[Gender- and age-specific aspects of assistance need in caregivers of stroke patients: results from a qualitative panel study]

Rehabilitation (Stuttg). 2008 Jun;47(3):145-9. doi: 10.1055/s-2008-1076711.
[Article in German]

Abstract

Aim: The present study aimed at investigating the need for professional assistance in carers of stroke patients who do not require a therapeutic group intervention; and furthermore, how this need for assistance is changing in the course of rehabilitation.

Method: Ten highly burdened spouses of stroke survivors were interviewed twice in the framework of a qualitative panel study. In-depth interviews concerning subjective burden and assistance requirements were carried out and analyzed using Grounded Theory coding procedures.

Results: The evaluation of the interview data showed that the relatives' needs for assistance change in the course of rehabilitation, and feature gender- and age-specific differences. Assistance needs persist in the medium and long term, with qualitative diversifications: During the in-patient rehabilitation period, carers request mainly illness-related information, whereas emotional assistance is rarely desired. This is different during the out-patient rehabilitation period: While the desire for further information decreases, the need for emotional assistance (e. g.disburdening counselling) increasingly comes to the fore. Women much more often desire professional assistance than men.

Discussion: When designing and offering professional assistance for caregivers of stroke patients, gender- and age-specific aspects should be taken into account, as well as the medium- and long-term changes in assistance need.

MeSH terms

  • Adaptation, Psychological
  • Age Factors
  • Aged
  • Anxiety / diagnosis
  • Anxiety / epidemiology
  • Anxiety / psychology
  • Caregivers / education
  • Caregivers / psychology*
  • Caregivers / statistics & numerical data
  • Cost of Illness*
  • Counseling
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology
  • Depression / psychology
  • Female
  • Germany
  • Home Nursing / psychology
  • Home Nursing / statistics & numerical data
  • Humans
  • Long-Term Care / psychology
  • Male
  • Middle Aged
  • Needs Assessment / statistics & numerical data*
  • Patient Discharge
  • Personality Inventory
  • Sex Factors
  • Social Support
  • Spouses / psychology
  • Stroke / epidemiology
  • Stroke / psychology
  • Stroke Rehabilitation*