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Health Promotion International, Vol. 17, No. 4, 329-339, December 2002
© Oxford University Press 2002

Health promotion behaviors in Chinese family caregivers of patients with stroke

Yu-Ying Tang and Shu-Pi Chen1

School of Nursing, National Defense Medical Center, Taipei, Taiwan and 1 School of Nursing, St. Xavier University, Chicago, IL, USA

Address for correspondence: Dr Yu-Ying Tang School of Nursing National Defense Medical Center, 4F, 161, Section 6 Min-Chuan E. Road Taipei Taiwan 114

The purpose of this study was to explore the relationship between and among the caregiver’s personal factors, the care recipient’s functional status, the caregiver’s perceived self-efficacy, social support, reactions to caregiving, and health promotion behaviors in family caregivers of community-dwelling stroke patients in Taiwan. A structured home-interview survey methodology was used to collect data from 134 primary caregivers responsible for care of stroke patients in Taipei, Taiwan. The study results indicated that, in general, caregivers were female spousal caregivers (mean age 52 years, average caregiving period 24 months). Regression analyses revealed that the caregiver’s health status was the strongest positive predictor of caregiver self-efficacy. Spousal caregivers with a better-perceived health status were more satisfied with their resources of social supports. Spousal caregivers with poor perceived health status had a higher level of caregiving strain. Results for the overall model indicated caregiver’s social support and the care recipient’s functional status made significant contributions in explaining the caregiver’s health promotion behaviors. Implications for further practice suggest establishing community training programs and support groups for family caregivers.

Key words: caregiving; health promotion; self-efficacy; social support


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[Abstract] [Full Text] [PDF]


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