THE INFLUENCE OF TRAINING ON ALLEVIATING STRESS AND ENHANCING QUALITY OF LIFE AMONG CAREGIVERS OF INDIVIDUALS WITH DYSARTHRIA FOLLOWING STROKE

Main Article Content

Saima Maratab Ali
Dr. Sajida Naz
Dr. Ejaz Asghar
Faiza Badar
Shahnaz Kausar Yousuf
Aqeel Ahmed
Dr. Sajida Naz
Dr. Ejaz Asghar

Keywords

Dysarthria, QOL, Stress, Caregivers

Abstract

Individuals with dysarthria experience speech impairment, which can diminish their Quality of Life (QOL). Given that effective communication is crucial for social interaction, speech issues may impact life satisfaction. While there is extensive research on the QOL of individuals with dysarthria, there is limited investigation into the QOL and level of stress of their caregivers.


This study aimed to compare the QOL and level of stress in caregivers of dysarthria pre and post communication trainings and see effectiveness of trainings.


Trainings helped in reduction of stress and improvement in quality of life of caregivers.  Communicative partner trainings are essential to improve quality of life in caregivers of patients with dysarthria and reducing stress in them.

Abstract 152 | PDF Downloads 66

References

1. Langhorne P, Stott DJ, Robertson L, MacDonald J, Jones L, McAlpine C, Dick F, Taylor GS, Murray G. Medical complications after stroke: a multicenter study. Stroke. 2010 Jun;31(6):1223-9.
2. Sinanović O, Mrkonjić Z, Zukić S, Vidović M, Imamović K. Post-stroke language disorders. Acta Clinica Croatica. 2011 Mar 31;50(1):79-93.
3. Darley FL, Aronson AE, Brown JR. Differential diagnostic patterns of dysarthria. Journal of speech and hearing research. 2009 Jun;12(2):246-69
4. Rombough, Rosemarié E.; Howse, Ena L.; Bagg, Stephen D.; Bartfay, Wally J. (2007). A Comparison of Studies on the Quality of Life of Primary Caregivers of Stroke Survivors: A Systematic Review of the Literature. Topics in Stroke Rehabilitation, 14(3), 69–79. doi:10.1310/tsr1403-69.
5. Long A, Hesketh A, Bowen A. Communication outcome after stroke: a new measure of the carer’s perspective. Clinical Rehabilitation. 2009;23(9):846-856.
doi:10.1177/0269215509336055.
6. Cabaluna IT, Bayona HH. Beliefs and Perceptions of Patients and Primary Caregivers on Post-stroke Aphasia.
7. Buijck, B.I., Zuidema, S.U., Spruit-van Eijk, M., Geurts, A., &Koopmans, R.T. (2012). Neuropsychiatric symptoms in geriatric patients admitted to skilled nursing facilities in nursinghomes for rehabilitation after stroke: A longitudinal multicenter study. International Journal of Geriatric Psychiatry,27(7), 734–741.
8. Aslam F, Naz S. Ataxia and dysarthria due to an ABCA2 variant: Extension of the phenotypic spectrum. Parkinsonism & related disorders. 2019 Jul 1;64:328-31.
9. Habibi-Koolaee M, Shahmoradi L, Niakan Kalhori SR, Ghannadan H, Younesi E. Prevalence of Stroke Risk Factors and Their Distribution Based on Stroke Subtypes in Gorgan: A Retrospective Hospital-Based Study—2015-2016. Neurology research international. 2018 Jul 26;2018.
10. Pucciarelli G, Lommi M, Magwood GS, Simeone S, Colaceci S, Vellone E, Alvaro R. Effectiveness of dyadic interventions to improve stroke patient–caregiver dyads‘ outcomes after discharge: A systematic review and meta-analysis study. European Journal of Cardiovascular Nursing. 2021 Jan;20(1):14-33.
11. Mackenzie C, Paton G, Kelly S, Brady M, Muir M. The Living With Dysarthria Group: implementation and feasibility of a group intervention for people with dysarthria following stroke and family members. International Journal of Language & Communication Disorders. 2012 Nov;47(6):709-24.
12. Elman RJ. The importance of aphasia group treatment for rebuilding community and health. Topics in Language Disorders. 2007 Oct 1;27(4):300-8
13. hriman A, Burlingame GM. Consistency of matter: A comparative analysis of individual and group process variables. The Counseling Psychologist. 1990 Jan;18(1):6-3.
