Evaluation of caregiver burden and related factors in children with earthquake-related amputation
Öz
Purpose: The aim of this study was to assess the potential burden and associated parameters on caregivers of children with earthquake-related amputation.
Materials and Methods: The study includes children (aged 8-18 years) who experienced unilateral lower limb loss due to Kahramanmaraş earthquakes on February 6, 2023, and their caregivers. The functional status, anxiety and depression levels, and degree of dependency in self-care activities of amputee children were evaluated by using the Child Amputee Prosthetic Project-Functional Status Inventory, Revised Child Anxiety and Depression Scale (RCADS)-caregiver and child forms, and self-care domain of the Functional Independence Measure for Children, respectively. In caregivers, caregiver burden, mental health, and quality of life were assessed using the Zarit Caregiver Burden Interview (ZBI), Hospital Anxiety and Depression Scale (HADS), and 12 item Short-Form Health Survey (SF-12).
Results: The study included 29 primary caregivers and 29 pediatric patients with lower extremity amputations. ZBI total scores differed with phantom pain coexistence. ZBI total scores did not differ according to amputation levels. RCADS anxiety scores were negatively correlated with SF-12 PCS scores. A moderate positive correlation was observed between the total scores of HADS and RCADS caregivers.
Conclusion: Earthquake-related lower limb amputation in children causes increased caregiver burden. This burden was found to be independent of the level of amputation. The mental health of the caregivers was associated with the amputee children's anxiety and depression status, which the caregivers themselves reported.
Anahtar Kelimeler
Amputation, caregiver burden, child, earthquake
Destekleyen Kurum
no
Etik Beyan
The study protocol was approved by the Local Ethics Committee of Cukurova University Faculty of Medicine (Date of approval: February 23, 2024, Number: 141/39) and the study was performed in accordance with the ethical standards laid down in the Declaration of Helsinki and its later amendments.
Teşekkür
no
Kaynakça
- Hussain E, Kalaycıoğlu S, Milliner CWD, Çakir Z. Preconditioning the 2023 Kahramanmaraş (Türkiye) earthquake disaster. Nat Rev Earth Environ. 2023;4:287-9.
- Sariyildiz A, Ölmez Engizek S, Basaran S. Evaluation of pediatric amputees admitted for prosthesis application after the 2023 Kahramanmaraş earthquakes. Osmangazi Journal of Medicine. 2024;46:209-16.
- Basaran S, Sariyildiz A, Olmez S, Kundakci B, Bicer OS. Prosthesis applications and challenges in children with earthquake-related amputations. Injury. 2024;55:111920.
- Kahramanmaraş ve Hatay depremleri yeniden imar ve gelişme raporu. https://www.sbb.gov.tr/wp-content/uploads/2024/02/Kahramanmaras-ve-Hatay-Depremleri-Yeniden-Imar-ve-Gelisme-Raporu-1.pdf (last access on 22-October-2024).
- Morelli I, Sabbadini MG, Bortolin M. Orthopedic injuries and their treatment in children during earthquakes: A systematic review. Prehosp Disaster Med. 2015;30:478-85.
- Atar E, Dilekçi E, Özsoy Ünübol T, Gündüz N, Atar M, Aşkın A. Caregiver burden in cerebral palsy: Validity and reliability of the Turkish version of caregiver difficulties scale. Child Care Health Dev. 2022;48:465-73.
- Basilious A, Villani S, Jang H, Kaberi KM, Malvankar-Mehta MS. Quality of life and caregiver burden in pediatric glaucoma: A systematic review. PLoS One. 2022;17:e0276881.
- Hewawitharana BDR, Wijesinghe CJ, De Silva A, Phillips JP, Hewawitharana GP. Disability and caregiver burden: Unique challenges in a developing country. J Pediatr Rehabil Med. 2023;16:483-91.
- Tona JT, Ash J, Brown E, Campagna C, Kostek K, Lawton E et al. Caregiver burden, stress, and relationship cohesion among self-identified caregivers of children with pediatric acute-onset neuropsychiatric syndrome. J Child Adolesc Psychopharmacol. 2023;33:378-86.
- Yığman F, Aykın Yığman Z, Ünlü Akyüz E. Investigation of the relationship between disease severity, caregiver burden and emotional expression in caregivers of children with cerebral palsy. Ir J Med Sci. 2020;189:1413-9.
