Transition to the Role of Family Caregiver of Older Adults After a Stroke: A Specific Theory

Authors

DOI:

https://doi.org/10.5294/aqui.2023.23.3.4

Keywords:

Transitional care, caregivers, aged, stroke, nursing theory

Abstract

Introduction: Nursing professionals develop situation-specific theories to describe, explain, and provide comprehensive care during a family member’s transition to the caregiver role. Objective: To develop a situation-specific theory about the transition to the role of family caregiver of older adults after a stroke. Methodology: The integrating approach by Meleis and Im was applied, which consists of five stages: 1) Description of the context and target population, 2) Verification of assumptions regarding the philosophical stance, 3) Exploration of multiple sources, 4) Theorization of concepts, and 5) Proposal of empirical indicators for validation and verification. Results: The prescriptive theory was developed in the light of Afaf Meleis’ Theory of Transitions and was supported by an exhaustive literature review, with four underlying concepts: Situational transition to the family caregiver role, Care-related knowledge and skills, Self-confidence and coping in adopting the caregiver role, and Nursing therapeutic education. The following assumption emerges from these concepts: a healthy transition to the family caregiver role is directly dependent on the care-related knowledge and skills provided by Nursing therapeutic education to develop self-confidence and coping in adopting the caregiver role. Conclusions: The proposal provides a conceptual framework that identifies the transition challenges and needs faced by family caregivers to adopt the role of caregivers of older adults after a stroke.

Downloads

Download data is not yet available.

References

Organización Mundial de la Salud. Envejecimiento y salud. Datos y cifras [Internet]. OMS; 2021. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health

Organización Mundial de la Salud. Enfermedades no transmisibles. Datos y cifras. [Internet]. OMS; 2021. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases

García C, Martínez A, García V, Ricaurte A, Torres I. Actualización en diagnóstico y tratamiento del ataque cerebrovascular isquémico agudo. Univ Med. 2019;60(3). DOI: https://doi.org/10.11144/Javeriana.umed60-3.actu

Organización Panamericana de la Salud (OPS). Causas principales de mortalidad y discapacidad; [Internet]. OPS; 2021. Disponible en: https://www.paho.org/es/enlace/causas-principales-mortalidad-discapacidad

Secretaria de Salud en México (SSM). En 2021, ictus o enfermedad vascular cerebral ocasionó más de 37 mil decesos en México [Internet]; 2022. Disponible en: https://www.gob.mx/salud/prensa/531-en2021-ictus-o-enfermedad-vascular-cerebral-ocasiono-mas-de-37-mil-decesos-en-mexico

Secretaria de Salud en México (SSM). En México se registran alrededor de 170 mil infartos cerebrales [Internet]; 2018. Disponible en: https://www.gob.mx/salud/prensa/415-en-mexico-se-registran-alrededor-de-170-mil-infartos-cerebrales

Instituto Nacional de Estadística y Geografía (INEGI). Estadística de defunciones registradas de enero a junio de 2021 [Internet]; 2022. Disponible en: https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2022/dr/dr2021.pdf

Romão LS, Dias MC, Soeiro, SI, Martins T, Ramos A, Fernandes AS. Fragilidad en ancianos que viven en la comunidad con y sin enfermedad cerebro vascular previa. Rev Cient Soc Esp Enferm Neurol. 2017;46(c):11-7. DOI: https://doi.org/10.1016/j.sedene.2017.07.001

Feigi VL, Brainin M, Norriving B, Martins S, Sacco RL, Hacke W, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke. 2022;17(1):18-29. Available from: https://www.world-stroke.org/news-and-blog/news/wso-global-stroke-fact-sheet-2022

Bender JE. Las enfermedades cerebrovasculares como problema de salud. Rev Cubana Neurol Neurocirugía. 2019;9(2):e335. Disponible en: https://www.medigraphic.com/pdfs/revcubneuro/cnn-2019/cnn192a.pdf

Díaz A, Intriago C. Guía para un plan de egreso en personas con secuelas por Enfermedad Vascular Cerebral. Enferm. univ. 2019;16(4):452-64. DOI: https://doi.org/10.22201/eneo.23958421e.2019.4.746

Brenda B, Alvarado S. Desgaste físico y emocional del cuidador primario en cáncer. Rev Cancerología. 2009;4:39-46. Disponible en: https://xdoc.mx/documents/desgaste-fisico-y-emocional-del-cuidador-primario-en-cancer-5f038f45e096e