14. Miller N, Allcock L, Jones D, Noble E, Hildreth AJ, Burn DJ. Prevalence and pattern of perceived intelligibility changes in Parkinson‘s disease. Journal of Neurology, Neurosurgery & Psychiatry. 2007 Nov 1;78(11):1188-90.
15. Miller N, Noble E, Jones D, Allcock L, Burn DJ. How do I sound to me? Perceived changes in communication in Parkinson's disease. Clinical rehabilitation. 2008 Jan;22(1):14-22.
16. Mitchell C, Bowen A, Tyson S, Butterfint Z, Conroy P. Interventions for dysarthria due to stroke and other adult‐acquired, non‐progressive brain injury. Cochrane Database of Systematic Reviews. 2017(1).
17. Brady MC, Clark AM, Dickson S, Paton G, Barbour RS. The impact of stroke-related dysarthria on social participation and implications for rehabilitation. Disability and rehabilitation. 2011 Jan 1;33(3):178-86.
18. Sullivan, Karen & Dunton, Natalie. Development and Validation of the Stroke Knowledge Test. (deposited 07 Jun 2007 00:00).
19. Montazeri, A., Harirchi, A. M., Shariati, M., Garmaroudi, G., Ebadi, M., & Fateh, A. (2003). The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and quality of life outcomes, 1, 66. https://doi.org/10.1186/1477-7525-1-66.
20. del Pilar Sánchez-López M, Dresch V. The 12-Item General Health Questionnaire (GHQ-12): reliability, external validity and factor structure in the Spanish population. Psicothema. 2008;20(4):839-43.
21. Zarit Caregiver Burden Assessment Instruments. Retrieved from https://wai.wisc.edu/wp-content/uploads/sites/1129/2021/11/Zarit-Caregiver-Burden-Assessment-Instruments.pdf.
22. Bachner, Y. G., & O’Rourke, N. (2007). Reliability generalization of responses by care providers to the Zarit Burden Interview, Aging & Mental Health, 11(6), 678-685. doi: 10.1080/13607860701529965.
23. Robinson A, Coxon K, mcRae J, calestani M. Family carers’ experiences of dysphagia after a stroke: An expolatory study of supposes living in a large a metropolitan city. International journel of language and communication disorders. 2022 Sep;57(5):924-36.
24. Medea GP, Nurachmah E, Adam M. Post-Stroke Quality of Life Perceived by Patients and Caregivers. Jurnal Keperawatan Indonesia. 2021 Nov 30;24(3):165-72.
25. Gurley-Nettles TC. Poststroke Depression and the Lived Experiences of the Family Caregiver and Care Recipient Dyad (Doctoral dissertation, Walden University).
26. Pădureanu V, Albu CV, Caragea DC, Bugă AM, Florescu MM, Pădureanu R, Biciușcă V, Subțirelu MS, Turcu Știolică A. Quality of life three months post stroke among stroke patients and their caregivers in a single center study from Romania during the COVID 19 pandemic: A prospective study. Biomedical Reports. 2023 Aug 1;19(2):1-8.
27. Gaio M, Stella AB, Furlanis G, Naccarato M, Stefi D, Manganotti P. Effect of a passive intervention on carers of stroke survivors during the early poststroke period. Journal of Neuroscience Nursing. 2019 Dec 1;51(6):299-304.
28. Oni OD, Olagunju AT, Okpataku CI, Erinfolami AR, Adeyemi JD. Predictors of caregiver burden after stroke in Nigeria: effect on psychosocial well-being. Indian Journal of Psychiatry. 2019 Sep;61(5):457.
29. ATA E, ADIGÜZEL E, KİRAZ S, KÖSEM M, YAŞAR E. Mental Health and Quality of Life Differences Between the Family Members and Paid Caregivers in Brain Injury. Journal of Physical Medicine & Rehabilitation Sciences. 2019 Jul 1;22(3).
30. Fang L, Dong M, Fang W, Zheng J. Relationships between care burden, resilience, and depressive symptoms among the main family caregivers of stroke patients: A cross-sectional study. Frontiers in psychiatry. 2022 Sep 20;13:960830.
31. Achilike, Saviour; Beauchamp, Jennifer E. S.; Cron, Stanley G.; Okpala, Munachi; Payen, Samuel S.; Baldridge, Lyric; Okpala, Nnedinma; Montiel, Tahani Casameni; Varughese, Tina; Love, Mary; Fagundes, Christopher; Savitz, Sean; Sharrief, Anjail. Caregiver Burden and Associated Factors Among Informal Caregivers of Stroke Survivors. Journal of Neuroscience Nursing 52(6):p 277-283, December 2020. | DOI: 10.1097/JNN.0000000000000552.