Predictors of Caregiver Burden in Caregivers of Bedridden Patients

Abstract

Background Caregivers are at risk of experiencing caregiver burden. It is therefore important to determine the caregiver burden of caregivers who provide care to bedridden patients and related factors. Purpose The aim of this study was to determine the caregiver burden of caregivers who provide care to bedridden patients and the factors that impact this burden. Methods This cross-sectional study was executed at a state hospital in Istanbul, Turkey, on bedridden patients registered in the home healthcare unit and their caregivers. During study period, the researchers made 312 visits to patients and their caregivers. A sociodemographic questionnaire, the Burden Interview, and the Katz Index of Independence in Activities of Daily Living were used to collect data. Descriptive statistics, an independent sample t test, one-way analysis of variance, and stepwise multiple regression analysis were used for data analysis. Results The participants reported a moderate level of caregiver burden. Existing caregiver health problems, caregiver employment status, the ability of the caregiver to maintain his or her own good health, type of home, and the degree of patient dependence in terms of activities of daily living were each found to be significant predictors of caregiver burden. Conclusions/Implications of Practice The support provided to caregivers by home healthcare units is important in terms of protecting the physical, mental, and social health conditions of caregivers and preventing the exacerbation of caregiver burden.

Level of Burden and Health-Related Quality of Life in Caregivers of Palliative Care Patients

“…These results have important clinical implications. According to Bekdemir and Ilhan [70], the caregiver’s burden is associated with an increase in the severity of the physical, mental, and social problems that caregivers suffer as a result of performing the task of caring. Knowing the factors that influence the appearance of such burden in PFCs providing palliative care to people in need, will allow their specific needs to be assessed in order to determine the support services that caregivers could be offered by healthcare professionals [14].…”

The effect of a supportive home care program on caregiver burden with stroke patients in Iran: an experimental study

“…Based on the scoring, the score of 20 is interpreted as independent and the score of 0–19 as dependent. The dependency level is divided into the categories, including mild dependent [ 12 – 19 ], moderate dependent [ 9 – 11 ], severe dependent [ 5 – 8 ], and dependent (0–4). It should be said that the Barthel Index is not under license.…”

“…Caregiver burden is defined as the all-encompassing challenges felt by caregivers regarding their physical and emotional well-being, family relations, and their work and financial status [ 3 ]. Caregiver burden is associated with negative outcomes for both caregivers and patients, including the reduction of their general health and quality of life [ 4 , 5 ], and increasing the risk for patient’s morbidities [ 6 – 8 ], which is a multidimensional response to perceived stress and negative assessments that derive from providing care to a patient [ 9 ]. Caregivers of stroke patients experience a high level of caregiver burden because they need to provide care for long hours [ 10 , 11 ], and the patients usually dependent on them for their activities of daily life (ADL) [ 12 ].…”

Caregiver burden among informal caregivers in the largest specialized palliative care unit in Malaysia: a cross sectional study

“…Some variables were regrouped into meaningful categories for analysis and they are ethnicity, income level, education level, marital status, relationship with patient, patient diagnosis and ECOG functional status. To identify the association between caregiver burden and palliative patients who have become bedridden, The ECOG performance scale is categorize into ECOG < 3 (patients who are not bedridden) and ECOG ≥3 (patients who are bed ridden) [ 26 ]. Chi square test and independent t test were used to analyze the association of each variable with the outcome for categorical and continuous variables respectively.…”

“…Respondents can be classified into having caregiver burden and no burden (≤ 21). Respondents suffering from caregiver burden can further be classified into mild to moderate (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40), moderate to severe (41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60) and severe burden . The ZBI is the oldest and the most utilized instrument to assess caregiver burden in clinical and research settings [23].…”