Research article

Assessment of psychological distress and quality of life of family caregivers caring for patients with chronic diseases at home

  • Received: 27 December 2022 Revised: 06 May 2023 Accepted: 14 May 2023 Published: 24 May 2023
  • Introduction 

    Caring for the chronically ill at home is a particularly demanding process that can place a great burden on the caregiver. International and Greek studies underline and confirm this problem. In addition, family caregivers are not supported by the health systems of the different countries, especially in Greece, where the system relies mainly on the family to care for these patients, which is even more challenging during the Covid-19 pandemic.

    Aim 

    The aim of this study is to evaluate the psychological burden of family caregivers of the chronically ill and the outcomes of care for these individuals. It also aims to assess the intensity of burden and changes in quality of life of family caregivers by demographic characteristics.

    Methods 

    The sample of the study was a random sample and consisted of 102 family caregivers of chronically ill patients registered in home care of “Metaxa” hospital. The scales (BAKAS/BCOS) and (HADS) were used for data collection. SPSS 25 statistical package was used for statistical analysis of the results.

    Results 

    The results of the study, calculated with the BCOS scale, show a low burden (−0.93) of family caregivers, patients with chronic diseases and moderate depression and anxiety. The results of the analysis associate the intensity of family caregiver burden with increased levels of anxiety and depression. The factors that affect burden are gender, with women having higher burden, living with the patient, and low education level. According to the HADS anxiety scale, family caregivers had an average score of 11, indicating a moderate level of anxiety, and for depression, the average score was 10.4, also indicating a moderate level of depression. The results indicate that the state needs to support family caregivers and take immediate action to create structures and implement actions to help families continue in their difficult roles in a pain-free manner.

    Citation: Anastasia Stathopoulou, Georgios F. Fragkiadakis. Assessment of psychological distress and quality of life of family caregivers caring for patients with chronic diseases at home[J]. AIMS Public Health, 2023, 10(2): 456-468. doi: 10.3934/publichealth.2023032

    Related Papers:

  • Introduction 

    Caring for the chronically ill at home is a particularly demanding process that can place a great burden on the caregiver. International and Greek studies underline and confirm this problem. In addition, family caregivers are not supported by the health systems of the different countries, especially in Greece, where the system relies mainly on the family to care for these patients, which is even more challenging during the Covid-19 pandemic.

    Aim 

    The aim of this study is to evaluate the psychological burden of family caregivers of the chronically ill and the outcomes of care for these individuals. It also aims to assess the intensity of burden and changes in quality of life of family caregivers by demographic characteristics.

    Methods 

    The sample of the study was a random sample and consisted of 102 family caregivers of chronically ill patients registered in home care of “Metaxa” hospital. The scales (BAKAS/BCOS) and (HADS) were used for data collection. SPSS 25 statistical package was used for statistical analysis of the results.

    Results 

    The results of the study, calculated with the BCOS scale, show a low burden (−0.93) of family caregivers, patients with chronic diseases and moderate depression and anxiety. The results of the analysis associate the intensity of family caregiver burden with increased levels of anxiety and depression. The factors that affect burden are gender, with women having higher burden, living with the patient, and low education level. According to the HADS anxiety scale, family caregivers had an average score of 11, indicating a moderate level of anxiety, and for depression, the average score was 10.4, also indicating a moderate level of depression. The results indicate that the state needs to support family caregivers and take immediate action to create structures and implement actions to help families continue in their difficult roles in a pain-free manner.



    加载中


    Use of AI tools declaration



    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    Conflict of interest



    All authors declare no conflicts of interest in this paper.

