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Health-related quality of life of family caregivers of dialysis patients.
J Nephrol. 2004 Nov-Dec; 17(6):841-50.JN

Abstract

BACKGROUND

This study aimed to evaluate the health-related quality of life (HRQOL) and burden on family caregivers of chronic dialysis patients and to analyze which factors were associated with it.

METHODS

A cross-sectional multicentric study was carried out with 221 patient/caregiver pairs. General population Short Form 36 (SF-36) norms were used to estimate gender and age standardized physical component summary (PCS) and mental component summary (MCS) scores. The Duke-UNC Functional Social Support Questionnaire (FSS), the Zarit Burden Interview (ZBI), and sociodemographic and clinical data were also collected.

RESULTS

The PCS and MCS of caregivers were slightly worse than that of the Spanish population. Multiple regression analysis showed that: (1) lower PCS was associated with younger age and higher ZBI of the caregiver (R2=0.15); (2) lower MCS was associated with higher ZBI and lower FSS of the caregiver, and lower MCS of the patient (R2=0.29); (3) higher ZBI was associated with lower FSS, PCS and MCS of the caregiver, and to older age and lower PCS and MCS of the patient (R2=0.49). Of caregivers 28.3% had a MCS < or = 42; logistic regression analysis showed that a MCS < or = 42 was associated to higher ZBI and lower FSS scores (p<0.001).

CONCLUSIONS

The HRQOL of dialysis patient family caregivers is slightly worse than that of the Spanish population of the same age and gender. Younger family members, who are the primary carers of older dialysis patients with poor HRQOL, experienced a higher burden, had a worse HRQOL and had a higher risk of clinical depression; this was worse if low social support was perceived.

Authors+Show Affiliations

Nephrology Unit of the General Hospital of Segovia and Institute Reina Sofia for Nephrological Research of the FRIAT, Segovia, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15593060

Citation

Alvarez-Ude, Fernando, et al. "Health-related Quality of Life of Family Caregivers of Dialysis Patients." Journal of Nephrology, vol. 17, no. 6, 2004, pp. 841-50.
Alvarez-Ude F, Valdés C, Estébanez C, et al. Health-related quality of life of family caregivers of dialysis patients. J Nephrol. 2004;17(6):841-50.
Alvarez-Ude, F., Valdés, C., Estébanez, C., & Rebollo, P. (2004). Health-related quality of life of family caregivers of dialysis patients. Journal of Nephrology, 17(6), 841-50.
Alvarez-Ude F, et al. Health-related Quality of Life of Family Caregivers of Dialysis Patients. J Nephrol. 2004;17(6):841-50. PubMed PMID: 15593060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life of family caregivers of dialysis patients. AU - Alvarez-Ude,Fernando, AU - Valdés,Covadonga, AU - Estébanez,Carmen, AU - Rebollo,Pablo, AU - ,, PY - 2004/12/14/pubmed PY - 2005/3/9/medline PY - 2004/12/14/entrez SP - 841 EP - 50 JF - Journal of nephrology JO - J. Nephrol. VL - 17 IS - 6 N2 - BACKGROUND: This study aimed to evaluate the health-related quality of life (HRQOL) and burden on family caregivers of chronic dialysis patients and to analyze which factors were associated with it. METHODS: A cross-sectional multicentric study was carried out with 221 patient/caregiver pairs. General population Short Form 36 (SF-36) norms were used to estimate gender and age standardized physical component summary (PCS) and mental component summary (MCS) scores. The Duke-UNC Functional Social Support Questionnaire (FSS), the Zarit Burden Interview (ZBI), and sociodemographic and clinical data were also collected. RESULTS: The PCS and MCS of caregivers were slightly worse than that of the Spanish population. Multiple regression analysis showed that: (1) lower PCS was associated with younger age and higher ZBI of the caregiver (R2=0.15); (2) lower MCS was associated with higher ZBI and lower FSS of the caregiver, and lower MCS of the patient (R2=0.29); (3) higher ZBI was associated with lower FSS, PCS and MCS of the caregiver, and to older age and lower PCS and MCS of the patient (R2=0.49). Of caregivers 28.3% had a MCS < or = 42; logistic regression analysis showed that a MCS < or = 42 was associated to higher ZBI and lower FSS scores (p<0.001). CONCLUSIONS: The HRQOL of dialysis patient family caregivers is slightly worse than that of the Spanish population of the same age and gender. Younger family members, who are the primary carers of older dialysis patients with poor HRQOL, experienced a higher burden, had a worse HRQOL and had a higher risk of clinical depression; this was worse if low social support was perceived. SN - 1121-8428 UR - https://www.unboundmedicine.com/medline/citation/15593060/Health_related_quality_of_life_of_family_caregivers_of_dialysis_patients_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=15593060.ui DB - PRIME DP - Unbound Medicine ER -