DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20214999

A comparative study on the health status of caregivers between intensive and non-intensive care unit patients in a tertiary care hospital of urban Bengaluru

N. R. Ramesh Masthi, Laveena S, M. Sharmila, Nitu Kumari, Aparna A., Divya Bharathi G.

Abstract


Background: Caregivers providing care to hospitalized family members are potentially at risk for declining physical and psychological health. To assess and compare physical and psychological burden of caregivers of Intensive care unit and non-Intensive care unit (non-ICU) patients.

Methods: A descriptive, hospital-based, cross-sectional study was conducted among 256 caregivers (127 Intensive care unit and 129 non-ICU patients) in a tertiary care hospital in urban Bengaluru for 6 months (July-December, 2019). A modified Hospital anxiety and depression scale (HADS) and Perceived stress scale was used to assess the anxiety and stress burden among the caregivers, respectively.

Results: Out of 256 caregivers, 196 (76.56%) experienced some form of physical burden, 112 (57.14%) belonged to ICU group and 84 (42.86%) non-ICU group (Z=2, p=0.045). Anxiety problem was observed in 54.29% caregivers, and was found statistically significant in caregivers of ICU (62.59%) patients than non-ICU (37.41%) patients (Z=2.969, p=0.002). Similarly, the burden of stress was observed in 203 (79.29%) caregivers, predominantly in ICU group (54.19%) compared to non-ICU (45.81%) group.

Conclusions: Three-fourth of the caregivers had one or the other physical symptoms and nearly half of them had stress and anxiety irrespective of ICU or non-ICU admission. The financial burden was more among the ICU caregivers and the longer duration of stay had affected the health of the caregivers.


Keywords


Caregivers, Health status, Intensive care unit, Patients

Full Text:

PDF

References


Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: a longitudinal study. Gerontologist. 1986;26(3):260-6.

Gillick MR. The critical role of caregivers in achieving patient-centered care. JAMA. 2013;310(6):575-6.

Channon AA, Andrade MV, Noronha K, Leone T, Dilip TR. Inpatient care of the elderly in Brazil and India: assessing social inequalities. Soc Sci Med. 2012;75(12):2394-402.

WHO. Supporting informal caregivers of people living with dementia, 2015. Available at: https://www.who.int/mental_health/neurology/dementia/dementia_thematicbrief_informal. Accessed on 01 November 2021.

Pandey A, Ploubidis GB, Clarke L, Dandona L. Hospitalisation trends in India from serial cross-sectional nationwide surveys: 1995 to 2014. BMJ Open. 2017;7(12):14188.

Bowen C, MacLehose A, Beaumont JG. Advanced multiple sclerosis and the psychosocial impact on families. Psychol Health. 2011;26(1):113-27.

Douglas SL, Daly BJ, Kelley CG, O'Toole E, Montenegro H. Impact of a disease management program upon caregivers of chronically critically ill patients. Chest. 2005;128(6):3925-36.

Poston D, Turnbull A, Park J, Mannan H, Marquis J, Wang M. Family quality of life: a qualitative inquiry. Ment Retard. 2003;41(5):313-28.

Lukhmana S, Bhasin SK, Chhabra P, Bhatia MS. Family caregivers' burden: A hospital based study in 2010 among cancer patients from Delhi. Indian J Cancer. 2015;52(1):146-51.

Snaith RP. The Hospital Anxiety And Depression Scale. Health Qual Life Outcomes. 2003;1:29.

Cohen S. Perceived stress scale, 2019. Available at https://www.mindgarden.com/documents/PerceivedStressScale.pdf. Accessed on 01 November 2021.

Xiao P, Zhou Y. Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study. J Orthop Surg Res. 2020;15(1):234.

Li C, Miao J, Gao X, Zheng L, Su X, Hui H, Hu J. Factors Associated with Caregiver Burden in Primary Caregivers of Patients with Adolescent Scoliosis: A Descriptive Cross-Sectional Study. Med Sci Monit. 2018;24:6472-9.

Pinquart M, Sörensen S. Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007;62(2):126-37.

Choi J, Donahoe MP, Hoffman LA. Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies. J Korean Acad Nurs. 2016;46(2):159-67.

Zahrani R, Bashihab R, Ahmed AE, Alkhodair R, Khateeb S. The prevalence of psychological impact on caregivers of hospitalized patients: The forgotten part of the equation. Qatar Med J. 2015;2015(1):3.

Gharaei J, Mostafavi S, Alirezaei N. Quality of Life and the Associated Psychological Factors in Caregivers of Children with PKU. Iran J Psychiatry. 2011;6(2):66-9.

Pelt DC, Milbrandt EB, Qin L, Weissfeld LA, Rotondi AJ, Schulz R, et al. Informal caregiver burden among survivors of prolonged mechanical ventilation. Am J Respir Crit Care Med. 2007;175(2):167-73.

Lkhoyaali S, Haj MA, Omrani F, Layachi M, Ismaili N, Mrabti H, et al. The burden among family caregivers of elderly cancer patients: prospective study in a Moroccan population. BMC Res Notes. 2015;8:347.

Ahmed A, Darweesh AED, Mohamed I, Ahmed Z. Correlation Between Socio-Demographic Characteristics and Burden Among Family Caregivers of Psychotic Patients. J Health Med Nurs. 2020;70:42-51.

Kumar R, Saini R. Extent of Burden and Coping Strategies among Caregivers of Mentally-ill Patients. Nurs Midwif Res J. 2012;8(4):274-84.