Factors associated with caregiver burden of schizophrenia patients
Objective: To study factors associated with caregiver burden of schizophrenia patients
Methodology: This study was a cross-sectional analytical study of schizophrenia patients’ caregivers in the urban area of Nakhon Ratchasima. Data were collected by using a questionnaire about the demographic data of caregiver and schizophrenia patient, a questionnaire about the holistic health of caregiver and Zarit burden interview (Thai version). Data ware analyzed by descriptive statistics and analytical statistics by using multiple logistic regression presented with odds ratio.
Results: Eighty caregivers were included in this study. Mean age was 55.2±13.69 years. 72.5 % were female participants. 38.8 % of caregivers were parents of patients. 36.3 % of caregivers took care of patients less than 4 hours per day. The number of female schizophrenia patients was equal to male patients. The range of age of patients 46 to 60 years as 46.3 %. Most of the patients were well-compliance of medication used as 81.3 %. In the part of holistic health, Most of the caregivers had fair self-care behaviour, good physical health, coping skill by emotional management, good mental health, good social support and fair spiritual health which were calculated as 72.5 %, 83.8 %, 60.0 %, 53.8 %, 96.3 % and 85.0 %, respectively. Caregiver burden was reported at 38.8 %.
Conclusions: Factors associated with caregiver burden of schizophrenia patients are the time to spend for caregiving (hours/day), the mental status of caregivers, the age of schizophrenia patients, and the history of medication used. All of these factors are able to adjust caregiver burden prediction as 35.7 %.
Keywords: factor, burden, caregiver, schizophrenia, holistic
2. Department of mental health. [Internet]. 2015 [updated 2018 May 24; cited 2020 May 31]. Available from: http://www.prdmh.com
3. Kwansanit P and Srisurapanont M. The parameters for calculating the burden of schizophrenia in Thailand. Journal of mental health of Thailand 2018; 26(1):50-61.
4. Lortrakul M. Ramathibodi Essential Psychiatry. 4th ed. Bangkok: Department of psychiatry Faculty of medicine Ramathibodi hospital; 2015.
5.Durgoji S, Muliyala K, Jayarajan D, Chaturvedi S. Quality of life in schizophrenia: what is important for persons with schizophrenia in India?. Indian J Psychol Med. 2019; 41(5):420-7.
6. Sangsirilak S. Burden Among Caregivers of Schizophrenia Patient. Medical journal of srisaket surin buriram hospitals. 2016; 31(3):139-48.
7. Pitanupong J and Rueangwiriyanan C. Caregiver burdens in patients with schizophrenia and related factors. Journal of Mental Health of Thailand 2019;27(2):95-106.
8. Hsiao C, Tsai Y. Factors of caregiver burden and family functioning among Taiwanese family caregiver living with schizophrenia. Journal of Clinical Nursing. 2014; 24(11-12):1546-56.
9. Yazici E, Karabulut U, Yildiz M, Baskan Tekes S, Inan E, Cakir U, et al. Burden on Caregivers of Patients with Schizophrenia and Related Factors. Noro Psikiyatr Ars. 2016; 53(2):96–101.
10. Hegde A, Chakrabarti S, Grover S. Caregiver distress in schizophrenia and mood disorder: the role of illness related stressors and caregiver-related factor. Nord J Psychiatry. 2019; 73(1):64-72.
11. Hajebi A, Naserbakht M, Minoletti A. Burden experienced by caregivers of schizophrenia patients and its related factors. Med J Islam Repub Iran. 2019; 33:54-60.
12. Health education division Ministry of public health. ABCDE – Health literacy scale of Thai adults. Bangkok: The Agricultural Cooperative Federation of Thailand; 2013.
13. Tongmon C. Selected factors related to family caregiver participation in caring for older persons with chronic renal failure [dissertation]. Bangkok: Chulalongkorn University; 2006.
14. Mingkwan P. Stress and coping in the elderly stroke patients [dissertation]. Chiang Mai: Chiang Mai University. 1999.
15. Nuntapong S. Social support of caregivers of schizophrenic patients [dissertation]. Chiang Mai: Chiang Mai University. 1999.
16. Manosri M. Spiritual well-being among caregivers of person with schizophrenia [dissertation]. Chiang Mai: Chiang Mai University. 2004.
17. Toonsiri C, Sunsern R, Lawang W. Development of the burden interview for caregivers of patients with chronic illness. Journal of nursing and education. 2011; 4(1):62-75.
18. Talwar P, Matheiken ST. Caregivers in schizophrenia: A cross Cultural Perspective. Indian J Psychol Med. 2010;32(1):29–33.
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