Burden and Depression among Caregivers of Hemodialysis Patients

Shakya, Dayana

doi:10.15226/2374-8362/4/1/00131

Cited by 21 publications

(42 citation statements)

References 10 publications

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“…Our study showed that the mean age of caregivers was 45.20 years, which was similar to the mean ages reported in prior studies. 10,11 Most of the HD caregivers in our study were female, similar to studies in India and China. 12,13 HD patients and their caregivers in this study were mostly related, similar to other studies.…”

Section: Discussionsupporting

confidence: 84%

“…All caregivers who agreed to participate were asked to fill out the questionnaire by themselves, without intervention. The HADS results were divided into 3 categories-normal (0-7), borderline (8)(9)(10), and abnormal (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). HADS questionnaire is used to screen patients with possibility of anxiety and/or depression but the diagnosis should be made only by psychiatrists or psychosomatic physicians according to Diagnosis and Statistical Manual of Mental Disorders (DSM-5).…”

Section: Anxiety and Depression Screening Questionnairementioning

confidence: 99%

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Anxiety and depression among caregivers of hemodialysis patients at the Indonesian national referral hospital

et al. 2018

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Background: In Indonesia, chronic kidney disease (CKD) is primarily managed by hemodialysis (HD) because limited resources rule out the possibility of renal transplantation. HD patients are commonly accompanied by caregivers. However, most studies have neglected the health of caregivers, who play an important role in the survival of HD patients. This study aimed to determine the proportion of caregivers who suffer from anxiety and depression and the factors involved.Methods: This was a cross-sectional study involving 100 caregivers in the HD unit of Cipto Mangunkusumo Hospital, Jakarta. This study used the hospital anxiety depression scale (HADS) to determine the extent of anxiety and depression among caregivers. All caregivers were asked to fill out the questionnaire without assistance.Results: A total of 28% and 18% of caregivers were found to be anxious and depressed respectively. The caregiver’s relationship with the patient, whether the caregiver was being paid or unpaid, the total duration of care, and income were not associated with levels of anxiety and depression. However, the proportion of each 24-hour period spent on care was significantly associated with anxiety (p=0.037) and depression (p=0.015). The time spent on care every 24 hours was also a significant predictor of anxiety (p=<0.001) and depression (p=0.021).Conclusion: One-third of caregivers were found to be anxious and/or depressed. The time spent on care every 24 hours was a strong predictor of both anxiety and depression.

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Section: Discussionsupporting

confidence: 84%

Section: Anxiety and Depression Screening Questionnairementioning

confidence: 99%

Anxiety and depression among caregivers of hemodialysis patients at the Indonesian national referral hospital

et al. 2018

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“…They also reported worries about their high blood pressure and uncontrolled blood sugar (Alnazly & Samara, 2014).The fact that our model as a whole explained a relatively small variance in caregiving burden may suggest that other variables could play a more important role in explaining caregiving burden in family caregivers of Jordanian patients with ESRD. Other investigators demonstrated that quality of the relationship of between caregivers and patients (e.g., closeness, conflict, inequity) in addition to caregiver‐care recipient dyads’ psychological condition (e.g., anxiety, depression) as well as actual and perceived social support have an impact on perceived caregiving burden (Adelman et al, 2014; Shakya, 2017; Tough, Brinkhof, Siegrist, & Fekete, 2017).…”

Section: Discussionmentioning

confidence: 99%

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Abed

Khalifeh

Khalil

et al. 2020

Research in Nursing & Health

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Family caregivers of patients with end‐stage renal disease (ESRD) experience significant caregiver‐related burden, yet the contribution of their functional health literacy (FHL) to caregiving burden has not been elucidated. We investigated the magnitude of FHL and caregiving burden and their association in a descriptive, correlational cross‐sectional study of family caregivers of Jordanian patients with ESRD (N = 88). The short versions of the FHL for Adults and the Zarit Burden Interview were used for assessment of caregivers. Demographic and clinical information of patients and their family caregivers were self‐reported. Of family caregivers, 41% had limited FHL and 38% experienced high caregiver burden. FHL and history of comorbidity in family caregivers predicted caregiving burden independent of demographic and clinical factors. Consideration of FHL in support interventions for family caregivers may minimize some of the high perceived caregiving burden, but clinical trials of such interventions are needed to confirm this conclusion.

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“…A body of literature has also demonstrated that burden is highly associated with poor mental health. 10,11 Secondary stressors refer to strains experienced that do not directly stem from caregiving. 7 Quality of life (QoL) is one of the examples of secondary stressors, mainly due to the fact that caregivers have less time, limited resources, and depleted energy to attend to their own personal lives, job, and family.…”

Section: Introductionmentioning

confidence: 99%

Burden, quality of life, anxiety, and depressive symptoms among caregivers of hemodialysis patients: The role of social support

Shukri

Mustofai

Yasin

et al. 2020

Int J Psychiatry Med

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Objective The purpose of this study was to determine how burden and quality of life predict anxiety and depressive symptoms among caregivers of hemodialysis patients. Social support was included in the model as a proposed moderator in the above relationships. Methods This cross-sectional study involved 340 caregivers of chronic kidney patients undergoing hemodialysis. The setting was in Terengganu, Malaysia. The caregivers completed the measures of caregiving burden, quality of life, social support, and symptoms of anxiety and depression. Results About 28.8% and 52.4% of caregivers showed clinically moderate levels of anxiety and depressive symptoms, respectively. Furthermore, 35.9% and 3.8% of them showed clinically high levels of anxiety and depressive symptoms, respectively. Analyses showed that general quality of life was a significant predictor of both anxiety and depressive symptoms. Burden and psychological domains of quality of life significantly predicted anxiety. In addition, a lack of social support was a determinant of depressive symptoms. Evidence suggested that social support moderated the burden–anxiety relationship. Specifically, caregivers with low levels of social support showed more elevated levels of anxiety symptoms when their burden was higher. Conclusion There is an urgent need for early detection to initiate prompt treatment in this population. The study provides some important insights into offering comprehensive intervention to help caregivers cope more effectively through the provision of sufficient social support to buffer the effects of caregiving burden and improve mental health.

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Burden and Depression among Caregivers of Hemodialysis Patients

Cited by 21 publications

References 10 publications

Anxiety and depression among caregivers of hemodialysis patients at the Indonesian national referral hospital

Anxiety and depression among caregivers of hemodialysis patients at the Indonesian national referral hospital

Functional health literacy and caregiving burden among family caregivers of patients with end‐stage renal disease

Burden, quality of life, anxiety, and depressive symptoms among caregivers of hemodialysis patients: The role of social support

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