Influence of Care Burden-related Factors on Mental Health and Quality of Life of the Caregivers of Dementia Patients

Influence of Care Burden-related Factors on Mental Health and Quality of Life of the Caregivers of Dementia Patients

Purpose: To evaluate the care burden of the caregivers of dementia patients and the relationship between anxiety-depression risk and quality of life. Methods: This study was conducted with 152 primary caregivers of dementia patients by using “Caregiver Burden Inventory”(CBI), “Hospital Anxiety-Depression Scale” (HADS) and “Short Version of the Quality of Life Assessment Instrument From the World Health Organization” (WHOQOL-BREF). Results: Mean age of the caregivers was 49.4±9.0 years; of them, 79.6% were females, 54.6% were graduates of elementary/secondary school. Mean age of dementia patients was 79.8±8.0 years; of them, 55.2% were females, 46.1% had advanced stage dementia and 30.9% had pressure ulcers. High care burden was detected in 101 (66.4%) caregivers, anxiety in 37 (24.3%) and depression in 109 (71.7%). The scores of HAD-A and HAD-D were significantly high (p=0.007, p=0.002) and WHOQOL-Bref score was significantly lower (p=0.001) in caregivers of the patients with pressure ulcers. Scores of CBI, HAD-A and HAD-D were found to significantly increase (p=0.005, p=0.042 and p=0.030, respectively) and WHOQOL-Bref score was found to significantly decrease (p=0.009) as stage of dementia increased. HAD-A and HAD-D scores were detected to increase (p=0.000, p=0.000) and WHOQOL-Bref score was detected to decrease (p=0.000) as CBI score increased. Conclusion: Dementia causes a high care burden for the caregivers. It is of vital importance to facilitate reaching professional support services for reducing care burden that increases with increasing stage, and establishing hospice care institutions for reducing the risk of mental disorders and for improving quality of life of the caregivers.

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  • References 1. Palm E. A Declaration of healthy dependence: The Case of Homecare. Health Care Analysis, 2014;22(4):385-404
  • 2. Karahan A, Güven S. Yaşlılıkta evde bakım, Geriatri Dergisi, 2002;5(4):155-159.
  • 3. Bozdemir N, Evde bakım tanımlar ve tarihçe, Aile Hekimliğinde Evde Bakım, Edt. Ünlüoğlu İ, Saatçı E. İstanbul: Akademi Yayınevi, 2015:1-9.
  • 4. World Health Organisation Geneva, Home based long term care, World Health Organization Technical reportseries (898), Hong Kong, Singapore: Report of a WHO Study Group. 2000.
  • 5. Yılmaz A, Turan E, Gundogar D. Predictors of burnout in the family caregivers of alzheimer's disease: Evidence from Turkey. Australas J Ageing2009; 28:16-21.
  • 6. Yaffe K, Fox P, Newcomer R, Sands L, Lindquist K, Dane K et al. Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA 2002; 287:2090-20.
  • 7. Mace NL, Rabins PV. 36 Saatlik Gün: Alzheimer hastalığı ve ileri yaşta bellek kaybı olan kişilerin bakımında hasta yakınları için rehber. Çeviren Nesteren Önür, Yüce Yayınları, İstanbul, 1999.
  • 8. 23. Schulz R, Cook TB, Beach SR et al. Magnitude and causes of bias among family caregivers rating Alzheimer disease patients. Am J GeriatrPsychiatry2013;21(1):14-25.
  • 9. Novak M, Guest C. Application of a multi-dimensional caregiver burden inventory. The Gerontologist 1989;29(6):798-803.
  • 10. Küçükgüçlü Ö, Esen A, Yener G. Bakım verenlerin yükü envanteri’nin türk toplumu için geçerlik ve güvenirliğinin incelenmesi. Journal of Neurological Sciences. 2009; 26(1):60-73.
  • 11. Zigmond AS, Snaith PR. The anxiety and depression scale. Acta Psychiatr Scand 1983; 67(6): 361-70.
  • 12. Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği türkçe formunun geçerlilik ve güvenilirliği, Türk Psikiyatri Dergisi 1977; 280-287.
  • 13. Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği (WHOQOL) , Psikiyatri’de kullanılan ölçekler ed. Ömer Aydemir, Ertuğrul Köroğlu, Ankara, Medicographics Ajans ve Matbaacılık Hizmetleri, 2006.
  • 14. Eser SY, Fidaner H, Fidaner C ve ark. Yaşam kalitesinin ölçülmesi, WHOQOL-100 ve WHOQOL-Bref. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7(2)5-13.
  • 15. Akdeniz M, Kavukçu E, Yaman A, Howe J, Yaman H. Birincil bakımda yaşlıların bilişsel sorunlarının yönetimi. Sürekli Tıp Eğitimi Dergisi 2010;19(2):3-8.
  • 16. Stone R, Cafferata GL, Sangl J. Caregivers of the frail elderly: A national profile. Gerontologist 1987; 27:616-626.
  • 17. Atagün Mİ, Balaban ÖD, Atagün Z, Elagöz M, Özpolat AY. Kronik hastalıklarda bakım veren yükü. Psikiyatride Güncel Yaklaşımlar 2011;3(3):513-552.
  • 18. Altun İ. Hasta yakınlarının bakım verme rolünde zorlanma durumları, I. Ulusal Evde Bakım Kongresi. 24- 26 Eylül 1998 İstanbul, Türkiye. Kongre özet kitabı Sayfa:71-78.
  • 19. Eğilli CS, Sunal N. Demanslı hastaya bakım verenlerin bakım yükü ve etkileyen etmenlerin belirlenmesi. JAREN 2017;3(2):83-91 20. Çetinkaya F.Demanslı hastaya bakım verenlerin bakım yükünün incelenmesi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü, İç Hastalıkları Hemşireliği Anabilim DalıYüksek Lisans Tezi, İzmir, 2008.
  • 21. Dura JR, Stukenberg KW, Kiecolt-GlaserJK. Anxiety and depressive disorders in adult children caring for demented parents. Psychol Aging1991;6(3):467-73.
  • 22. Ostojić D, Vidović D, Baceković A et al. Prevalence of anxiety and depression in caregivers of Alzeheimer's dementia patients. Acta Clin Croat 2014;53(1):17-21.
  • 23. Amieva H, Rullier L, Bouisson J, Dartigues JF, Dubois O, Salamon R. Needs and expectations of Alzheimer’s disease family care givers. Rev Epidemiol Sante Publique 2012; 60:231-238.
  • 24. Koca E, Taşkapılıoğlu Ö, Bakar M. Alzheimer hastalığında evrelere göre hastaya bakım veren kişi(ler)nin yükü. ArchNeuropsychiatry 2017;54:82-6.
  • 25. Bağ B. Hospis ve hospiste ölüme hazırlanma. Akad Geriatri 2012; 4(3):120-125.
Journal of Basic and Clinical Health Sciences-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2016
  • Yayıncı: DOKUZ EYLÜL ÜNİVERSİTESİ
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