Sehnaz OLGUN YILDIZELI, Asli TUFAN CINCIN, Huseyin ARIKAN, Emel ERYUKSEL

Burden, depression and fatigue in caregivers of lung transplantation candidates

Anahtar Kelimeler:

Lung transplantation, Caregivers, Burden, Depression, Fatigue

Burden, depression and fatigue in caregivers of lung transplantation candidates

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

Keywords:

Lung transplantation, Caregivers, Burden, Depression, Fatigue,

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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