Effects of Social Support Levels and Caregiver Burden on Quality of Life of Caregivers of Patients With Alzheimer’s Disease
Yıl 2021,
Cilt: 8 Sayı: 3, 478 - 486, 30.09.2021
Ercüment Erbay
,
Buğra Yıldırım
,
Hakan Baydur
Destekleyen Kurum
The Scientific Research Projects Coordination Unit of Hacettepe University
Proje Numarası
number 014 D08 702 001-678
Teşekkür
The authors thank the Istanbul and Izmir branches of the Alzheimer Association, Hacettepe University Ethics Commission, and Hacettepe University Scientific Research Projects Coordination Unit. We are grateful for the caregivers who spared their valuable time to participate in our study despite their caregiving duties.
Kaynakça
- Spadin, P, The caregiver of a person with Alzheimer’s disease. Giornale İtaliano Di Medicina Del Lavoro Ed Ergonomia, 2008, 30(3 Suppl.), S15–S21.
- Prince, M, Comas-Herrera, A, Knapp, M, Guerchet, M, Karagiannidou, M, World Alzheimer Report 2016 Improving Healthcare for People Living With Dementia: Coverage, Quality and Costs Now And in the Future; Alzheimer’s Disease International: London, 2016.
- Can, H, & Karakaş, S, Alzheimer tipi demans ve birinci basamak nöropsikolojik değerlendirme [The dementia of alzheimer type and neuropsychological assessment in primary health care]. STED, 2005, 14(2), 22–25.
- Dekosky, S, Epidemiyology and pathophysiology of Alzheimer’s disease, Clinical Cornerstone Dementia, 2000, 3(4), 15–26.
- Alzheimer’s Association, 2017 Alzheimer’s disease facts and figures, Alzheimer’s & Dementia, 2017, 13(4), 325–373.
- TUIK, Türkiye İstatistik Kurumu Haber Bülteni: İstatistiklerle Yaşlılar 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24644, 2017 (accessed 17.01.2018).
- Xiaolian, J, Chaiwan, S, Panuthai, S, Yijuan, C, Lei, Y, Jiping, L, Family support and self‐care behavior of Chinese chronic obstructive pulmonary disease patients, Nursing & Health Sciences, 2002, 4(1–2), 41–49.
- Alamo, M.M, Artiles, R.M, Santiago, N. P, Bernal, B. I, Aguiar, B.J, Gomez, A.A, Functional social support perceived by patients in a program of home care in rural and urban settings, Atencion Primaria, 1999, 24(1), 26–31.
- Coultas, D.B, Edwards, D.W, Barnett, B, Wludyka, P, Predictors of depressive symptoms in patients with COPD and health impact, COPD: Journal of Chronic Obstructive Pulmonary Disease, 2007, 4(1), 23–28.
- Doğan, T, Psikolojik belirtilerin yordayıcısı olarak sosyal destek ve iyilik hali [Social support and wellness as predictors of psychological symptoms], Türk Psikolojik Danışma ve Rehberlik Dergisi, 2008, 3(30), 30–44.
Myers, J.E, Sweeney, T.J, Witmer, J.M, The wheel of wellness counseling for wellness: A holistic model for treatment planning. Journal of Counseling & Development, 2000, 78(3), 251–266.
- Pahl, R, Some sceptical comments on the relationship between social support and well‐being, Leisure Studies, 2003, 22(4), 357–368.
- Sin, M.K, Kang, D.H, Weaver, M, Relationships of asthma knowledge, self-management, and social support in African American adolescents with asthma, International Journal of Nursing Studies, 2005, 42(3), 307–313.
- Chou, K. L. Social support and subjective well-being among Hong Kong Chinese young adults. The Journal of Genetic Psychology, 1999, 160(3), 319–331.
- Park, H.S, (2007). Effects of social support, coping strategies, self-esteem, mastery, and religiosity on the relationship between stress and depression among korean immigrants in the United States: Structural equation modeling (Unpublished doctoral dissertation). The University of Texas at Austin, State of Texas.
- Garcia-Alberca, J.M, Cruz, B, Lara, J.P, Garrido, V, Gris, E, Lara, A, Castilla, C, Disengagement coping partially mediates the relationship between caregiver burden and anxiety and depression in caregivers of people with Alzheimer’s disease: Results from the MÁLAGA-AD study, Journal of Affective Disorders, 2012, 136(3), 848–856.
- Barker, R.L, Social Work Dictionary (3rd ed.); NASW Press: USA, 1995.
- Walter‐Ginzburg, A, Guralnik, J.M, Blumstein, T, Gindin, J, Baruch, M. Assistance with personal care activities among the old‐old in Israel: A national epidemiological study, Journal of the American Geriatrics Society, 2001, 49(9), 1176–1184.
- Yin, T, Zhou, Q, Bashford, C, Burden on family members: Caring for frail elderly: A meta-analysis of interventions, Nursing Research, 2002, 51(3), 199–208.
- Chapman, D. G, Toseland, R.W, Effectiveness of advanced illness care teams for nursing home residents with dementia, Social Work, 2007, 52(4), 321–329.
- Green, S.E, “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability, Social Science & Medicine, 2007, 64(1), 150–163.
- González‐Salvador, M.T, Arango, C, Lyketsos, C. G, Barba, A.C, The stress and psychological morbidity of the Alzheimer patient caregiver. International Journal of Geriatric Psychiatry, 1999, 14(9), 701–710.
- Ankri, J, Andrieu, S, Beaufils, B, Grand, A, Henrard, J.C, Beyond the global score of the zarit burden interview: Useful dimensions for clinicians. International Journal of Geriatric Psychiatry, 2005, 20(3), 254–260.
- Groog, S.H, Burleson, J.A, Sudilovsky, A, Baume, R.M, Spouse caregivers of Alzheimer patients: Problem responses to caregiver burden, Aging and Mental Health, 2006, 10(2), 87–100.
- Nabors, N, Seacat, J, Rosenthal, M, Predictors of caregiver burden following traumatic brain injury, Brain Injury, 2002, 16(12), 1039–1050.
- Saunders, M.M, Factors associated with caregiver burden in heart failure family caregivers, Western Journal of Nursing Research, 2008, 30(8), 943–959.
- Jonker, L, Greef, A.P, Resilience factors in families living with people with mental illnesses, Journal of Community Psychology, 2009, 37(7), 859–873.
- Küçükgüçlü, Ö, Esen, A, Yener, G, Bakım verenlerin yükü envanterinin türk toplumu için geçerlik ve güvenirliğinin incelenmesi [The reliability and validity of the caregiver burden inventory in Turkey]. Journal of Neurological Sciences (Turkish), 2009, 26(1), 60–73.
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- Selwood, A, Thorgrimsen, L, Orrell, M, Quality of life in Dementia-a one‐year follow‐up study. International Journal of Geriatric Psychiatry, 2005, 20(3), 232–237.
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- Iavarone, A, Ziello, A.R, Pastore, F, Fasanaro, A.M, Poderico, C, Caregiver burden and coping strategies in caregivers of patients with Alzheimer’s disease, Neuropsychiatric Disease and Treatment, 2014, 10, 1407–1413.
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Alzheimerlı Hastalara Bakım Verenlerin Sosyal Destek Düzeylerinin ve Bakım Yüklerinin Yaşam Kalitesine Etkisi
Yıl 2021,
Cilt: 8 Sayı: 3, 478 - 486, 30.09.2021
Ercüment Erbay
,
Buğra Yıldırım
,
Hakan Baydur
Öz
Objective: There is an increasing emphasis on the quality of life of caregivers of Alzheimer’s patients since caregive for Alzheimer’s patients has significant negative consequences from physical and psychiatric aspects. The purpose of this study was to explain the effects of social support and caregiving burden on each domain of the quality of life (QOL) of caregivers of patients with Alzheimer’s disease. Methods: This study employed a simple random convenience sampling design. Results: The vast majority of caregivers were female (71.5%), and their average age was 41.8±11.5 years. Caregivers’ mean social support score was 1.80±1.03. In the univariate analysis, social support positively affected quality of life. However, this effect was not observed in the multivariate analysis. In both the univariate and multivariate analyses, caregivers’ quality of life decreased with an increase in caregiving burden (p<0.001). There was a worsening of 7-9% in all domains of quality of life in response to each unit increase in caregiving burden. Conclusion: Caregiving and QOL are associated; QOL is affected by the increase in caregiving burden depending on the severity of the disease of the person receiving care. This idea is consistent with the results of the present study showing that each unit increase in caregiving burden causes a decrease in QOL. The findings of this study emphasize the necessity of accounting for caregiving burden in all dimensions of quality of life while evaluating the relationships between quality of life and some psychosocial characteristics of caregivers of patients with Alzheimer’s disease.
Proje Numarası
number 014 D08 702 001-678
Kaynakça
- Spadin, P, The caregiver of a person with Alzheimer’s disease. Giornale İtaliano Di Medicina Del Lavoro Ed Ergonomia, 2008, 30(3 Suppl.), S15–S21.
- Prince, M, Comas-Herrera, A, Knapp, M, Guerchet, M, Karagiannidou, M, World Alzheimer Report 2016 Improving Healthcare for People Living With Dementia: Coverage, Quality and Costs Now And in the Future; Alzheimer’s Disease International: London, 2016.
- Can, H, & Karakaş, S, Alzheimer tipi demans ve birinci basamak nöropsikolojik değerlendirme [The dementia of alzheimer type and neuropsychological assessment in primary health care]. STED, 2005, 14(2), 22–25.
- Dekosky, S, Epidemiyology and pathophysiology of Alzheimer’s disease, Clinical Cornerstone Dementia, 2000, 3(4), 15–26.
- Alzheimer’s Association, 2017 Alzheimer’s disease facts and figures, Alzheimer’s & Dementia, 2017, 13(4), 325–373.
- TUIK, Türkiye İstatistik Kurumu Haber Bülteni: İstatistiklerle Yaşlılar 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24644, 2017 (accessed 17.01.2018).
- Xiaolian, J, Chaiwan, S, Panuthai, S, Yijuan, C, Lei, Y, Jiping, L, Family support and self‐care behavior of Chinese chronic obstructive pulmonary disease patients, Nursing & Health Sciences, 2002, 4(1–2), 41–49.
- Alamo, M.M, Artiles, R.M, Santiago, N. P, Bernal, B. I, Aguiar, B.J, Gomez, A.A, Functional social support perceived by patients in a program of home care in rural and urban settings, Atencion Primaria, 1999, 24(1), 26–31.
- Coultas, D.B, Edwards, D.W, Barnett, B, Wludyka, P, Predictors of depressive symptoms in patients with COPD and health impact, COPD: Journal of Chronic Obstructive Pulmonary Disease, 2007, 4(1), 23–28.
- Doğan, T, Psikolojik belirtilerin yordayıcısı olarak sosyal destek ve iyilik hali [Social support and wellness as predictors of psychological symptoms], Türk Psikolojik Danışma ve Rehberlik Dergisi, 2008, 3(30), 30–44.
Myers, J.E, Sweeney, T.J, Witmer, J.M, The wheel of wellness counseling for wellness: A holistic model for treatment planning. Journal of Counseling & Development, 2000, 78(3), 251–266.
- Pahl, R, Some sceptical comments on the relationship between social support and well‐being, Leisure Studies, 2003, 22(4), 357–368.
- Sin, M.K, Kang, D.H, Weaver, M, Relationships of asthma knowledge, self-management, and social support in African American adolescents with asthma, International Journal of Nursing Studies, 2005, 42(3), 307–313.
- Chou, K. L. Social support and subjective well-being among Hong Kong Chinese young adults. The Journal of Genetic Psychology, 1999, 160(3), 319–331.
- Park, H.S, (2007). Effects of social support, coping strategies, self-esteem, mastery, and religiosity on the relationship between stress and depression among korean immigrants in the United States: Structural equation modeling (Unpublished doctoral dissertation). The University of Texas at Austin, State of Texas.
- Garcia-Alberca, J.M, Cruz, B, Lara, J.P, Garrido, V, Gris, E, Lara, A, Castilla, C, Disengagement coping partially mediates the relationship between caregiver burden and anxiety and depression in caregivers of people with Alzheimer’s disease: Results from the MÁLAGA-AD study, Journal of Affective Disorders, 2012, 136(3), 848–856.
- Barker, R.L, Social Work Dictionary (3rd ed.); NASW Press: USA, 1995.
- Walter‐Ginzburg, A, Guralnik, J.M, Blumstein, T, Gindin, J, Baruch, M. Assistance with personal care activities among the old‐old in Israel: A national epidemiological study, Journal of the American Geriatrics Society, 2001, 49(9), 1176–1184.
- Yin, T, Zhou, Q, Bashford, C, Burden on family members: Caring for frail elderly: A meta-analysis of interventions, Nursing Research, 2002, 51(3), 199–208.
- Chapman, D. G, Toseland, R.W, Effectiveness of advanced illness care teams for nursing home residents with dementia, Social Work, 2007, 52(4), 321–329.
- Green, S.E, “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability, Social Science & Medicine, 2007, 64(1), 150–163.
- González‐Salvador, M.T, Arango, C, Lyketsos, C. G, Barba, A.C, The stress and psychological morbidity of the Alzheimer patient caregiver. International Journal of Geriatric Psychiatry, 1999, 14(9), 701–710.
- Ankri, J, Andrieu, S, Beaufils, B, Grand, A, Henrard, J.C, Beyond the global score of the zarit burden interview: Useful dimensions for clinicians. International Journal of Geriatric Psychiatry, 2005, 20(3), 254–260.
- Groog, S.H, Burleson, J.A, Sudilovsky, A, Baume, R.M, Spouse caregivers of Alzheimer patients: Problem responses to caregiver burden, Aging and Mental Health, 2006, 10(2), 87–100.
- Nabors, N, Seacat, J, Rosenthal, M, Predictors of caregiver burden following traumatic brain injury, Brain Injury, 2002, 16(12), 1039–1050.
- Saunders, M.M, Factors associated with caregiver burden in heart failure family caregivers, Western Journal of Nursing Research, 2008, 30(8), 943–959.
- Jonker, L, Greef, A.P, Resilience factors in families living with people with mental illnesses, Journal of Community Psychology, 2009, 37(7), 859–873.
- Küçükgüçlü, Ö, Esen, A, Yener, G, Bakım verenlerin yükü envanterinin türk toplumu için geçerlik ve güvenirliğinin incelenmesi [The reliability and validity of the caregiver burden inventory in Turkey]. Journal of Neurological Sciences (Turkish), 2009, 26(1), 60–73.
- Wilks, S.E, Little, K.G, Gough, H.R, Spurlock, W.J, Alzheimer’s aggression: Influences on caregiver coping and resilience. Journal of Gerontological Social Work, 2011, 54(3), 260–275.
- Heo, G.J, Religious coping, positive aspects of caregiving, and social support among Alzheimer’s disease caregivers, Clinical Gerontologist, 2014, 37(4), 368–385.
- Axelman, K, Lannfelt, L, Almkvist, O, Carlsson, M, Life situation, coping and quality of life in people with high and low risk of developing Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 2003, 16(4), 220–228.
- Bhatt, J.K, Thomas, S, Nanjan, M.J, Health outcome measures for diabetes mellitus: A review, Applied Research in Quality of Life, 2012, 7(4), 413–443.
- Koot, H.M, The study of quality of life: Concepts and methods. In H. M. Koot & J. L. Wallander (Eds.), Quality of life in children and adolescent illness: Concepts, methods, and findings, Great Britain: Brunner-Routledge, 2001, 3–20.
- Selwood, A, Thorgrimsen, L, Orrell, M, Quality of life in Dementia-a one‐year follow‐up study. International Journal of Geriatric Psychiatry, 2005, 20(3), 232–237.
- Akyar İ, Akdemir, N, Alzheimer hastalarına bakım verenlerin yaşadıkları güçlükler [Strains of caregivers of alzheimer patients]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2009, 16(3), 32–49.
- Rinaldi, P, Spazzafumo, L, Mastriforti, R, Mattioli, P, Marvardi, M, Polidori, M.C, et al., Predictors of high level of burden and distress in caregivers of demented patients: Results of an Italian multicenter study, International Journal of Geriatric Psychiatry, 2005, 20(2), 168–174.
- Sun, F, Hodge, D.R, Latino Alzheimer’s disease caregivers and depression using the stress coping model to examine the effects of spirituality and religion, Journal of Applied Gerontology, 2014, 33(3), 291–315.
- Vellone, E, Piras, G, Talucci, C, Cohen, M.Z, Quality of life for caregivers of people with Alzheimer’s disease, Journal of Advanced Nursing, 2008, 61(2), 222–231.
- Bell, C.M, Araki, S.S, Neumann, P.J, The association between caregiver burden and caregiver health-related quality of life in Alzheimer disease, Alzheimer Disease & Associated Disorders, 2001, 15(3), 129–136.
- Deeken, J.F, Taylor, K.L, Mangan, P, Yabroff, K.R, Ingham, J. M, Care for the caregivers: A review of self-report instruments developed to measure the burden, needs, and quality of life of informal caregivers, Journal of Pain and Symptom Management, 2003, 26(4), 922–953.
- Iavarone, A, Ziello, A.R, Pastore, F, Fasanaro, A.M, Poderico, C, Caregiver burden and coping strategies in caregivers of patients with Alzheimer’s disease, Neuropsychiatric Disease and Treatment, 2014, 10, 1407–1413.
- Morimoto, T, Schreiner, A.S, Asano, H, Caregiver burden and health‐related quality of life among Japanese stroke caregivers, Age and Ageing, 2003, 32(2), 218–223.
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