Research Article
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Burden, depression and fatigue in caregivers of lung transplantation candidates

Year 2023, , 18 - 23, 31.01.2023
https://doi.org/10.5472/marumj.1244390

Abstract

Objective: A great deal of social support is often provided by the caregiver of the patient. The purpose of this study is to evaluate the
burden, fatigue and depression of the primary caregiver of patients with pulmonary transplantation candidates.
Patients and Method: The primary caregivers of patients who were admitted to our hospital’s pulmonary transplant outpatient clinic
with end-stage pulmonary disease and no definite contraindications for transplantation, were included in the study. Zarit Burden
Scale, Beck Depression Inventory and Short-Form (SF)-36 – Vitality questionnaires were applied to participants.
Results: Thirty-nine patients and their caregivers were evaluated. Caregivers experienced low levels of depression. Mean score for
Beck Depression Inventory was 12.7±10.1. Caregivers generally experienced medium levels of burden. Mean score for Zarit Burden
Scale was 26.9±14.2. Majority of caregivers experienced clinically significant fatigue. Mean score for SF-36 – Vitality was 61±16.7.
Zarit Burden Scale scores and Beck Depression Inventory scores showed a statistically significant positive correlation (r:0.962 p<0.01).
Conclusion: Increased burden of caregivers of lung transplant candidates was associated with depression and fatigue. The presence of
depressive symptoms is noteworthy even in the mild to moderate levels of burden. Supporting caregivers, has a great importance in
terms of patient care and quality.

