI