IMPACT OF CARE CONDITIONS ON THE CAREGIVER'S QUALITY OF LIFE IN CASES WITH ALZHEIMER’S DISEASE

Year 2020, , 1 - 5, 30.04.2020

Nilgün Çinar Sevki Sahin , Miruna Florentina Ateş , Sibel Karşıdağ

https://doi.org/10.35514/mtd.2020.20

Abstract

Background and objectives: The quality of life (QoL) of caregivers of Alzheimer’s Disease (AD) patients shows individual variability. In this study, we aimed to demonstrate the variability of caregiver burden under differing cases of AD care conditions.
Materials and methods: In this cross-sectional study, 321 AD caregivers were selected. The primary caregivers of the patient - who were volunteers in our study - are divided into three groups as; Group I: home care (n:111), Group II: day-care center (n:99), Group III: nursing home care (n:111). Patients were classified according to the clinical dementia rating scale (CDR) and evaluated by and Cohen-Mansfield Agitation Inventory (CMAI). Beck anxiety scale (BAS), Beck depression scale (BDS), World Health Organization Quality of Life Assessment short version (WHOQOL-BREF), Zarit Caregiver Burden Interview (ZCBI) and a sociodemographic questionnaire were applied to all caregivers.
Results: According to average age, group III was significantly older than others. There was no statistically significant difference between the groups in terms of duration of patient care. BDS was significantly higher in group III. WHOQOL-BREF score was significantly lower in group III and CMAI score was significantly higher in group III. There was no statistically significant difference between the groups in terms of ZCBI.
Conclusion: Our results revealed that day-care centers play a meaningful role in reducing the stress of caregivers and increasing their QoL. Low-income, chronic diseases of the caregivers, and aggressiveness their patients are the most important factors affecting the caregiver’s QoL.

Keywords

Quality of life, burden, caring, Alzheimer's

Thanks

Dear Editor, We are sending you an ‘Original Article’ for evaluation, titled as ‘Impact of Care Conditions on the Caregiver's Quality of Life in Cases with Alzheimer’s Disease’. The past years Alzheimer’s disease is most often seen and the burden of their care is affecting not only their relatives, but also the society. This disease lately is getting more popular and because treatment is not yet possible, we need to get all our research to prevent and care support of those patients. We hope our article find a chance to be published in your valuable journal. This study has not been, nor will be, published in whole or in part in any other journal. All co-authors have seen and approved the final version of the paper and accept responsibility for the data presented. There are no conflict of interest. Yours Sincerely, Miruna Florentina Ates, Assistant Prof. M.D. Maltepe University, Faculty of Medicine, Department of Neurology, Tel: [phone] E- Mail: [e-mail]

ALZHEİMER HASTALARINDA BAKIM KOŞULLARININ BAKIM VERENİN YAŞAM KALİTESİNE ETKİSİ

Abstract

Giriş ve Amaç: Alzheimer Hastalığı (AH) bakımverenlerinin yaşam kalitesi (YK) bireysel değişkenlik göstermektedir. Bu çalışmada, bakım koşulları farklı AH olgularında bakımveren yükünün değişkenliğini göstermeyi amaçladık.
Gereç ve yöntem: Kesitsel tipteki bu çalışmada 321 AH bakımvereni seçildi. Çalışmamızda gönüllü olan hastanın birincil bakımverenleri üç gruba ayrılmıştır; Grup I: evde bakım (n: 111), Grup II: gündüz bakım merkezi (n: 99), Grup III: huzurevi (n: 111). Hastalar Klinik demans derecelendirme ölçeği (KDDÖ)’ne göre sınıflandırıldı ve Cohen-Mansfield Ajitasyon İnvanteri (CMAI) ile değerlendirildi. Beck anksiyete ölçeği (BAÖ), Beck depresyon ölçeği (BDÖ), Dünya Sağlık Örgütü-Yaşam Kalitesi Değerlendirmesi-kısa versiyonu (WHOQOL-BREF), Zarit Bakım verme yükü ölçeği (ZBVYÖ) ve sosyodemografik bir anket tüm bakımverenlere uygulandı.
Bulgular: Ortalama yaşa göre, grup III diğerlerinden anlamlı olarak daha yaşlıydı. Gruplar arasında hasta bakım süresi açısından istatistiksel olarak anlamlı fark yoktu. BDÖ grup III'de anlamlı olarak yüksekti. WHOQOL-BREF skoru grup III'de anlamlı olarak daha düşük ve CMAI skoru grup III'de anlamlı olarak daha yüksekti. Bakım yükü puanları açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu.
Sonuç: Sonuçlarımız, gündüz bakım merkezlerinin bakım verenlerin stresini azaltmada ve yaşam kalitesini arttırmada anlamlı bir rol oynadığını ortaya koymuştur. Bakıcıların düşük geliri, kronik hastalıkları olması ve hastalarının agressifliği, bakımverenin yaşam kalitesini etkileyen en önemli faktörlerdir.