Islas NL, Ramos B, Aguilar MG, García ML. Perfil psicosocial del cuidador primario informal del paciente con EPOC. Rev Inst Nal Enf Resp Mex. 2006;19(4):266-71. Disponible en: https://www.scielo.org.mx/pdf/iner/v19n4/v19n4a6.pdf

Izquierdo MJ. El cuidado de los individuos y de los grupos: quién se cuida. Organización social y género. Intercambios, papeles de psicoanàlisis / Intercanvis, papers de psicoanàlisi. 2003;(10):70-82. Disponible en: https://raco.cat/index.php/Intercanvis/article/view/355121

Chaparro L, Rojas J, Carreño S. El rol del cuidador a distancia de personas con enfermedad crónica: scoping review. Rev Cienc Ciudad. 2021;18(1):81-93. DOI: https://doi.org/10.22463/17949831.2447

Cantillo CP, Ramírez CA, Perdomo AY. Habilidad de cuidado en cuidadores familiares de personas con enfermedad crónica y sobrecarga percibida. Cienc Enferm. 2018;24:16. DOI: https://doi.org/10.4067/S0717-95532018000100216

Mamom J, Daovisan H. Listening to caregivers’ voices: The informal family caregiver burden of caring for chronically ill bedridden elderly patients. Int J Environ Res Public Health. 2022;19(1):567. DOI: https://doi.org/10.3390/ijerph19010567

Ramírez-Cortés DF, Reyes-Audiffred V. Experiencias del cuidador familiar ante el duelo con la atención de una enfermera con rol ampliado. Rev Enferm Neurol. 2020;19(3).116-24. DOI: https://doi.org/10.51422/ren.v19i3.311

Duran-Gutiérrez DM, Silva G, Bastos AE, de Souza MN, Diniz CX, Souza GA. Vivências subjetivas de familiares que cuidam de idosos dependentes. Ciên Saúde Colet. 2021;26(1):47-56. DOI: https://doi.org/10.1590/1413-81232020261.30402020

Hernández N, Barragán J, Moreno C. Intervención de enfermería para el bienestar de cuidadores de personas en cuidado domiciliario. Rev Cuid. 2018;9(1):2045-58. DOI: https://doi.org/10.15649/cuidarte.v9i1.479

Labarca MR, Pérez CE. Necesidad de capacitación al cuidador del adulto mayor. Rev Cub Med 2019;58(3):e1305. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_art&pid=S0034-75232019000300003&lng=es

Magagnin AB, Heidemann ITSB, Rumor PCF, Souza JM, Manfrini GC, Alvarez AM. Development of personal skills of family caregivers in the hospitalization of people with a stroke. REME - Rev Min Enferm. 2021;25:e-1375. DOI: http://dx.doi.org/10.5935/1415-2762-20210023

Teixeira RJ, Applebaum AJ, Bhatia S, Brandão T. The impact of coping strategies of cancer caregivers on psychophysiological outcomes: an integrative review. Psychol Res Behav Manag. 2018;11:207-15. DOI: https://doi.org/10.2147/PRBM.S164946

Cuevas JJ, Moreno NE, Jiménez MJ, Padilla N, Pérez I, Flores L. Efecto de la psicoeducación en el afrontamiento y adaptación al rol de cuidador familiar del adulto mayor. Enferm Univ. 2019;16(4):390-401. DOI: https://doi.org/10.22201/eneo.23958421e.2019.4.585

Callista R. Nursing knowledge in the 21st century domain-derived and basic science practice-shaped. Advances in Nursing Science. 2019;42(1):28-42. DOI: https://doi.org/10.1097/ANS.0000000000000240

Im EO. Theory development strategies for middle-range theories. Adv Nurs Sci. 2018;41(3):275-92. DOI: https://doi.org/10.1097/ANS.0000000000000215

Im EO. Properties of situation-specific theories and neo-pragmatism. Adv Nurs Sci. 2021;44(4):114-26. DOI: https://doi.org/10.1097/ANS.0000000000000336

Im EO, Meleis AI. Situation- specific theories: Philosophical roots, properties, and approach. Adv Nurs Sci. 1999;22(2):11–24. DOI: https://doi.org/10.1097/00012272-199912000-00003

Im EO. Development of Situation-specific Theories An Integrative Approach. Adv Nurs Sci. 2005;28(2):287-8. DOI: https://doi.org/10.1097/00012272-200504000-00006

