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Zhang X, Wang S, Zhao R, Zhao N, Tao S, Zhang H, Wu B, Xia X, Fan H. Analysis of factors associated with family disease burden and correlation with social support among family caregivers of patients with severe mental illnesses. Int J Soc Psychiatry 2024; 70:218-226. [PMID: 37947263 DOI: 10.1177/00207640231204217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
BACKGROUND Caregivers are responsible for the home care of family members with severe mental illnesses (SMIs) and their lives are often subject to changes that can create stress and burden. The purpose of this study was to explore the current state of family disease burden and its correlation with social support among family caregivers of SMIs patients. METHODS Using a random sampling method, a total of 1,108 family caregivers of SMIs patients in community health service centers were selected. A general information questionnaire of family caregivers and patients, the Family Disease Burden Scale, and the Social Support Rating Scale were used. RESULTS The score of the Family Disease Burden Scale of 1108 family caregivers was 16.57 ± 10.65. Family disease burden was negatively correlated with social support (p < .05). The main influencing factors of family disease burden were average annual family income, duration of illness, distance to medical care, risk of unpredictable behavior, social support, caregiver-patient relationship, gender, and comorbid chronic conditions (p < .05). CONCLUSION Family caregivers of SMIs patients have a relatively low level of caregiver-perceived social support. Interventions to enhance perceived social support could help maintain the health of family caregivers and improve the quality of family care.
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Affiliation(s)
- Xia Zhang
- School of Nursing, Nanjing Medical University, P.R. China
| | - Sizhe Wang
- School of Public Health, Nanjing Medical University, P.R. China
| | - Ran Zhao
- School of Public Health, Nanjing Medical University, P.R. China
| | - Nan Zhao
- School of Nursing, Nanjing Medical University, P.R. China
| | - Shilong Tao
- Center for Disease Control and Prevention of Jiangning District, Nanjing, P.R. China
| | - Haiyang Zhang
- Center for Disease Control and Prevention of Jiangning District, Nanjing, P.R. China
| | - Baiqun Wu
- Center for Disease Control and Prevention of Jiangning District, Nanjing, P.R. China
| | - Xiaojuan Xia
- Center for Disease Control and Prevention of Jiangning District, Nanjing, P.R. China
| | - Hong Fan
- School of Nursing, Nanjing Medical University, P.R. China
- School of Public Health, Nanjing Medical University, P.R. China
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Petrovic M, Bonanno S, Landoni M, Ionio C, Hagedoorn M, Gaggioli A. Healing with Stories: using the Transformative Storytelling technique to generate empowering narratives for informal caregivers. A Method Demonstration (Preprint). JMIR Form Res 2022; 6:e36405. [PMID: 35802492 PMCID: PMC9382549 DOI: 10.2196/36405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 05/11/2022] [Accepted: 06/01/2022] [Indexed: 01/19/2023] Open
Abstract
Background Objective Methods Results Conclusions
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Affiliation(s)
- Milica Petrovic
- ExperienceLab, Università Cattolica del Sacro Cuore, Milan, Italy
| | | | - Marta Landoni
- Department of Psychology, Centro di Ricerca sulle Dinamiche Evolutive ed Educative, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Chiara Ionio
- Department of Psychology, Centro di Ricerca sulle Dinamiche Evolutive ed Educative, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Mariët Hagedoorn
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Gaggioli
- Research Center in Communication Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- IRCCS, Istituto Auxologico Italiano, Milan, Italy
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Matsuda Y, Izumi M, Nakamichi A, Isobe A, Akifusa S. Validity and reliability of the oral health-related caregiver burden index. Gerodontology 2017; 34:390-397. [PMID: 28699169 DOI: 10.1111/ger.12281] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study developed the Oral Health-related Caregiver Burden Index (OHBI), which contains nine questions with five response options each. As a secondary objective, we aimed to clarify the relationship between oral health-related caregiver burden and general caregiver burden. BACKGROUND There are a few reports of the oral health-related caregiver burden. METHODS Between January 2016 and February 2016, 155 participants enrolled in the study. We conducted the survey to examine the validity and reliability of OHBI. Additionally, the cut-off score for this scale was calculated, and the relationship between OHBI and general caregiver burden (BIC-11) was examined by binomial logistic regression. RESULTS Survey 1 was completed by 102 caregivers, of whom 58 (56.9%) were female. Survey 2 was completed by 40 caregivers, of whom 22 (55.0%) were female. Factor analysis revealed four factors in OHBI. Cronbach's α was .691-.866. OHBI scores were significantly associated with scores for each factor of the BIC-11. OHBI had a cut-off score of 10 (AUC=.881, sensitivity=.828, specificity=.744). A good-poor analysis revealed significant differences for discriminant validity. ICC, an indicator of reliability, was .449-.842. There was a significant relationship between caregiver burden and oral health-related caregiver burden according to binomial logistic regression analysis (P<.05). CONCLUSION We developed the OHBI as a multidimensional care burden scale, which comprises nine items covering five domains. Further, we verified the relationship between general caregiver burden and oral health-related caregiver burden.