References

  • Hardy JD, Webb WR, Dalton ML, Jr., Walker GR, Jr. Lung homotransplantation in man. JAMA 1963;186:1065-74.
  • Reitz BA, Wallwork JL, Hunt SA, et al. Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease. N Engl J Med 1982;306:557-64. doi: 10.1056/nejm198.203.113061001
  • Group TLT. Unilateral lung transplantation for pulmonary fibrosis. N Engl J Med 1986;314:1140-5. doi: 10.1056/ nejm198.605.013141802
  • Yusen RD, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report—2015; Focus Theme: Early Graft Failure. J Heart Lung Transplant 2015;34:1264-77. doi: 10.1016/j.healun.2015.08.014
  • Weill D, Benden C, Corris PA, et al. A consensus document for the selection of lung transplant candidates: 2014—an update from the Pulmonary Transplantation Council of the International Society for Heart and Lung Transplantation. J Heart Lung Transplant. 2015;34:1-15. doi: 10.1016/j. healun.2014.06.014
  • Elkington H, White P, Addington-Hall J, Higgs R, Edmonds P. The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life. Palliat Med 2005;19:485- 91. doi: 10.1191/026.921.6305pm1056oa
  • Janssen DJ, Spruit MA, Wouters EF, Schols JM. Family caregiving in advanced chronic organ failure. J Am Med Dir Assoc 2012;13:394-9. doi: 10.1016/j.jamda.2011.04.017
  • Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA 1999;282:2215-9.
  • Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J 1965;14:61-5.
  • Küçükdeveci AA, Yavuzer G, Tennant A, Süldür N, Sonel B, Arasil T. Adaptation of the modified Barthel Index for use in physical medicine and rehabilitation in Turkey. Scand J Rehabil Med 2000;32:87-92.
  • Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20:649-55.
  • İnci FH, Erdem M. Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanmasi geçerlilik ve güvenilirliği. Journal of Anatolia Nursing and Health Sciences 2010;11:85-95.
  • Yüksel G, Varlıbaş F, Karlıkaya G, Şıpka Y, Tireli H. Parkinson hastalığında bakıcı yükü. Parkinson Hastalığı ve Hareket Bozuklukları Dergisi. 2007;10:26-34.
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • Kapci EG, Uslu R, Turkcapar H, Karaoglan A. Beck Depression Inventory II: evaluation of the psychometric properties and cut-off points in a Turkish adult population. Depress Anxiety 2008;25:E104-10. doi: 10.1002/da.20371
  • Ware JJ, Kosinski M, Gandek B. SF-36 ® Health Survey: Manual and interpretation guide. Lincoln, RI: Quality Metric Inc; 1993.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. The validity and reliability of Turkish version of the Short Form 36 (SF-36). Turkish J Drugs Therap 1999;12:102-6.
  • Hatt K, Kinback NC, Shah A, Cruz E, Altschuler EL. A review of lung transplantation and its implications for the Acute Inpatient Rehabilitation Team. PM R 2017;9:294-305. doi: 10.1016/j.pmrj.2016.09.013
  • Mathur S, Reid WD, Levy RD. Exercise limitation in recipients of lung transplants. Phys Ther 2004;84:1178-87.
  • Mant J, Carter J, Wade DT, Winner S. Family support for stroke: a randomised controlled trial. Lancet 2000;356:808-13. doi: 10.1016/s0140-6736(00)02655-6
  • Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ 2006;333:1196. doi: 10.1136/ bmj.39001.688843.BE
  • McMillan SC, Small BJ, Weitzner M, et al. Impact of coping skills intervention with family caregivers of hospice patients with cancer: a randomized clinical trial. Cancer 2006;106:214- 22. doi: 10.1002/cncr.21567
  • Miller B, Townsend A, Carpenter E, Montgomery RV, Stull D, Young RF. Social support and caregiver distress: a replication analysis. J Gerontol B Psychol Sci Soc Sci 2001;56:S249-56.
  • Hudson PL, Thomas K, Trauer T, Remedios C, Clarke D. Psychological and social profile of family caregivers on commencement of palliative care. J Pain Symptom Manage 2011;41:522-34. doi: 10.1016/j.jpainsymman.2010.05.006
  • Pinto RA, Holanda MA, Medeiros MM, Mota RM, Pereira ED. Assessment of the burden of caregiving for patients with chronic obstructive pulmonary disease. Respir Med 2007;101:2402-8. doi: 10.1016/j.rmed.2007.06.001
  • George LK, Gwyther LP. Caregiver well-being: a multidimensional examination of family caregivers of demented adults. Gerontologist 1986;26:253-9.
  • Canning RD, Dew MA, Davidson S. Psychological distress among caregivers to heart transplant recipients. Soc Sci Med 1996;42:599-608.
  • Tam V, Arnaoutakis GJ, George TJ, et al. Marital status improves survival after orthotopic heart transplantation. J Heart Lung Transplant 2011;30(:1389-94. doi: 10.1016/j. healun.2011.07.020
  • Naiman N, Baird BC, Isaacs RB, et al. Role of pre-transplant marital status in renal transplant outcome. Clin Transplant 2007;21:38-46. doi: 10.1111/j.1399-0012.2006.00575.x
  • Chan KY, Yip T, Yap DY, et al. Enhanced psychosocial support for caregiver burden for patients with chronic kidney failure choosing not to be treated by dialysis or transplantation: A pilot randomized controlled trial. Am J Kidney Dis 2016;67:585-92. doi: 10.1053/j.ajkd.2015.09.021
  • Dew MA, Switzer GE, Goycoolea JM, et al. Does transplantation produce quality of life benefits? A quantitative analysis of the literature. Transplantation 1997;64:1261-73.
  • Claar RL, Parekh PI, Palmer SM, et al. Emotional distress and quality of life in caregivers of patients awaiting lung transplant. J Psychosom Res 2005;59:1-6. doi: 10.1016/j. jpsychores.2005.03.007
  • Dew MA, Myaskovsky L, DiMartini AF, Switzer GE, Schulberg HC, Kormos RL. Onset, timing and risk for depression and anxiety in family caregivers to heart transplant recipients. Psychol Med 2004;34:1065-82.
  • Mollberg NM, Farjah F, Howell E, Ortiz J, Backhus L, Mulligan MS. Impact of primary caregivers on long-term outcomes after lung transplantation. J Heart Lung Transplant 2015;34:59-64. doi: 10.1016/j.healun.2014.09.022
Year 2023, , 18 - 23, 31.01.2023
https://doi.org/10.5472/marumj.1244390

