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Psychological and Emotional Status, and Caregiver Burden in Caregivers of Patients With Peritoneal Dialysis Compared With Caregivers of Patients With Renal Transplantation

https://doi.org/10.1016/j.transproceed.2013.03.004Get rights and content

Abstract

Objectives

We sought to examine the relationship between caregivers of continuous ambulatory peritoneal dialysis (CAPD) and of renal transplant (Tx) patients with regard to sleep quality, anxiety, depression, and overall burden.

Methods

This cross-sectional study of prevalent caregivers of CAPD patients and of renal Tx patients used a multidimensional instrument to assess the association of sleep quality, depression and anxiety symptoms, as well as burden using a Zarit Burden Interview. Among the 113 caregivers who participated in this study, 53 were in the Tx and 60 in the CAPD group.

Results

The overall mean age was 40.7 ± 13.6 years. The proportions of age, gender, income, and education level were similar between the 2 groups. Caregivers of peritoneal dialysis patients had significantly higher rates of anxiety and depression compared with the Tx group (P = .039 and P = .003, respectively). Good sleep quality rates for caregivers of Tx versus CAPD patients were 88.7% (n = 47) and 61.7% (n = 37), respectively. Poor sleep quality was significantly higher among caregivers of CAPD compared with those for Tx patients (P = .001). Caregiver burden scores were significantly higher in caregivers of CAPD patients compared with Tx patients (P < .001). Upon logistic regression analysis, caregivers of CAPD patients were 2.61 times (95% confidence interval, 1.03–6.59; P = .043) higher than the caregiver burden risk than those for Tx patients.

Conclusions

This study indirectly indicated that renal Tx improves the life quality and decreases psychiatric symptoms among caregivers of ESRD patients.

Section snippets

Study Design

A cross-sectional, multidimensional instrument assessed the association of quality of sleep (Pittsburgh Sleep Quality Index [PSQI]), depression and anxiety symptoms (Hospital Anxiety and Depression Scale [HADS]), and caregiver burden in a Zarit Burden Interview (ZBI) between CAPD versus Tx patient caregivers.

Subjects

Adults who were self-identified as the patient's primary caregiver or spouse, who were ≥18 years old, who were literate, who were not previous living kidney donors, and who provided

Results

Among 113 caregivers who participated in this study, 53 (46.9%) were in the Tx and 60 (53.1%) in the CAPD group. Overall mean age was 40.7 ± 13.6 years. The proportions of age, gender, income level and education level were similar between the 2 groups (Table 1).

Caregivers of peritoneal dialysis patients showed significantly higher rates of anxiety and depression compared with the Tx group (P = .039 and P = .003; Table 2). Good sleep quality rates for caregivers of Tx and CAPD patients were

Discussion

Our results suggested that caregivers of CAPD patients were at higher risks for anxiety, depression, and poor sleep quality compared with those for Tx recipients. Caregiver burden was higher among the CAPD group.

In Turkey, caregivers for chronically ill patients are usually family members, which is generally a compulsory duty and may continue until the end of the subjects' life. In our study, caregivers of CAPD patients showed higher rates of anxiety and depression compared with the Tx group.

References (23)

  • M.A. Dew et al.

    Does transplantation produce quality of life benefits?A quantitative analysis of the literature

    Transplantation

    (1997)
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