Needs, Aggravation, and Degree of Burnout in Informal Caregivers of Patients with Chronic Cardiovascular Disease

Abstract

This study aimed to answer three main questions with respect to home caregivers for people with cardiovascular disease: (1) Are the needs of home caregivers being met (and at what level)?; (2) what is the level of emotional exhaustion, depersonalization, and personal accomplishment of home caregivers?; (3) what sociodemographic variables of home caregivers are related to unmet needs and level of emotional exhaustion, depersonalization, and personal accomplishment? The study used the Camberwell Modified Needs Assessment questionnaire and the Maslach Burnout Inventory questionnaire. This study reports on 161 informal home caregivers of patients with cardiovascular disease. We found that younger caregivers were less likely to report unmet needs (p = 0.011), and showed lower rates of burnout on depersonalization and emotional exhaustion. In addition, caregivers who worked more often reported higher levels of met needs (p = 0.022), and showed lower rates of burnout on depersonalization (p = 0.005) and emotional exhaustion (p = 0.018). Subjects residing in urban areas were more likely to report unmet needs (p = 0.007), and showed higher rates of burnout on emotional exhaustion (p = 0.006). Older caregivers who are unemployed and reside in cities should be offered programs to determine their unmet needs and to receive support.

Hubungan antara Burden of Care dan Burnout pada Family Caregiver Orang dengan Demensia

“…Penelitian yang dilakukan oleh Raccichini, et al (2009) Penelitian ini menemukan hasil yang berbeda dari penelitian sebelumnya mengenai hubungan usia dan burnout. Hasil analisis yang dilakukan antara usia dan burnout memperoleh nilai -value= 0.6733 atau -value > 0.05, yang berarti tidak terdapat hubungan yang signifikan antara usia dengan burnout Beberapa penelitian sebelumnya menyatakan bahwa burnout meningkat seiring dengan bertambahnya usia (Llorent & Ruiz, 2016;Yıldızhan, et al, 2018;Merlo, et al, 2020;Szlenk-Czyczerska, et al, 2020). Alves, et al (2019) juga menyatakan bahwa family caregiver yang lebih tua menjadi orang tua yang merawat orang yang lebih tua dimana ia sendiri membutuhkan bantuan.…”

Indicators of integrated care for patients with chronic cardiovascular disease in ambulatory care

“…4 Given the expected incidence of CVD and demographic changes, a more effective and targeted model of care for patients with chronic CVD needs to be developed. 2,[12][13][14][15] In addition, the Polish healthcare system is characterized by fragmented healthcare administration (which significantly complicates coordination at the systemic level) and relatively low healthcare spending. 16 These features make it necessary to study the requirements, practices and challenges of integrating care for people with CVD in the country.…”

“…12 It should be noted that, in recent years, there has been a return to the promotion of holistic care, defined as a caring approach that is more concerned about the patient and takes into account all of their needs, goals and values. [12][13][14][15] In addition, available research emphasizes that integration of care should focus on a comprehensive approach to care and multidisciplinary collaboration. 3,17 There is also evidence that the social dimension needs to be integrated into health service delivery to meet the population health needs.…”

“…6 Regarding the integrated care of CVD patients, there is still little research on this topic. [12][13][14][15] There are some studies, but they focus on clinically homogeneous populations. 40,43,44 The central role of PHC is evident in almost all integration models studied so far.…”

Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study

“…Interacting with digital health technologies through a VA may provide a more natural, intuitive, and efficient way to engage with health information in complex home care by family members and their caregiving teams [11][12][13]. VAs may positively affect caregiver burnout by better supporting care coordination [14,15], where vocal recordings of health events and documentation could relieve a caregiver's documentation burdens [13]. For children with special health care needs, VAs may support autonomy to self-manage health information as they transition to adulthood [12].…”