Abstract

References

  • Hardy JD, Webb WR, Dalton ML, Jr., Walker GR, Jr. Lung homotransplantation in man. JAMA 1963;186:1065-74.
  • Reitz BA, Wallwork JL, Hunt SA, et al. Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease. N Engl J Med 1982;306:557-64. doi: 10.1056/nejm198.203.113061001
  • Group TLT. Unilateral lung transplantation for pulmonary fibrosis. N Engl J Med 1986;314:1140-5. doi: 10.1056/ nejm198.605.013141802
  • Yusen RD, Edwards LB, Kucheryavaya AY, et al. The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report—2015; Focus Theme: Early Graft Failure. J Heart Lung Transplant 2015;34:1264-77. doi: 10.1016/j.healun.2015.08.014
  • Weill D, Benden C, Corris PA, et al. A consensus document for the selection of lung transplant candidates: 2014—an update from the Pulmonary Transplantation Council of the International Society for Heart and Lung Transplantation. J Heart Lung Transplant. 2015;34:1-15. doi: 10.1016/j. healun.2014.06.014
  • Elkington H, White P, Addington-Hall J, Higgs R, Edmonds P. The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life. Palliat Med 2005;19:485- 91. doi: 10.1191/026.921.6305pm1056oa
  • Janssen DJ, Spruit MA, Wouters EF, Schols JM. Family caregiving in advanced chronic organ failure. J Am Med Dir Assoc 2012;13:394-9. doi: 10.1016/j.jamda.2011.04.017
  • Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA 1999;282:2215-9.
  • Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J 1965;14:61-5.
  • Küçükdeveci AA, Yavuzer G, Tennant A, Süldür N, Sonel B, Arasil T. Adaptation of the modified Barthel Index for use in physical medicine and rehabilitation in Turkey. Scand J Rehabil Med 2000;32:87-92.
  • Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20:649-55.
  • İnci FH, Erdem M. Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanmasi geçerlilik ve güvenilirliği. Journal of Anatolia Nursing and Health Sciences 2010;11:85-95.
  • Yüksel G, Varlıbaş F, Karlıkaya G, Şıpka Y, Tireli H. Parkinson hastalığında bakıcı yükü. Parkinson Hastalığı ve Hareket Bozuklukları Dergisi. 2007;10:26-34.
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • Kapci EG, Uslu R, Turkcapar H, Karaoglan A. Beck Depression Inventory II: evaluation of the psychometric properties and cut-off points in a Turkish adult population. Depress Anxiety 2008;25:E104-10. doi: 10.1002/da.20371
  • Ware JJ, Kosinski M, Gandek B. SF-36 ® Health Survey: Manual and interpretation guide. Lincoln, RI: Quality Metric Inc; 1993.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. The validity and reliability of Turkish version of the Short Form 36 (SF-36). Turkish J Drugs Therap 1999;12:102-6.
  • Hatt K, Kinback NC, Shah A, Cruz E, Altschuler EL. A review of lung transplantation and its implications for the Acute Inpatient Rehabilitation Team. PM R 2017;9:294-305. doi: 10.1016/j.pmrj.2016.09.013
  • Mathur S, Reid WD, Levy RD. Exercise limitation in recipients of lung transplants. Phys Ther 2004;84:1178-87.
  • Mant J, Carter J, Wade DT, Winner S. Family support for stroke: a randomised controlled trial. Lancet 2000;356:808-13. doi: 10.1016/s0140-6736(00)02655-6
  • Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ 2006;333:1196. doi: 10.1136/ bmj.39001.688843.BE
  • McMillan SC, Small BJ, Weitzner M, et al. Impact of coping skills intervention with family caregivers of hospice patients with cancer: a randomized clinical trial. Cancer 2006;106:214- 22. doi: 10.1002/cncr.21567
  • Miller B, Townsend A, Carpenter E, Montgomery RV, Stull D, Young RF. Social support and caregiver distress: a replication analysis. J Gerontol B Psychol Sci Soc Sci 2001;56:S249-56.
  • Hudson PL, Thomas K, Trauer T, Remedios C, Clarke D. Psychological and social profile of family caregivers on commencement of palliative care. J Pain Symptom Manage 2011;41:522-34. doi: 10.1016/j.jpainsymman.2010.05.006
  • Pinto RA, Holanda MA, Medeiros MM, Mota RM, Pereira ED. Assessment of the burden of caregiving for patients with chronic obstructive pulmonary disease. Respir Med 2007;101:2402-8. doi: 10.1016/j.rmed.2007.06.001
  • George LK, Gwyther LP. Caregiver well-being: a multidimensional examination of family caregivers of demented adults. Gerontologist 1986;26:253-9.
  • Canning RD, Dew MA, Davidson S. Psychological distress among caregivers to heart transplant recipients. Soc Sci Med 1996;42:599-608.
  • Tam V, Arnaoutakis GJ, George TJ, et al. Marital status improves survival after orthotopic heart transplantation. J Heart Lung Transplant 2011;30(:1389-94. doi: 10.1016/j. healun.2011.07.020
  • Naiman N, Baird BC, Isaacs RB, et al. Role of pre-transplant marital status in renal transplant outcome. Clin Transplant 2007;21:38-46. doi: 10.1111/j.1399-0012.2006.00575.x
  • Chan KY, Yip T, Yap DY, et al. Enhanced psychosocial support for caregiver burden for patients with chronic kidney failure choosing not to be treated by dialysis or transplantation: A pilot randomized controlled trial. Am J Kidney Dis 2016;67:585-92. doi: 10.1053/j.ajkd.2015.09.021
  • Dew MA, Switzer GE, Goycoolea JM, et al. Does transplantation produce quality of life benefits? A quantitative analysis of the literature. Transplantation 1997;64:1261-73.
  • Claar RL, Parekh PI, Palmer SM, et al. Emotional distress and quality of life in caregivers of patients awaiting lung transplant. J Psychosom Res 2005;59:1-6. doi: 10.1016/j. jpsychores.2005.03.007
  • Dew MA, Myaskovsky L, DiMartini AF, Switzer GE, Schulberg HC, Kormos RL. Onset, timing and risk for depression and anxiety in family caregivers to heart transplant recipients. Psychol Med 2004;34:1065-82.
  • Mollberg NM, Farjah F, Howell E, Ortiz J, Backhus L, Mulligan MS. Impact of primary caregivers on long-term outcomes after lung transplantation. J Heart Lung Transplant 2015;34:59-64. doi: 10.1016/j.healun.2014.09.022
There are 34 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Sehnaz Olgun Yıldızelı This is me 0000-0002-3236-3995