Keywords

yaşam kalitesi, yük, bakım, Alzheimer

References

• 1. Liu S, Li C, Shi Z, Wang X, Zhou Y, Liu S, et al. Caregiver burden and prevalence of depression, anxiety and sleep disturbances in Alzheimer's disease caregivers in China. J Clin Nurs. 2017;26:1291-300.
• 2. Şahin ZA, Polat H, Ergüney S. Kemoterapi alan hastalara bakım verenlerin bakım verme yüklerinin belirlenmesi. Ankara Üniversitesi Hemşirelik Yüksek Okulu Dergisi. 2009;12: 1-9.
• 3. Tel H, Demirkol D, Kara S, Aydın D. Care Burden and Quality of Life Among the Caregivers of Patients with COPD. Turk Toraks Derg. 2012;13:87-92.
• 4. Römhild J, Fleischer S, Meyer G, Stephan A, Zwakhalen S, Leino-Kilpi H, et al. Inter- rater agreement of the Quality of Life-Alzheimer's Disease (QoL-AD) self rating and proxy rating scale: secondary analysis of Right Time Place Care data. Health Qual Life Outcomes. 2018;28:131.
• 5. Zwaanswijk M, Peeters JM, van Beek AP, Meerveld JH, Francke AL. Informal caregivers of people with dementia: problems, needs and support in the initial stage and in subsequent stages of dementia: a questionnaire survey. Open Nurs J. 2013;7:6-13.
• 6. Dimakopoulou E,Sakka P, Efthymiou AC, Karpathiou N, Karydaki M. Evaluating the Needs of Dementia Patients’ Caregivers in Greece: A Questionnaire Survey. IJCS. 2015;8:274-80.
• 7. Zarit SH, Reever KE, Bach-Peterson J. Relatives of The Impaired Elderly: Correlates of Feelings of Burden. Gerontologist. 1980;20:649-55.
• 8. İnci FH, Erdem M. Bakım verme yükü ölçeğinin Türkçe’ye uyarlanması geçerlilik ve güvenirliliği. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2008;11:4.
• 9. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56:893–7.
• 10. Ulusoy M, Şahin N, Erkmen H. Türkish version of the Beck Anxiety İnventory. J.Cogn Psychother. 1998;12:163–72.
• 11. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71.
• 12. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi. 1989;7:3–13.
• 13. Eser E, Fidnner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF’in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7:23-40.
• 14. Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL. A new clinical scale for the staging of dementia. Br J Psychiatry. 1982;140:566–72.
• 15. Ozel Kizil ET, Bastug G, Erdogan S, Sakarya D. Psychometric properties of the Turkish version of Cohen-Mansfield Agitaton Inventory in patients with dementia. Turk Geriatri Derg. 2012;15:24-9.
• 16. Cohen-Mansfield J, Marx MS, Rosenthal AS. A description of agitation in a nursing home. J Gerontol. 1989;44:77–84.
• 17. Yu H, Wang X, He R, Liang R, Zhou L. Measuring the Caregiver Burden of Caring for Community-Residing People with Alzheimer’s Disease. PLoS One. 2015;8:1-13.
• 18. Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;12:1052-60.
• 19. Zucchella C, Bartolo M, Bernini S, Picascia M, Sinforiani E. Quality of life in Alzheimer disease: a comparison of patients' and caregivers' points of view. Alzheimer Dis Assoc Disord. 2015;29:50-4.
• 20. Prince MJ. The 10/66 dementia research group - 10 years on. Indian J Psychiatry. 2009;51:S8–S15.
• 21. Sharma N, Chakrabarti S, Grover S. Gender differences in caregiving among family -caregivers of people with mental illnesses. World J Psychiatry. 2016;22:7-17.
• 22. Baker KL, Robertson N. Coping with caring for someone with dementia: reviewing the literature about men. Aging Ment Health. 2008;12:413–22.
• 23. Akyar İ, Akdemir N. Alzheimer Hastalarına Bakım Verenlerin Yaşadıkları Güçlükler. Hacettepe Hemşirelik Dergisi. 2009;16;32-49.
• 24. Moscoso MA, Marques RCG, Ribeiz SRI, Dos Santos L, Bezerra DM, Jacob Filho W, et al. Profile of caregivers of Alzheimer's disease patients attended at a reference center for cognitive disorders. Dement Neuropsychol. 2007;1:412-17.
• 25. Miller EA, Schneider LS, Rosenheck RA. Predictors of nursing home admission among Alzheimer's disease patients with psychosis and/or agitation. Int Psychogeriatr. 2011;23:44-53.
• 26. Kazhungil F, Velayudhan R, Kumar M, Thazhe Mangool R. A comparative study of caregiver burden in late-onset depression and Alzheimer's disease. Psychogeriatrics. 2016;16:209-15.
• 27. Rodríguez-González AM, Rodríguez-Míguez E, Duarte-Pérez A, Díaz-Sanisidro E, Barbosa-Álvarez Á, Clavería A; Grupo Zarit. Cross-sectional study of informal caregiver burden and the determinants related to the care of dependent persons. Aten Primaria. 2017;49:156-65.
• 28. Large S, Slinger R. Grief in caregivers of persons with Alzheimer's disease and related dementia: a qualitative synthesis. Dementia (London). 2015;14:164-83.