Cuevas KI, Gutiérrez JM. Caracterización de los cuidadores informales de adultos mayores en situación de pandemia por COVID-19 en Tamaulipas, México. SANUS.2022;7:e265. DOI: https://doi.org/10.36789/revsanus.vi1.265

Martin AS, Medina P, Hernández RI, Correa SE, Peralta SL, Vargas MR. Grado de sobrecarga y caracterización de cuidadores de personas adultas mayores con diabetes mellitus tipo 2. Enfermería Global. 2019;56:57-67. DOI: https://doi.org/10.6018/eglobal.18.4.361401

del Ángel JE, León RC, Méndez G, Peñarrieta I, Flores F. Relación entre sobrecarga y competencias del cuidar en cuidadores informales de personas con enfermedades crónicas. MedUNAB. 2020;23(2):233-41. DOI: https://doi.org/10.29375/01237047.3878

Cuevas JJ, Moreno NE, Jiménez MJ, Padilla N, Pérez I, Flores L. Efecto de la psicoeducación en el afrontamiento y adaptación al rol de cuidador familiar del adulto mayor. Enferm. univ. 2019;16(4):390-401. DOI: https://doi.org/10.22201/eneo.23958421e.2019.4.585

Martínez L. Ansiedad, depresión y sobrecarga en cuidadores de adultos centenarios. Rev Cubana Salud Pública. 2018;44(4):61-72. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662018000400061&lng=es

Fernández MB, Herrera MS. El efecto del cuidado informal en la salud de los cuidadores familiares de personas mayores dependientes en Chile. Rev Med Chile 2020;148:30-36. DOI: https://doi.org/10.4067/S0034-98872020000100030

Salazar AM, Cardozo Y, Escobar CL. Carga de cuidado de los cuidadores familiares y nivel de dependencia de su familiar. Investg Enferm Imagen Desarollo. 2020;22. DOI: https://doi.org/10.11144/Javeriana.ie22.cccf

Sánchez CM, Cárcamo C. Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular. Rev Perú Med Exp Salud Pública. 2021;38(1):41-8. DOI: https://doi.org/10.17843/rpmesp.2021.381.6130

López C, Frías A, del Pino R. Sentido de coherencia y sobrecarga subjetiva, ansiedad y depresión en personas cuidadoras de familiares mayores. Gac Sanit. 2019;33(2):185-90. DOI: https://doi.org/10.1016/j.gaceta.2017.09.005

Cantillo CP, Perdomo AY, Ramírez CA. Características y experiencias de los cuidadores familiares en el contexto de la salud mental. Rev Perú Med Exp Salud Pública. 2022;39(2). DOI: https://doi.org/10.17843/rpmesp.2022.392.11111

Ruiz LF, Gordillo AM, Galvis CR. Factores condicionantes básicos en cuidadores informales de pacientes crónicos en el domicilio. Rev Cuid. 2019;10(3): e608. DOI: https://doi.org/10.15649/cuidarte.v10i3.608

Weiss ME, Piacentine LB, Lokken L, Ancona J, Archer J, Gresser S, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. In: Meleis AI. editors. Tansitions theory - Midle range and situation specific theories in nursing research and practice. Nueva York: Springer Publishing Company; 2010. p.153-170.

Davies S. Meleis’s theory of nursing transitions and relatives’ experiences of nursing home entry. In: Meleis AI. editors. Tansitions theory - Midle range and situation specific theories in nursing research and practice. Nueva York: Springer Publishing Company; 2010. p. 209-224.

Rittman M, Boylstein C, Hinojosa R, Sberna M, Haun J. Transition experiences of stroke survivors following discharge home. In: Meleis AI. editors. Tansitions theory - Midle range and situation specific theories in nursing research and practice. Nueva York: Springer Publishing Company; 2010. p.170-186.

Soares MHS, Marques MCP, Rolim ILTP, Santos LFMLM, Lopes MLH, Serra EB, et al. Characterization of the informal caregiver of hospitalized elderly: A cross-sectional study. Online Braz J Nurs. 2022;21:e20226552. DOI: https://doi.org/10.17665/1676-4285.20226552

Parada D, Carreño S, Chaparro L. Soledad, ansiedad y depresión en la adopción del rol de cuidador familiar del paciente crónico. Revista Cuidarte. 2023;14(1):e2451. DOI: https://doi.org/10.15649/cuidarte.2451

Oria M, Elers Y, Aguilar DA, Espinosa A, Duran T, Molote YY et al. Modelos de cuidados a cuidadores familiares de ancianos al final de la vida. Rev Cubana Enfermer. 2022;38(2):e4803. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192022000200011&lng=es

Hernández MA, Fernández MJ, Blanco MA. Depression and burden in the caretaking of elderly. Revista Española de Salud Pública. 2019;93:e1-e10. PMID: 31378780.

