Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2007. / Stroke is a difficult condition to manage because of the complex nature of its effects.
Caregivers are therefore, crucial in providing ongoing care for the stroke patient at home.
Caregivers experience considerable strain during caregiving, as their needs are often
overlooked because therapeutic management tends to focus mainly on the stroke patient. In
third world countries like South Africa, there are currently no research studies found describing
an optimum support intervention which addresses the caregivers' needs and reduces their
strain levels.
Objective
To determine the effectiveness of a caregiver support intervention programme (CSIP) that was
developed to address the expressed needs identified by the primary caregiver of the stroke
patient in the Bishop Lavis community.
Method
A prospective and descriptive qualitative study design was used to evaluate the effectiveness
of the CSIP. A total of 29 caregivers participated in three CSIPs, which were implemented over
five sessions each. The Barthel Index was used to measure the functional level of each stroke
patient. The needs of stroke caregivers were determined by 15 semi-structured interviews, until
data saturation was reached. The Caregiver Strain Index was completed before and after
implementation of the CSIP, in order to measure whether the intervention programme had been
effective in reducing the caregivers' level of strain. Written or verbal feedback forms was also
completed by the caregivers after each of the five intervention sessions. Results were analysed
using repeated measures ANOVA and descriptive qualitative analysis.
Results
The qualitative results of this study suggest that the CSIP was effective in addressing mainly
the physical needs, as well as the emotional, educational and socio-economic needs of the
primary caregivers. The CSIP was also effective in reducing caregiver strain in 61.5% of the
sample (N=13). However, an additional finding of this study was the personal and logistical
barriers identified which limited the caregivers' attendance of the sessions.
Conclusion
The CSIP was effective in addressing the physical, emotional, socio-economic and educational
needs of the primary caregiver. In addition, the results also verified that the CSIP was effective
in reducing caregiver strain in the majority of the caregivers, despite a small sample size. The
barriers identified which affected the caregivers' attendance, need to be taken into
consideration when planning future intervention programmes for caregivers in poor socioeconomic
communities. Due to the low attendance rate by the caregivers, a larger sample size
is recommended to accommodate for the high drop-out rates in such a population.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/2015 |
| Date | 03 1900 |
| Creators | Kleineibst, Lynn Jill |
| Contributors | Faure, M., Lochner, R., University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Physiotherapy. |
| Publisher | Stellenbosch : University of Stellenbosch |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 7811310 bytes, application/pdf |
| Rights | University of Stellenbosch |
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