| The purpose of this study was to understand caregivers' stress sources
in a home healthcare setting and to understand factors that influenced patients'
Bathel score after 2 months of home healthcare service. From April 1994 to
December 1995, we collected 120 cases from the Home Healthcare Team in a medical
center. We found that 68.3% of the patients were male, while 80.7% of the
caregivers were female, and 18% of the families had care-assistants. From 10
common stress sources, caregivers perceived 3.87 ± 2.50 stressful items on
average. The mean score of overall stress perceived was 7.29 ± 2.23. The mean
APGAR Family Function Index was 5.70 ± 3.48. There was no statistically
significant difference in the patients' Bathel score after 2 months of home
healthcare service. From logistic regression, the caregiver's Stressful Event
Index was related to the time spent in daily care and family function.
Caregivers' perception of overall stress score were related to the time spent in
daily care, assistance from family members, and dispute frequency within the
family about how to care. With multivariate regression, we found that factors
influencing patients' Bathel score prior to home health care service were
related to family finance only, but factors influenced on the score after 2
months' service were related to patients' age, number of family members, family
function and care hours from care-assistants. Factors associated with the
interval changes of the patients' Bathel score were caregivers, age, number of
helpful family members, family finance, and its score prior to home healthcare.
This investigation explored caregivers' major stress items and factors that
influenced patients' activity functioning during home health service. These
findings may be a helpful reference for home healthcare workers.