Rivas JC, González MS, de la Peña B, Reyes C, Salcedo RA. Cuidador familiar: necesidades y experiencias. Rev Enferm Inst Mex Seguro Soc. 2020;28(3):170-76. DOI: https://doi.org/10.24875/REIMSS.M20000004

Labarca MR, Pérez CE. Necesidad de capacitación al cuidador del adulto mayor. Rev Cubana Med. 2019;58(3):e1305. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232019000300003&lng=es

Rodríguez L, Chaparro L. Soporte social y sobrecarga en cuidadores: revisión integrativa. Rev Cuid. 2020;11(1):e885. DOI: https://doi.org/10.15649/cuidarte.885

Camicia M, Lutz BJ, Harvath T, Kim KK, Drake C, Jill GJ. Development of an instrument to assess stroke caregivers’ readiness for the transition home. Rehabilitation Nursing. 2020;45(5):287-298. DOI: https://doi.org/10.1097/rnj.0000000000000204

Hu P, Yang Q, Kong L, Hu L, Zeng L. Relationship between the anxiety/depression and care burden of the major caregiver of stroke patients. Medicine. 2018;97(40):e12638. DOI: https://doi.org/10.1097/MD.0000000000012638

Pallesen H, Schmidt ET, Kjeldsen SS, Pedersen SK, Sorensen SL. “Stroke - 65 Plus. Continued Active Life”: A study protocol for a randomized controlled cross-sectoral trial of the effect of a novel self-management intervention to support elderly people after stroke. Trials. 2018;19:639. DOI: https://doi.org/10.1186/s13063-018-2961-4

Byun E, Evans L, Sommers M, Tkacs N, Riegel B. Depressive symptoms in caregivers immediately after stroke. Top Stroke Rehabil. 2019;26(3):187-94. DOI: https://doi.org/10.1080/10749357.2019.1590950

Lin S, Dongxia L, Chamberlain D, Newman P, Xie S. The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis. Patient Educ Couns. 2020;103(10):2039-60. DOI: https://doi.org/10.1016/j.pec.2020.05.006

Lin S, Dongxia L, Chamberlain D. A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial. Trials. 2020; 21(240): 2-11. DOI: https://doi.org/10.1186/s13063-020-4156-z

Tyagi S, Koh GC-H, Luo N, Tan KB, Hoenig H, Bruce D, et al. Dyadic approach to supervised community rehabilitation participation in an Asian setting poststroke: Exploring the role of caregiver and patient characteristics in a prospective cohort study. BMJ Open. 2020;10:e036631. DOI: https://doi.org/10.1136/bmjopen-2019-036631

Wang J, Liu J, Li L, Man J, Yue S, Liu Z. Effect of education and muscle relaxation program on anxiety, depression and care burden in caregivers of acute stroke survivors: a randomized, controlled study. Medicine. 2021;100(4):e24154. DOI: https://doi.org/10.1097/MD.0000000000024154

Kazemi A, Azimian J, Maf M, Allen KA, Motalebi S. Caregiver burden and coping strategies in caregivers of older patients with stroke. BMC Psychol. 2021;9:51. DOI: https://doi.org/10.1186/s40359-021-00556-z

Elsheikh MA, Moriyama M, Rahman MM, Kako M, EL-Monshed A, Zoromba M, et al. Effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors: A randomised controlled trial. BMJ Open. 2022;12:e049741. DOI: https://doi.org/10.1136/bmjopen-2021-049741

Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci. 2000;23(1):12-28. DOI: https://doi.org/10.1097/00012272-200009000-00006

Meleis AI, Rogers S. Women in transition: being versus becoming or being and becoming. In: Meleis AI. editors. Tansitions theory - Midle range and situation specific theories in nursing research and practice. Nueva York: Springer Publishing Company; 2010. p.198-208.

