The relationship between the severity of the disease and burden on the caregivers

Year 2023, Volume: 40 Issue: 3, 622 - 626, 30.09.2023

Nevsun Pıhtılı Taş

Abstract

This study aimed to evaluate the relationship between the severity of the disease and the burden on the caregiver in rehabilitation patients. The study included 45 caregivers and 45 neurological rehabilitation patients (hemiplegia, paraplegia, and tetraplegia). Caregiver Strain Index (CSI) was applied to participants for caregiver burnout, Nottingham Health Profile (NHP) was applied for patients' quality of life, To assess sleep quality, the Pittsburgh Sleep Quality Index (PSQI) was applied and Beck Depression Inventory (BDI) was applied for symptoms of depression. The Barthel Index was used to measure patients' performance in daily life activities. The average motor functional independence score of our patients was 44.29 ± 20.70. In the correlations of CSI with NHP, BDE, PSQI, and Barthel, CSI-PSQI (r: 0.443 p: 0.002), CSI-BDE (r: 0.382 P: 0.01), NHP2-CSI (r: 0.417 p:0.004), and NHP social isolation-CSI were positively correlated (r:353 p: 0.017). BARHEL-CSI was negatively correlated (r:-0.332 p: 0.026). According to the regression analysis, PSQI, BDE, NHP social isolation, and NHP2 values (p: 0.002, p: 0.014, p: 0.017, p: 0.004) had a significant positive effect on CSI. Barthel ındex had a negative effect. The higher the level of addiction in rehabilitation patients, the greater the stress experienced by caregivers. Exhaustion of those who are interested in people with disabilities will also put a burden on the patient and society.

Keywords

: Caregiver strain Index, Burden, Caregiver, Quality of life

Project Number

yok

References

• 1. Lopez AD, Mathers CD, Ezzati M et al. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet . 2006;367(9524):1747–57.
• 2. Brasier C, Ski CF, Thompson DR et al. The Stroke and Carer Optimal Health Program (SCOHP) to enhance psychosocial health: study protocol for a randomized controlled trial. Trials. 2016;17(1):446. doi: 10.1186/s13063-016-1559-y
• 3. Ågård AS, Egerod I, Tønnesen E, Lomborg K. From spouse to caregiver and back: a grounded theory study of post-intensive care unit spousal caregiving. J Adv Nurs. 2015;71(8):1892–903. doi:10.1111/jan.12657
• 4. AARP and National Alliance for Caregiving. Caregiving in the United States 2015. Washington, DC: AARP. June 2015.
• 5. Utku U ÇY. No Title. In: S B, editor. Serebrovasküler Hastalıklar. 2005. p. 57–72.
• 6. Smith LN, Lawrence M, Kerr SM et al. Informal carers’ experience of caring for stroke survivors. J Adv Nurs. 2004;46(3):235–44. doi:10.1111/j.1365-2648.2004.02983.x
• 7. OʼConnell B, Baker L, Prosser A. The Educational Needs of Caregivers of Stroke Survivors in Acute and Community Settings. J Neurosci Nurs. 2003;35(1):21–8.
• 8. Hinojosa MS, Rittman M. Association Between Health Education Needs and Stroke Caregiver Injury. J Aging Health. 2009;21(7):1040–58. doi:10.1177/0898264309344321
• 9. Visser-Meily A, Van Heugten C, Post M, Schepers V et al. Intervention studies for caregivers of stroke survivors: a critical review. Patient Educ Couns. 2005;56(3):257–67. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0738399104001028
• 10. Yıldırım S, Engin E, Başkaya Va. İnmeli Hastalara Bakım Verenlerin Yükü ve Yükü Etkileyen Faktörler. Nöro Psikiyatr Arşivi. 2013;50(2):169–74. doi=10.4274/npa.y6505
• 11. Franzen S, Eikelboom WS, Van Den Berg E et al. Caregiver Burden in a Culturally Diverse Memory Clinic Population: The Caregiver Strain Index-Expanded. Dement Geriatr Cogn Disord. 2021;50(4):333–40.
• 12. Ugur O, Fadiloğlu C. “Caregiver Strain Index” validity and reliability in Turkish society. Asian Pac J Cancer Prev. 2010;11(6):1669–75. PMID: 21338214
• 13. Kücükdeveci A A, McKenna S P, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000 Mar;23(1):31-8. doi: 10.1097/00004356-200023010-00004.
• 14. Liu D, Kahathuduwa C, Vazsonyi AT. The Pittsburgh Sleep Quality Index (PSQI): Psychometric and clinical risk score applications among college students. Psychol Assess. 2021;33(9):816–26. doi: 10.1155/2021/5546484
• 15. Mahoney Fı, Barthel Dw. Functıonal Evaluatıon: The Barthel Index. Md State Med J. 1965;14:61–5. PMID: 14258950
• 16. Sardar A, Shahzad K, Arshad AR et al. Correlation Of Caregivers’ Strain With Patients’ Disability In Stroke. J Ayub Med Coll Abbottabad. 2022;34(2):326–30. doi: 10.55519/JAMC-02-9488.
• 17. Ogunlana MO, Dada OO, Oyewo OS et al. Quality of life and burden of informal caregivers of stroke survivors. Hong Kong Physiother J. 2014;32(1):6–12. doi: 10.1016/j.hkpj.2013.11.003.
• 18. Donelan K, Falik M, DesRoches CM. Caregiving: challenges and implications for women’s health. Women’s Heal Issues. 200;11(3):185–200. doi: 10.1016/S1049-3867(01)00080-9.
• 19. Moen P, Robison J, Dempster-McClain D. Caregiving and women’s well-being: a life course approach. J Health Soc Behav. 1995 Sep;36(3):259–73. doi: 10.2307/2137342.
• 20. Choi-Kwon S, Kim H-S, Kwon SU et al. Factors Affecting the Burden on Caregivers of Stroke Survivors in South Korea. Arch Phys Med Rehabil. 2005;86(5):1043–8. doi: 10.4103/0972-2327.94994.
• 21. Okoro CA, Courtney-Long E, Cyrus AC et al. Self-reported short sleep duration among US adults by disability status and functional disability type: Results from the 2016 Behavioral Risk Factor Surveillance System. Disabil Health J. 2020;13(3):100887. doi: 10.1016/j.dhjo.2020.100887.
• 22. Shandra CL, Kruger A, Hale L. Disability and sleep duration: Evidence from the American Time Use Survey. Disabil Health J. 2014;7(3):325–34. doi:10.1016/j.dhjo.2014.02.002
• 23. Ebrahim S, Barer D, Nouri F. Use of the Nottingham Health Profile with patients after a stroke. J Epidemiol Community Heal. 1986;40(2):166–9. doi:10.1136/jech.40.2.166
• 24. Cabral DL, Damascena CG, Teixeira-Salmela LF et al.Confiabilidade do Perfil de Saúde de Nottingham após acidente vascular encefálico. Cien Saude Colet. 2012;17(5):1313–22. doi: 10.1590/S1413-81232012000500025
• 25. Thambirajah N, Senanayake S, Gooneratne K et al. Post-Stroke Depression: Prevalence, Associated Factors, and Relationship to Disability in a Tertiary Care Center in Sri Lanka. J Neurosci Rural Pract. 2022;13:73. doi: 10.1055/s-0041-1741504.