Aims and Objectives: This study examined the predictors of caregiver burden based on patient and caregiver characteristics in a sample of Spanish caregivers looking after adult patients with chronic disease. The effect of task type and patient-caregiver interaction is also analysed.Background: Specific predictors of caregiver burden have been widely examined in the literature. Few studies, however, jointly analyse a wide range of factors, including the effect of task type and patient-caregiver interaction.Design: Correlational study.Methods: One hundred and thirty five informal caregivers for 148 care recipients were recruited from primary health care centres. The caregivers responded to the short version of the Zarit Burden Interview (ZBI), the DEPendency index-6 Dimensions (DEP-6D), and reported how long they spent on caregiving on a daily basis. Sociodemographic and health characteristics were also recorded. Linear and logistic regression models were used to evaluate factors associated with ZBI scores and the likelihood of being severely burdened, respectively. This research complies with STROBE guidelines for observational studies.Results: Severe burden was present in 62% of the caregivers. Regression analysis shows that burden severity increases significantly with the level of dependence when the latter is measured either by DEP-6D or by time spent on basic activities. Care related to incontinence and mobility has the greatest effect on burden, which is aggravated when the patient has behavioural problems. Poor caregiver health or not being retired also contributes to burden levels.
Conclusions:These results establish that caregiver burden is related to characteristics of both the caregiver and the care recipient as well as to their interaction.Relevance to clinical practice: The findings indicate that the socio-sanitary attention focused on reducing caregiver burden must address the caregiver and patient as a dyad. Identifying the dependence level and the patient's aggressive behaviour can be a good predictor of caregiver burden.
Introducción: El uso de internet como fuente de información en la búsqueda de temas sociosanitarios ha crecido de forma exponencial en los últimos años. Objetivos: Describir y evaluar la experiencia de administrar una página de un centro de salud de atención primaria en las redes sociales. La página pretende acercarse al/la usuario/a y promover la educación para la salud, la prevención y la promoción de la salud comunitaria, además de convertirla en un activo de salud más a disposición de la comunidad. Metodología: La página fue creada en 2018 en la red social Facebook para el Centro de Salud Altamira. La trabajadora social sanitaria y la fisioterapeuta son las creadoras y las administradoras. El procedimiento utilizado consiste en publicar contenidos veraces y sencillos relacionados con la educación para la salud y la comunidad. Resultados: En casi dos años de actividad, la página tiene más de 1.000 seguidores/as, la mayoría mujeres. Concretamente, las publicaciones de actividades comunitarias alcanzaron el número de interacciones más elevado. Conclusión: La creación de una página no requiere mucha inversión, el reto viene de la implicación de las administradoras y de la motivación de los/las usuarios/as para que se sientan parte del grupo y participen de manera activa.
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