Simge Bardak1, Serap Demir2, Eda Aslan3, Kenan Turgutalp2, Havva Didem Celikcan4, Murside Esra Dolarslan2, Cennet Kılıcarslan2, Filiz Karasu5, Ayse Jini Gunes5, Cemal Kurt5, Ahmet Kıykım2. 1. Department of Internal Medicine, Division of Nephrology, School of Medicine, Mersin University, Ciftlikkoy, Yenisehir, Mersin, Turkey. bardaksimge@gmail.com. 2. Department of Internal Medicine, Division of Nephrology, School of Medicine, Mersin University, Ciftlikkoy, Yenisehir, Mersin, Turkey. 3. Department of Psychiatry, School of Medicine, Mersin University, Mersin, Turkey. 4. Department of Biostatistics and Medical Informatics, Mersin University, Mersin, Turkey. 5. Department of Internal Medicine, Division of Nephrology, Mersin State Hospital, Mersin, Turkey.
Abstract
PURPOSE: Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors. METHODS: A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients' dialysis were enrolled. Patients had been on renal replacement therapy at least for 6 months and caregivers had given care at least for 6 months. The World Health Organization Quality of Life short version and hospital anxiety and depression scale (HAD) were applied to the patients. Symptom Checklist-90-Revised and Zarit caregiver burden scale were applied to the caregivers. RESULTS: Zarit caregiver burden score was found highest in HD group, which was significantly higher than PD and TX. All three groups had similar HAD anxiety scores, whereas the HAD depression score was highest in HD group, lower in PD, and lowest in TX. Quality of life was lowest in HD group. Zarit caregiver burden score was found higher in caregivers with symptoms like somatization, anxiety, obsessive-compulsive, depression, interpersonal sensitivity, psychoticism, paranoid ideation, hostility, and additional psychological symptoms than the ones who did not have these symptoms. Psychological symptoms were similar in PD, HD, and TX groups. CONCLUSION: Caregiver burden was found highest in HD group. Educational, social, and psychological support interventions may be considered for caregivers.
PURPOSE: Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors. METHODS: A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients' dialysis were enrolled. Patients had been on renal replacement therapy at least for 6 months and caregivers had given care at least for 6 months. The World Health Organization Quality of Life short version and hospital anxiety and depression scale (HAD) were applied to the patients. Symptom Checklist-90-Revised and Zarit caregiver burden scale were applied to the caregivers. RESULTS: Zarit caregiver burden score was found highest in HD group, which was significantly higher than PD and TX. All three groups had similar HAD anxiety scores, whereas the HAD depression score was highest in HD group, lower in PD, and lowest in TX. Quality of life was lowest in HD group. Zarit caregiver burden score was found higher in caregivers with symptoms like somatization, anxiety, obsessive-compulsive, depression, interpersonal sensitivity, psychoticism, paranoid ideation, hostility, and additional psychological symptoms than the ones who did not have these symptoms. Psychological symptoms were similar in PD, HD, and TX groups. CONCLUSION: Caregiver burden was found highest in HD group. Educational, social, and psychological support interventions may be considered for caregivers.
Authors: U Avsar; U Z Avsar; Z Cansever; T Set; E Cankaya; A Kaya; H Gozubuyuk; F Saatci; M Keles Journal: Transplant Proc Date: 2013-04 Impact factor: 1.066
Authors: U Avşar; U Z Avşar; Z Cansever; A Yucel; E Cankaya; H Certez; M Keles; B Aydınlı; N Yucelf Journal: Transplant Proc Date: 2015-06 Impact factor: 1.066