Meleis AI. Role insufficiency and role supplementation: A conceptual framework. Nursing Research. 1975;24(4):264-71. DOI: https://doi.org/10.1097/00006199-197507000-00004

Schumacher KL, Meleis AI. Transitions: A central concept in nursing. Image: Journal of Nursing Scholarship. 1994;26(2):119-27. DOI: https://doi.org/10.1111/j.1547-5069.1994.tb00929.x

McCurley J, Funes C, Zale E, Lin A, Jacobo M. Preventing chronic emotional distress in stroke survivors and their informal caregivers. Neurocrit Care. 2018;30:581-9. DOI: https://doi.org/10.1007/s12028-018-0641-6

Tian X, Yu M, Sun Y, Yan H, Ma H. Evidence-based summary for the safety of multiple medication in elderly patients with ischemic stroke. Ann Transl Med. 2022;10(4):202. DOI: https://doi.org/10.21037/atm-22-453

Forster A, Hartley S, Barnard L, Ozer S, Hardicre N, Crocker T et al. An intervention to support stroke survivors and their carers in the longer term (LoTS2Care): Study protocol for a cluster randomised controlled feasibility trial. Trials. 2018;19:317. DOI: https://doi.org/10.1186/s13063-018-2669-5

Silva JK, Angos KF, Alves JP, Rosa DOD, Boery RNSO. Needs for family caregivers of cerebrovascular accident survivors. Invest Educ Enferm 2020;38(3):e06. DOI: https://doi.org/10.17533/udea.iee.v38n3e06

Carreño S, Chaparro L. Adopción del rol del cuidador familiar del paciente crónico: una herramienta para valorar la transición. Investigaciones Andina. 2018;20(36):39-54. DOI: https://doi.org/10.33132/01248146.968

LeLaurin JH, Lamba AH, Eliazar ND, Schmitzberger MK, Freytes M, Dang S, et al. Postdischarge intervention for stroke caregivers: Protocol for a randomized controlled trial. JMIR Res Protoc. 2020;9(11):e21799. DOI: https://doi.org/10.2196/21799

Zhang L, Zhang T, Sun AY. A newly designed intensive caregiver education program reduces cognitive impairment, anxiety, and depression in patients with acute ischemic stroke. Brazilian Journal of Medical and Biological Research. 2019;52(9):e8533. DOI: https://doi.org/10.1590/1414-431x20198533

Farahani M, Bahloli S, JamshidiOrak R, Ghaffari F. Investigating the needs of family caregivers of older stroke patients: A longitudinal study in Iran. BMC Geriatrics. 2020;20:313. DOI: https://doi.org/10.1186/s12877-020-01670-0

Predebon ML, Dal Pizzol FLF, Santos NO, Bierhals CCBK, Rosset I, Paskulin LMG. The capacity of informal caregivers in the rehabilitation of older people after a stroke. Invest Educ Enferm 2021;39(2):e03. DOI: https://doi.org/10.17533/udea.iee.v39n2e03

Vluggen TP, Haastregt JMC, Tan FE, Verbunt JA, Heugten CM, Schols JM. Effectiveness of an integrated multidisciplinary geriatric rehabilitation programme for older persons with stroke: A multicentre randomised controlled trial. BMC Geriatrics. 2021;21(134):2-11. DOI: https://doi.org/10.1186/s12877-021-02082-4

Chen L, Xiao LD, Chamberlain D, BBus PN. Enablers and barriers in hospital-to-home transitional care for stroke survivors and caregivers: A systematic review. J Clin Nurs. 2021;30(19-20):2786-807. DOI: https://doi.org/10.1111/jocn.15807

Hall J, Crocker TF, Clarke DJ, Forster A. Supporting carers of stroke survivors to reduce carer burden: development of the Preparing is Caring intervention using Intervention Mapping. BMC Public Health. 2019;19(1408):2-16. DOI: https://doi.org/10.1186/s12889-019-7615-2

Jírů S, Gabriel K, Schuler M, Wiedmann S. Experiences of family caregivers 3-months after stroke: results of the prospective transregional network for stroke intervention with telemedicine registry (TRANSIT-Stroke). BMC Geriatrics. 2022; 22:228. DOI: https://doi.org/10.1186/s12877-022-02919-6

Carreño S. El cuidado transicional de enfermería aumenta la competencia en el rol del cuidador del niño con cáncer. PSIC. 2016;13(2-3):321-32. DOI: https://doi.org/10.5209/PSIC.54439

