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The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study

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  • Ming‐Hsiu Wu
  • Sheuan Lee
  • Hui‐Yi Su
  • Hsiang‐Chu Pai

Abstract

Aims and objectives This study identified the factors that affect health‐related quality of life at one and six months post‐stroke in women who have undergone a mild stroke and that affect their informal caregivers’ psychological health status. Background Middle‐aged women perform the main care roles in a family. When they suffer a stroke, it upsets the equilibrium of their family life. Design This is a longitudinal design. Methods This prospective follow‐up study recruited 41 middle‐aged women stroke survivors (mean age = 54·95, SD = 9·63) and their informal caregivers (mean age = 41·56, SD = 15·93). The Short‐Form Health Survey (SF‐36) was used to assess stroke survivor's health‐related quality of life, and the Chinese Health Questionnaire was used to measure the level of depression of the stroke survivor's informal caregiver. Data were analysed through descriptive statistics, Wilcoxon signed‐rank tests and the generalised estimating equation approach for modelling repeatedly measures. Results All stroke survivors showed significant improvement in the physical component summary of the health‐related quality of life at one and six months after stroke, but there was no significant difference in the mental component summary. In addition, there was no significant difference in the health of the informal caregivers of the women over time. Generalised estimating equation analysis showed that the most important determinant of mental component summary of health‐related quality of life among women stroke survivors was cognitive appraisal. The informal caregivers’ most important determinants of health status, as measured by level of depression, were their sense of coherence, burden and patients’ mental component summary of the health‐related quality of life. Conclusion This study highlights the impact of cognitive appraisal in determining health‐related quality of life of women stroke survivors and how it affects their caregivers’ mental health. Relevance to clinical practice The findings of this study may contribute to home care nurses’ understanding the importance of the psychosocial impact of the stroke for the survivor and their ability to help the surviving women to promote the confidence needed for self‐care, which will contribute to their quality of life and affect their caregivers’ health.

Suggested Citation

  • Ming‐Hsiu Wu & Sheuan Lee & Hui‐Yi Su & Hsiang‐Chu Pai, 2015. "The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3155-3164, November.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:21-22:p:3155-3164
    DOI: 10.1111/jocn.12926
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    References listed on IDEAS

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    1. Antonovsky, Aaron, 1993. "The structure and properties of the sense of coherence scale," Social Science & Medicine, Elsevier, vol. 36(6), pages 725-733, March.
    2. Chiung‐Yu Huang & Mei‐Chi Hsu & Shin‐Pin Hsu & Pei‐Ching Cheng & Shu‐Fen Lin & Chia‐Hui Chuang, 2010. "Mediating roles of social support on poststroke depression and quality of life in patients with ischemic stroke," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(19‐20), pages 2752-2762, October.
    3. Gallagher, Timothy J. & Wagenfeld, Morton O. & Baro, Franz & Haepers, Kristien, 1994. "Sense of coherence, coping and caregiver role overload," Social Science & Medicine, Elsevier, vol. 39(12), pages 1615-1622, December.
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    1. Su-Ju Tsai & Chia-Chi Li & Shu-Mei Tsai & Shu-Chuan Kao & Hsiao-Mei Chen & Hsiang-Chu Pai, 2021. "Illness Representation and Self-Efficacy: An Exploration of Fatigue Factors in Middle-Aged Stroke Survivors," Clinical Nursing Research, , vol. 30(7), pages 1030-1037, September.

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