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Affiliation(s)
- Yuhei Matsuda
- Department of Support for Senior Citizens, Kyusyu Dental University, Fukuoka, Japan
| | - Maya Izumi
- School of Oral Health Sciences, Kyusyu Dental University, Fukuoka, Japan
| | - Atsuko Nakamichi
- School of Oral Health Sciences, Kyusyu Dental University, Fukuoka, Japan
| | - Ayaka Isobe
- School of Oral Health Sciences, Kyusyu Dental University, Fukuoka, Japan
| | - Sumio Akifusa
- Department of Support for Senior Citizens, Kyusyu Dental University, Fukuoka, Japan.,School of Oral Health Sciences, Kyusyu Dental University, Fukuoka, Japan
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Kusui Y, Yamazaki T, Yamada T, Hamada M, Ueshima K, Tajima K, Sokejima S. Worker resignation due to patient nuisance in hospitals: Determinants and prevention. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2017; 72:10-19. [PMID: 26786616 DOI: 10.1080/19338244.2016.1140628] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 01/05/2016] [Indexed: 06/05/2023]
Abstract
To investigate determinants and protective strategies for the resignation of health care workers resulting from patient-derived nuisance in medical institutions, we conducted a cross-sectional survey in the 57 hospitals in Mie Prefecture, Japan. A random sampling of 775 employees (physicians, nurses, administrators, and other health care workers) was provided self-administered questionnaires. Among 480 participants who experienced patient-derived nuisance, 132 participants considered resignation as a result, giving an estimated prevalence of 17.1% (95% CI: 14.4%-19.8%) of all respondents. Nonphysical nuisances such as "demand for an unwarranted apology" (OR: 2.57; 95% CI: 1.61-4.12) had higher ORs for considering resignation than other kinds of nuisance. By contrast, OR for the provision of human support by medical institutions was 0.49 (95% CI: 0.28-0.86). Human support was associated with alleviation of the intention to resign.
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Affiliation(s)
- Yoshiyuki Kusui
- a Department of Public Health and Occupational Medicine , Mie University Graduate School of Medicine , Tsu , Mie , Japan
- b Kusui Law Office , Tsu , Mie , Japan
| | - Toru Yamazaki
- c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan
| | - Tomomi Yamada
- d Department of Biomedical Statistics , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Masayuki Hamada
- e Suzuka General Hospital , Suzuka , Mie , Japan
- f Association of Mie Hospital , Tsu , Mie , Japan
| | | | - Kazuo Tajima
- c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan
| | - Shigeru Sokejima
- a Department of Public Health and Occupational Medicine , Mie University Graduate School of Medicine , Tsu , Mie , Japan
- c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan
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Remes-Troche JM, Torres-Aguilera M, Montes-Martínez V, Jiménez-García VA, Roesch-Dietlen F. Prevalence of irritable bowel syndrome in caregivers of patients with chronic diseases. Neurogastroenterol Motil 2015; 27:824-31. [PMID: 25817438 DOI: 10.1111/nmo.12556] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 02/26/2015] [Indexed: 12/13/2022]
Abstract
BACKGROUND Caregivers are an at-risk population for psychic and physical diseases such as irritable bowel syndrome (IBS). However, it is not known whether providing care for the chronically ill patient can be considered a risk factor for developing IBS. In this study, our aim was to evaluate the prevalence of IBS according to the Rome II criteria in a group of caregivers. METHODS A cross-sectional study was conducted through an evaluation of caregivers of chronically ill patients. Subjects completed questionnaires including the Rome II Modular Questionnaire, the Hospital Anxiety and Depression Scale, the Zarit Caregiver Burden Interview (ZCBI) (an instrument for evaluating the burden experienced by caregivers), and the irritable bowel syndrome quality of life (IBS-QoL) questionnaire. KEY RESULTS Ninety-six primary caregivers (mean age was 43.6 ± 13.7 years and 87% were women) were evaluated. The mean length of time providing care was 37.6 months (3-288 months). Forty-seven caregivers (49%) presented with IBS. The caregivers with IBS had higher scores in the global ZCBI score (47 ± 8 vs 28 ± 8, p = 0.001) and on the anxiety and depression scale (p = 0.001) than those that did not have IBS. A total of 72% were diagnosed with caregiver stress syndrome; 42 of them had IBS according to the Rome II questionnaire (60% vs 18%, p = 0.001, relative risk 3.28, 95% CI: 1.4-7.4). CONCLUSIONS & INFERENCES Caregivers of chronically ill patients have a high prevalence of IBS, which is associated with depression, anxiety, and poor QoL.
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Affiliation(s)
- J M Remes-Troche
- Digestive Physiology and Gastrointestinal Motility Laboratory, Instituto de Investigaciones Medico Biológicas, Universidad Veracruzana, Veracruz, Mexico
| | - M Torres-Aguilera
- Digestive Physiology and Gastrointestinal Motility Laboratory, Instituto de Investigaciones Medico Biológicas, Universidad Veracruzana, Veracruz, Mexico
| | - V Montes-Martínez
- Department of Internal Medicine, Hospital Regional de Alta Especialidad de Veracruz, Veracruz, Mexico
| | - V A Jiménez-García
- Digestive Physiology and Gastrointestinal Motility Laboratory, Instituto de Investigaciones Medico Biológicas, Universidad Veracruzana, Veracruz, Mexico
| | - F Roesch-Dietlen
- Digestive Physiology and Gastrointestinal Motility Laboratory, Instituto de Investigaciones Medico Biológicas, Universidad Veracruzana, Veracruz, Mexico
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Affiliation(s)
- Jeffrey L. Jackson
- Division of General Internal Medicine, Department of Medicine, Walter Reed Army Medical Center, Washington, DC USA
| | - Renee Mallory
- Division of General Internal Medicine, Department of Medicine, Walter Reed Army Medical Center, Washington, DC USA
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