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Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis.
Am J Kidney Dis. 2006 Dec; 48(6):955-63.AJ

Abstract

BACKGROUND

Despite the growing number of elderly patients with end-stage renal disease who need support, there are few studies about their caregivers. The objective of this study is to describe caregivers' characteristics and evaluate their burden and quality of life.

METHODS

We studied caregivers of elderly patients (>or=65 years) on hemodialysis (HD) therapy (n = 84), on peritoneal dialysis (PD) therapy (n = 40), and a group of caregivers (n = 77) of nonelderly HD patients. Their quality of life was evaluated by using the Medical Outcomes Study 36-Item Short-Form Health Survey questionnaire, Caregiver Burden scale, and Cognitive Index of Depression.

RESULTS

Most caregivers of the elderly were women (78%) aged 55 +/- 15 years and sons or daughters (41%) or wives or husbands (50%) of patients. Caregivers' Emotional Aspect, Vitality, and Mental Health were the most affected dimensions. The Mental Component Summary mean score, adjusted for patient race, educational level, primary diagnosis, hematocrit, comorbidities, and physical functional status, was worse for caregivers of PD than HD elderly patients (36.3 +/- 1.9 versus 44.8 +/- 1.5; P < 0.01). The most affected Caregiver Burden scale dimensions were General Strain and Environment. Thirty-two percent of caregivers showed signs of depression.

CONCLUSION

Caregivers of elderly dialysis patients, especially of those on PD therapy, experience a significant burden and adverse effects on their quality of life. Educational, social, and psychological support interventions should be considered to improve the quality of life of caregivers.

Authors+Show Affiliations

Nursing Department, Division of Nephrology, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17162150

Citation

Belasco, Angelica, et al. "Quality of Life of Family Caregivers of Elderly Patients On Hemodialysis and Peritoneal Dialysis." American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 48, no. 6, 2006, pp. 955-63.
Belasco A, Barbosa D, Bettencourt AR, et al. Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis. Am J Kidney Dis. 2006;48(6):955-63.
Belasco, A., Barbosa, D., Bettencourt, A. R., Diccini, S., & Sesso, R. (2006). Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis. American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 48(6), 955-63.
Belasco A, et al. Quality of Life of Family Caregivers of Elderly Patients On Hemodialysis and Peritoneal Dialysis. Am J Kidney Dis. 2006;48(6):955-63. PubMed PMID: 17162150.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis. AU - Belasco,Angelica, AU - Barbosa,Dulce, AU - Bettencourt,Ana R, AU - Diccini,Solange, AU - Sesso,Ricardo, PY - 2006/07/03/received PY - 2006/08/29/accepted PY - 2006/12/13/pubmed PY - 2007/1/11/medline PY - 2006/12/13/entrez SP - 955 EP - 63 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am. J. Kidney Dis. VL - 48 IS - 6 N2 - BACKGROUND: Despite the growing number of elderly patients with end-stage renal disease who need support, there are few studies about their caregivers. The objective of this study is to describe caregivers' characteristics and evaluate their burden and quality of life. METHODS: We studied caregivers of elderly patients (>or=65 years) on hemodialysis (HD) therapy (n = 84), on peritoneal dialysis (PD) therapy (n = 40), and a group of caregivers (n = 77) of nonelderly HD patients. Their quality of life was evaluated by using the Medical Outcomes Study 36-Item Short-Form Health Survey questionnaire, Caregiver Burden scale, and Cognitive Index of Depression. RESULTS: Most caregivers of the elderly were women (78%) aged 55 +/- 15 years and sons or daughters (41%) or wives or husbands (50%) of patients. Caregivers' Emotional Aspect, Vitality, and Mental Health were the most affected dimensions. The Mental Component Summary mean score, adjusted for patient race, educational level, primary diagnosis, hematocrit, comorbidities, and physical functional status, was worse for caregivers of PD than HD elderly patients (36.3 +/- 1.9 versus 44.8 +/- 1.5; P < 0.01). The most affected Caregiver Burden scale dimensions were General Strain and Environment. Thirty-two percent of caregivers showed signs of depression. CONCLUSION: Caregivers of elderly dialysis patients, especially of those on PD therapy, experience a significant burden and adverse effects on their quality of life. Educational, social, and psychological support interventions should be considered to improve the quality of life of caregivers. SN - 1523-6838 UR - https://www.unboundmedicine.com/medline/citation/17162150/Quality_of_life_of_family_caregivers_of_elderly_patients_on_hemodialysis_and_peritoneal_dialysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272-6386(06)01358-8 DB - PRIME DP - Unbound Medicine ER -