İnmeli Bireylere Bakım Verenlerde Sosyal Problem Çözme Yaklaşımının Bakım Verme Rolü, Depresyon ve Yaşam Kalitesi Üzerine Etkisi
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Effects of Social Problem Solving Approach on Caregiving Role, Depression and Quality of Life in Stroke Caregivers. Hacettepe University Institude of Health Sciences Phd Thesis in Occupational Therapy, Ankara, 2014. It is seen in stroke caregiver have different degrees of physical and emotional problems. Occupational therapists can provide quality of life development in caregivers by defining the caregivers meet problems. The aim of the study is to investigate effects of client centre social problem solving approach on caregiving role, depression and quality of life in stroke caregivers. Acute stroke individuals'primary caregivers were included in this study. 61 stroke individuals'caregivers whoes fifty years of age included in this study. Caregivers were divided into two groups (treatment and control) with random sampling method. Basic occupational therapy strategies were explained for two groups in hospital environment. However in accordance Person Environment Occupation (PEO) when using social problem solving approach in starting hospital environment until 12. week after discharge period for treatment group. With this approach it was providen awareness about defining problems which caregivers meet in acute stage creating solution and implementationing solutions. This programme was followed during weeks 2., 3., 4., 6., 8., 10., 12. after discharge with telephone contacts. Influence by the care process level with Bakas Caregiving Outcomes Scale (BCOS), depression level with Beck Depression Inventory (BDI), quality of life with Nottingham Health Profile (NHP), lived in the home environment with home assessment profile, between person and environment fit with person environment fit scale were assessed to caregivers. All assessments were made again in treatment group after treatment (13. weak). All assessments were made and results were compared for both groups in 24. weak. Significant difference was identified treatment group in favor of the between caregivers' BCOS and BDI total points in last measurements (p<0,01). Results were found treatment group in favor of between energy level, emotional reaction, social isolation, physical mobility, sleep area points and total points in NHP in both caregivers'last measurement (p<0,05). Difference wasn't detected between caregivers' first and last measuremnets from home assessment profile points and person-environment fit scale (p>0,05). Social problem solving approach in occupational therapy interventions provide positive gain to decrease depression level and caregiver burden and increase quality of life in stroke caregiver. There is a need to long term assessmet and appropriate intervention with community base occupational therapy perspective for caregiver.