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Comparing Perceived Burden for Korean and American Informal Caregivers of Stroke Survivors
Authors:Smi Choi‐Kwon PhD RN  Pamela H Mitchell PhD RN FAAN FAHA  Richard Veith MD  Linda Teri PhD  Ann Buzaitis MN ARNP  Kevin C Cain PhD  Kyra J Becker MD  David Tirschwell MD MPH  Michael Fruin MN ARNP  Jimi Choi RN  Jong S Kim MD
Institution:1. Smi Choi‐Kwon, PhD RN, is a professor at the College of Nursing & Research Institute of Nursing Science at Seoul National University in Seoul, Korea.;2. Pamela H. Mitchell, PhD RN FAAN FAHA, is a professor and associate dean for research at the University of Washington, School of Nursing in Washington in Seattle, WA.;3. Richard Veith, MD, is a professor and chair of the department of psychiatry and behavioral science at the University of Washington, Seattle, WA.;4. Linda Teri, PhD, is a professor in the department of psychosocial and community health at the University of Washington in Seattle, WA.;5. Ann Buzaitis, MN ARNP, is a research nurse supervisor of the department of biobehavioral nursing and health systems at the University of Washington, Seattle, WA.;6. Kevin C. Cain, PhD, is a research scientist in the department of biostatistics and office for nursing research at the University of Washington, Seattle, WA.;7. Kyra J. Becker, MD, is a professor of neurology at the University of Washington in Seattle, WA.;8. David Tirschwell, MD MPH, is an associate professor of neurology at the University of Washington, Seattle, WA.;9. Michael Fruin, MN ARNP, is on the clinical faculty of the department of biobehavioral nursing and health systems at the University of Washington, Seattle, WA.;10. Jimi Choi, RN, is a graduate student at the College of Nursing, Seoul National University, Seoul, South Korea.;11. Jong S. Kim, MD, is a professor in the department of neurology at the University of Ulsan, Asan Medical Center, Seoul, South Korea.
Abstract:Little is known about the burden of cross‐cultural care for stroke patients. This article compares the perceived burden for caregivers of stroke survivors in Korea and the United States. A brief interview was conducted to determine specific problem areas for caregivers. Caregiver burden (using the Sense of Competence Questionnaire) and social support (using the ENRICHD Social Support Inventory) also were measured. The overall‐sense‐of‐burden‐from‐caregiving score was significantly higher in the Korean cohort than in the American cohort, as was the scale regarding satisfaction with the relationship with the recipient of care. The primary predictors of overall burden for the combined sample were caregiver and patient depression and insufficient social support. Lower perceived social support among Korean caregivers was strongly related to caregiver depression, while it was more strongly related to increased hours of caregiving in the American sample. These findings can help rehabilitation nurses plan supportive interventions that incorporate cultural values for stroke survivors and their caregivers.
Keywords:caregivers  cultural issues  depression  fatigue  social support  stroke
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