Deng A, Yang S, Xiong R. Effects of an integrated transitional care program for stroke survivors living in a rural community: a randomized controlled trial. Clinical Rehabilitation. 2020;1-9. DOI: https://doi.org/10.1177/0269215520905041

Kable A, Baker A, Pond D, Southgate E, Turner A, Levi C. Health professionals’ perspectives on the discharge processand continuity of care for stroke survivors discharged home in regional Australia: A qualitative, descriptive study. Nurs Health Sci. 2019;21(2):253-61. DOI: https://doi.org/10.1111/nhs.12590

Labberton A, Augestad L, Thommessen B, Barra M. The association of stroke severity with health‑related quality of life in survivors of acute cerebrovascular disease and their informal caregivers during the frst year post stroke: a survey study. Quality of Life Research. 2020;29:2679-2693. DOI: https://doi.org/10.1007/s11136-020-02516-3

Zhou B, Zhang J, ZhaoY, Li X, Anderson CS, Xie B, et al. Caregiver-Delivered Stroke Rehabilitation in Rural China The RECOVER Randomized Controlled Trial. Stroke. 2019;50:1825-30. DOI: https://doi.org/10.1161/STROKEAHA.118.021558

González M, Landero R. Factor Structure of The Perceived Stress Scale (PSS) in a Sample from Mexico. Spanish J Psychol 2007;10(1):199-206. DOI: https://doi.org/10.1017/S1138741600006466

Madrigal AV, María Guadalupe Pablo MA, Flores F, Urdapilleta E, Lara G, Galindo Ó. Propiedades psicométricas de la Escala de Ansiedad y Depresión Hospitalaria (HADS) en una muestra de pacientes mexicanos con enfermedades respiratorias. Psicol Salud. 2021;31(2):323-332. DOI: https://doi.org/10.25009/pys.v31i2.2700

Carreño S, Chaparro L, Cáliz NE, Rivera N. Validez de la escala de soledad UCLA en cuidadores de pacientes crónicos en Colombia. Investigación en Enfermería: Imagen y Desarrollo. 2022;24. DOI: https://doi.org/10.11144/Javeriana.ie24.vesu

López JA, González RA, Tejada JM. Propiedades psicométricas de la versión en español de la escala de calidad de vida WHO QoL BREF en una muestra de adultos mexicanos. Rev Iberoamericana Diagnóstico Eval 2017;44(2):105115. DOI: https://doi.org/10.21865/RIDEP44.2.09

Vergara Merado M, Barrera Ortiz L. Confiabilidad del instrumento “habilidad de cuidado de cuidadores de pacientes con enfermedades crónicas”. Av Enferm. 2013;31(2):12-20. Disponible en: http://www.scielo.org.co/pdf/aven/v31n2/v31n2a02.pdf

Carrillo G, Sánchez B, Vargas E. Desarrollo y pruebas psicométricas del instrumento “cuidar” versión corta para medir la competencia de cuidado en el hogar. Rev Univ Ind Santander Salud. 2016;48(2):222-31. DOI: https://doi.org/10.18273/revsal.v48n2-2016007

González E, Torres JM, Alba LC, Crespo T. Escala de medición del proceso de afrontamiento y adaptación de Callista Roy en cuidadores primarios. Medicentro Electrónica. 2020;24(3):548-563. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432020000300548&lng=es

Zenteno A, Cid P, Saez K. Autoeficacia del cuidador de la persona en estado crítico. Enferm Universitaria. 2017;14(3):146-54. DOI: https://doi.org/10.1016/j.reu.2017.05.001

Santiago P, Domínguez B, Peláez V, Rincón S, Orea A. Propiedades psicométricas de la escala de carga Zarit para cuidadores de pacientes con insuficiencia cardiaca. Integración Académica en Psicología. 2016;4(11). Disponible en: https://integracion-academica.org/attachments/article/133/09%20Psicomertico%20Escala%20Zarit%20-%20PSantiago%20BDominguez%20et%20all.pdf

Published

2023-09-13

How to Cite

Saucedo-Pahua, G., López-González, J. A., Gómez-García, A., Silva Fhon, J. R., & Jiménez-González, M. de J. (2023). Transition to the Role of Family Caregiver of Older Adults After a Stroke: A Specific Theory. Aquichan, 23(3), e2334. https://doi.org/10.5294/aqui.2023.23.3.4

Issue

Section

Articles