    [1] Eurostat.Statistics Explained. Population structure and ageing (2020) . Available from: https://ec.europa.eu/eurostat/ Accessed on: 20/11/2021.
    [2] Ahrens J, Nadash P (2003) Informal caregivers: who are they & how do they differ?. Caring: Natl Assoc for Home Care mag 22: 46-47.
    [3] Pinquart M, Sörensen S (2003) Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychol Aging 18: 250-267. https://doi.org/10.1037/0882-7974.18.2.250
    [4] Schulz R, Sherwood PR (2008) Physical and mental health effects of family caregiving. Am J Nurs 108: 23-27. https://doi.org/10.1097/01.NAJ.0000336406.45248.4c
    [5] Vitaliano PP, Zhang J, Scanlan JM (2003) Is caregiving hazardous to one's physical health? A meta-analysis. Psychol Bull 129: 946-972. https://doi.org/10.1037/0033-2909.129.6.946
    [6] Wang HH, Wu SZ, Liu YY (2003) Association between social support and health outcomes: a meta-analysis. Kaohsiung J Med Sci 19: 345-351. https://doi.org/10.1016/S1607-551X(09)70436-X
    [7] Holt-Lunstad J, Smith TB, Layton JB (2010) Social Relationships and Mortality Risk: A Meta-analytic Review. PLoS Med 7: e1000316. https://doi.org/10.1371/journal.pmed.1000316
    [8] Pinquart M, Sörensen S (2003) Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging 18: 250-267. https://doi.org/10.1037/0882-7974.18.2.250
    [9] Del-Pino-Casado R, Priego-Cubero E, López-Martínez C, et al. (2021) Subjective caregiver burden and anxiety in informal caregivers: A systematic review and meta-analysis. PloS One 16: e0247143. https://doi.org/10.1371/journal.pone.0247143
    [10] Kim H, Chang M, Rose K, et al. (2012) Predictors of caregiver burden in caregivers of individuals with dementia. J Adv Nurs 68: 846-855. https://doi.org/10.1111/j.1365-2648.2011.05787.x
    [11] Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiat Scand 67: 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
    [12] Litster B, Fiest KM, Patten SB, et al. (2016) “Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease”. Screening Tools for Anxiety in People with Multiple Sclerosis: A Systematic Review. Int J MS care 18: 273-281. https://doi.org/10.7224/1537-2073.2016-004
    [13] Mystakidou K, Tsilika E, Parpa E, et al. (2004) The Hospital Anxiety and Depression Scale in Greek cancer patients: psychometric analyses and applicability. Support Care Cancer 12: 821-825. https://doi.org/10.1007/s00520-004-0698-y
    [14] Bakas T, Champion V (1999) Development and psychometric testing of the Bakas Caregiving Outcomes Scale. Nurs Res 48: 250-259. https://doi.org/10.1097/00006199-199909000-00005
    [15] Bakas T, Burgener SC (2002) Predictors of emotional distress, general health, and caregiving outcomes in family caregivers of stroke survivors. Top Stroke Rehabil 9: 34-45. https://doi.org/10.1310/GN0J-EXVX-KX0B-8X43
    [16] Govina O, Kotronoulas G, Mystakidou K, et al. (2013) Validation of the revised Bakas Caregiving Outcomes Scale in Greek caregivers of patients with advanced cancer receiving palliative radiotherapy. Support Care Cancer 21: 1395-1404. https://doi.org/10.1007/s00520-012-1681-7
    [17] Timonet-Andreu E, Morales-Asencio JM, Alcalá Gutierrez P, et al. (2020) Health-Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case-Control Study. J Nurs Scholarship 52: 217-228. https://doi.org/10.1111/jnu.12545
    [18] Kusi G, Boamah Mensah AB, Boamah Mensah K, et al. (2020) The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review. Syst Rev 9: 165. https://doi.org/10.1186/s13643-020-01408-4
    [19] Paschou A, Damigos D, Skapinakis P, et al. (2018) The Relationship between Burden and Depression in Spouses of Chronic Kidney Disease Patients. Depress Res Treat . https://doi.org/10.1155/2018/8694168
    [20] Greco A, Pancani L, Sala M, et al. (2017) Psychometric characteristics of the caregiver burden inventory in caregivers of adults with heart failure. Eur J Cardiovasc Nur 16: 502-510. https://doi.org/10.1177/1474515117693890
    [21] Bhimani R (2014) Understanding the Burden on Caregivers of People with Parkinson's: A Scoping Review of the Literature. Rehabil Res Pract . https//doi.org/10.1155/2014/718527
    [22] Vrettos I, Kamposioras K, Kontodimopoulos N, et al. (2012) Comparing health-related quality of life of cancer patients under chemotherapy and of their caregivers. Sci World J . https://doi.org/10.1100/2012/135283
    [23] Andreakou MI, Papadopoulos AA, Panagiotakos DB, et al. (2016) Assessment of Health-Related Quality of Life for Caregivers of Alzheimer's Disease Patients. Int J Alzheimers Dis . https://doi.org/10.1155/2016/9213968
    [24] Madruga M, Gozalo M, Prieto J, et al. (2020) Psychological Symptomatology in Informal Caregivers of Persons with Dementia: Influences on Health-Related Quality of Life. Int J Env Res Pub health 17: 1078. https://doi.org/10.3390/ijerph17031078
    [25] Taşdelen P, Ateş M (2012) Evaluation of the burden of caregivers and home care needs of patients requiring care. J Nurs Res Dev 12: 2229.
    [26] Ekström H, Auoja NL, Elmståhl S, et al. (2020) High Burden among Older Family Caregivers is Associated with High Prevalence of Symptoms: Data from the Swedish Study “Good Aging in Skåne (GÅS)”. J Aging Res . https://doi.org/10.1155/2020/5272130
    [27] Talarico R, Marinello D, Manzo A, et al. (2021) Being a caregiver of a Behçet's syndrome patient: challenges and perspectives during a complex journey. Orphanet J Rare Dis 16: 1-11. https://doi.org/10.1186/s13023-021-02070-2
  • Reader Comments
  • © 2023 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(1530) PDF downloads(85) Cited by(2)

Article outline

Figures and Tables

Tables(9)

Other Articles By Authors

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog