Prevalence of caregiver burden among caregivers of end-stage renal disease patients and the associating factors: A cross-sectional study in a chronic kidney disease clinic in Muang District, Lamphun Province, Thailand

ความชุกและปัจจัยเสี่ยงของภาระการดูแลผู้ป่วยไตวายระยะสุดท้าย

Authors

  • Promsakun K Lamphun hospital, Lamphun, Thailand
  • Yingchankul N Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Thailand

Keywords:

prevalence, factor, caregiver burden, caregiver, renal disease, end-stage

Abstract

Objectives  To study the prevalence of and factors related to caregiver burden amongst caregivers of end-stage renal disease patients.

Methods  A cross-sectional study was conducted in which data was collected from July 2019 to December 2019 from a total of 152 caregivers aged 18 years and over recruited into this study. Paid caregivers were excluded. The data collected included patient factors, caregiver factors, social support assessment, the Thai version of the Zarit Burden Interview for assessing caregiver burden along with the EQ-5D-5L questionnaire for assessing quality of life. .

Results The prevalence of caregiver burden in cases of end-stage renal disease was 18.42%.  Factors associated with caregiver burden included single or divorced status, inadequate income, owing money, need for more information and knowledge in caring for patients, low social support, and low quality of life (p < 0.05).

Conclusion  Caregiver burden screening should be done for individuals providing end-stage chronic kidney disease care including their need for additional information on patient care as well as their economic and social situation. It is important that caregivers be screened as well as supervised.

References

National Kidney Foundation. K/DOQI Clini-cal Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Strati-fication. Am J Kidney Dis 2002,39:S1-266, 2002:43-64. [cited 2019 February 16]. Avail-able from: https://www.kidney.org/sites/default/files/docs/ckd_evaluation_classifica-tion_stratification.pdf

Newman T. Symptoms, causes, and treat-ment of chronic kidney disease. 2017. Medical News Today [Internet] 2017 Dec 13 [cited 2019 February 16]. Available from: https://www.medicalnewstoday.com/arti-cles/172179.php

Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, et al. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrol Dial Transplant. 2010;25:1567-75.

Maddux D. Fresenius Medical Care-White paper: Caring for Caregivers [Internet]. 2018. [cited 2019 February 25]. Available from: https://fmcna.com/insights/white- papers/caring-for-caregivers

Organization WH. A glossary of terms for community health care and services for older persons. 2004.

Streck BP, Wardell DW, Wood GL. Family car-egiver-receiver mutuality: a concept analysis. ANS Adv Nurs Sci. 2020;43:E71-9.

Siraphongam Y, Survalance the research about caregiver in NCD patients. Ramathibodi Nursing Journal. 2003;9:156-65. [in Thai]

Affinito J, Louie K. Positive coping and self-assessed levels of health and burden in un-paid caregivers of patients with end stage renal disease receiving hemodialysis therapy. Nephrol Nurs J. 2018;45:373-9.

Bevans M, Sternberg EM. Caregiving bur-den, stress, and health effects among fam-ily caregivers of adult cancer patients. JAMA. 2012;307:398-403.

Watson AR. Stress and burden of care in fami-lies with children commencing renal replace-ment therapy. Adv Perit Dial. 1997;13:300-4.

Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311:1052-1060.

Cohen LM, Germain MJ. Caregiver burden and hemodialysis. Clin J Am Soc Nephrol. 2014;9: 840-2.

Kang A, Yu Z, Foo M, Chan CM, Griva K. Evalu-ating burden and quality of life among car-egivers of patients receiving peritoneal dialy-sis. Perit Dial Int. 2019;39:176-80.

Kasuya RT, Polgar-Bailey P, Takeuchi R. Car-egiver burden and burnout. A guide for prima-ry care physicians. Postgrad Med. 2000;108: 119-23.

Mashayekhi F, Pilevarzadeh M, Rafati F. The assessment of caregiver burden in caregivers of hemodialysis patients. Mater Sociomed. 2015;27:333-6.

Guerra-Martin MD, Amador-Marin B, Martin-ez-Montilla JM. [Health problems of family caregivers of people over 65 suffering from chronic renal failure: a systematic review]. An Sist Sanit Navar. 2015;38:425-38.

Belasco A, Barbosa D, Bettencourt AR, Diccini S, Sesso R. Quality of life of family caregivers of elderly patients on hemodialysis and peri-toneal dialysis. Am J Kidney Dis. 2006;48:955-63.

Gilbertson EL, Krishnasamy R, Foote C, Ken-nard AL, Jardine MJ, Gray NA. Burden of care and quality of life among caregivers for adults receiving maintenance dialysis: A systematic review. Am J Kidney Dis. 2019;73:332-43.

Muangpaisan W, Praditsuwan R, Assanasen J, Srinonprasert V, Assantachai P, Intalapa-porn S, et al. Caregiver burden and needs of dementia caregivers in Thailand: a cross-sec-tional study. J Med Assoc Thai. 2010;93:601-7.

National Health Security office. Record of screening to ability in daily life. Guide to support the administration of the long-term administrative services in public health for dependent elderly in the National Health Se-curity System. 2016. p. 78-80. [in Thai]

Silpakit O, Silpakit C, Chomchuen R. Psycho-metric study of the Thai version of Zarit Bur-den Interview in psychiatric caregivers. Journal of Mental Health of Thailand. 2015;23:12-24. [in Thai]

Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med. 1981;4:381-406.

Lueboonthavatchai P, Lueboonthavatchai O. Quality of life and correlated health status and social support of schizophrenic patients’ caregivers. J Med Assoc Thai. 2006;89 Suppl 3:S13-9.

Pattanaphesaj J. (2014) Health-related qual-ity of life measure (EQ-5D-5L): measurement property testing and its preference-based score in Thai population. (Doctoral disser-tation]. Mahidol University, Bangkok, Thai-land. [Cited 2019 February 28]. Available from: https://www.hitap.net/wp-content/up-loads/2016/11/EQ5D_thesis_final-copy.com-pressed.pdf

Esezobor CI, Solarin AU, Olagunju AT. Sig-nificant burden and psychological distress among caregivers of children with nephrotic syndrome: a cross-sectional study. Can J Kid-ney Health Dis. 2020;7:2054358119898016.

Wang V, Vilme H, Maciejewski ML, Boulware LE. The economic burden of chronic kidney disease and end-stage renal disease. Semin Nephrol. 2016;36:319-30.

Zelmer JL. The economic burden of end-stage renal disease in Canada. Kidney Int. 2007;72:1122-9.

Suja A, Anju R, Anju V, Neethu J, Peeyush P, Saraswathy R. Economic evaluation of end stage renal disease patients undergoing hemodialysis. J Pharm Bioallied Sci. 2012;4: 107-11.

Hou D, Chen YX, He D, Zhang X, Fan X. The relationship between caregiver reactions and psychological distress in family caregivers of patients with heart failure. J Cardiovasc Nurs. 2020;35:234-42.

Xu L, Xu T, Tan W, Yan B, Wang D, Li H, et al. Household economic burden and outcomes of patients with schizophrenia after being un-locked and treated in rural China. Epidemiol Psychiatr Sci. 2019;29:e81.

Cohen SA, Cook S, Kelley L, Sando T, Bell AE. Psychosocial factors of caregiver burden in child caregivers: results from the new na-tional study of caregiving. Health Qual Life Outcomes. 2015;13:1-6.

Arab M, Bernstein C, Haghshenas A, Ranjbar H. Factors associated with caregiver burden for mothers of children undergoing Acute Lymphocytic Leukemia (ALL) treatment. Pal-liat Support Care. 2020;18:405-12.

Padierna A, Martín J, Aguirre U, González N, Muñoz P, Quintana JM. Burden of caregiving amongst family caregivers of patients with eating disorders. Soc Psychiatry Psychiatr Epi-demiol. 2013;48:151-61.

Pars H, Soyer T. Home Gastrostomy Feeding Education Program: Effects on the Caregiv-ing Burden, Knowledge, and Anxiety Level of Mothers. JPEN J Parenter Enteral Nutr. 2020; 44:1029-37.

Frias CE, Garcia-Pascual M, Montoro M, Ribas N, Risco E, Zabalegui A. Effectiveness of a psychoeducational intervention for caregiv-ers of people with dementia with regard to burden, anxiety and depression: A systematic Review. J Adv Nurs. 2020;76:787-802.

Gilhooly KJ, Gilhooly ML, Sullivan MP, McI-ntyre A, Wilson L, Harding E, et al. A meta-review of stress, coping and interventions in dementia and dementia caregiving. BMC Geri-atr. 2016;16:106.

Downloads

Published

2021-01-01

How to Cite

1.
K P, N Y. Prevalence of caregiver burden among caregivers of end-stage renal disease patients and the associating factors: A cross-sectional study in a chronic kidney disease clinic in Muang District, Lamphun Province, Thailand: ความชุกและปัจจัยเสี่ยงของภาระการดูแลผู้ป่วยไตวายระยะสุดท้าย. BSCM [Internet]. 2021 Jan. 1 [cited 2024 Dec. 22];60(1):41-52. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/241364

Issue

Section

Original Article