Asli Tufan Cıncın This is me 0000-0002-7522-8275

Huseyin Arıkan This is me 0000-0001-8837-2527

Emel Eryuksel This is me 0000-0002-2194-8066

Publication Date January 31, 2023
Published in Issue Year 2023

Cite

APA Olgun Yıldızelı, S., Tufan Cıncın, A., Arıkan, H., Eryuksel, E. (2023). Burden, depression and fatigue in caregivers of lung transplantation candidates. Marmara Medical Journal, 36(1), 18-23. https://doi.org/10.5472/marumj.1244390
AMA Olgun Yıldızelı S, Tufan Cıncın A, Arıkan H, Eryuksel E. Burden, depression and fatigue in caregivers of lung transplantation candidates. Marmara Med J. January 2023;36(1):18-23. doi:10.5472/marumj.1244390
Chicago Olgun Yıldızelı, Sehnaz, Asli Tufan Cıncın, Huseyin Arıkan, and Emel Eryuksel. “Burden, Depression and Fatigue in Caregivers of Lung Transplantation Candidates”. Marmara Medical Journal 36, no. 1 (January 2023): 18-23. https://doi.org/10.5472/marumj.1244390.
EndNote Olgun Yıldızelı S, Tufan Cıncın A, Arıkan H, Eryuksel E (January 1, 2023) Burden, depression and fatigue in caregivers of lung transplantation candidates. Marmara Medical Journal 36 1 18–23.
IEEE S. Olgun Yıldızelı, A. Tufan Cıncın, H. Arıkan, and E. Eryuksel, “Burden, depression and fatigue in caregivers of lung transplantation candidates”, Marmara Med J, vol. 36, no. 1, pp. 18–23, 2023, doi: 10.5472/marumj.1244390.
ISNAD Olgun Yıldızelı, Sehnaz et al. “Burden, Depression and Fatigue in Caregivers of Lung Transplantation Candidates”. Marmara Medical Journal 36/1 (January 2023), 18-23. https://doi.org/10.5472/marumj.1244390.
JAMA Olgun Yıldızelı S, Tufan Cıncın A, Arıkan H, Eryuksel E. Burden, depression and fatigue in caregivers of lung transplantation candidates. Marmara Med J. 2023;36:18–23.
MLA Olgun Yıldızelı, Sehnaz et al. “Burden, Depression and Fatigue in Caregivers of Lung Transplantation Candidates”. Marmara Medical Journal, vol. 36, no. 1, 2023, pp. 18-23, doi:10.5472/marumj.1244390.
Vancouver Olgun Yıldızelı S, Tufan Cıncın A, Arıkan H, Eryuksel E. Burden, depression and fatigue in caregivers of lung transplantation candidates. Marmara Med J. 2023;36(1):18-23.