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Burden of care and quality of life among informal caregivers to Alzheimer patients in Egypt

Published online by Cambridge University Press:  29 June 2023

Ateya Megahed Ibrahim*
Affiliation:
Department of Nursing, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
Mahmoud Metwally Ibrahim
Affiliation:
Al-Ghad International College for Applied Medical Sciences, Saudi Arabia Department of Pharmacology, Al-Azhar University, Damietta, Egypt
Donia Elsaid Fathi Zaghamir
Affiliation:
Department of Nursing, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia Pediatric Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
*
Corresponding author: Ateya Megahed Ibrahim; Email: a.eleglany@psau.edu.sa

Abstract

Background

Alzheimer’s disease is a chronic neurodegenerative disorder that results in total cognitive impairment and functional decline. Family members are the most usual caregivers worldwide, resulting in an increasing total burden and a subsequent degradation of their quality of life.

Objectives

To evaluate the burden of care and quality of life among informal caregivers to Alzheimer patients in Egypt.

Methods

A descriptive research design was used. The study was conducted at outpatient clinics of El-Abbasya Mental Hospital in Cairo, Egypt. This study included 550 informal caregivers of Alzheimer patients. Data were gathered through questionnaires using the Sociodemographic Profile of Family Caregivers, an adopted version of the Montgomery Borgatta Caregiver Burden scale, and Health-Related Quality of Life Scale.

Results

Nearly three quarters (73.5%) of the informal caregivers were female. Additionally, the physical burden among the informal caregivers was the highest (21.58 ± 8.13), while the psychological burden was the lowest (7.48 ± 25.35). Besides, around one-third (30%) of the informal caregivers had a total poor quality of life.

Significance of results

Total burden among informal caregivers of Alzheimer patients was relatively high (64.71 ± 26.86). Moreover, less than one-tenth (8%) of the informal caregivers for Alzheimer’s patients had a good quality of life, whereas more than half (62%) of them had an average quality of life. In the Egyptian context, ongoing health education initiatives for those who care for Alzheimer patients are essential, and additional research employing large study sample sizes in varied contexts is strongly advised.

Type
Original Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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References

(2022) 2022 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association 18(4), 700789. doi:10.1002/alz.12638CrossRefGoogle Scholar
Abdollahpour, I, Noroozian, M, Nedjat, S, et al. (2012) Caregiver burden and its determinants among the family members of patients with dementia in Iran. International Journal of Preventive Medicine 3(8), 544551.Google ScholarPubMed
Adelman, RD, Tmanova, LL, Delgado, D, Dion, S and Lachs, MS (2014) Caregiver burden: a clinical review. JAMA 311(10), 10521060. doi:10.1001/jama.2014.304.CrossRefGoogle ScholarPubMed
Al Abdulmohsin, SA, Coons, S, Draugalis, JR, et al. (1997). Translation of the RAND 36-item health survey 1.0 (aka SF-36) into Arabic.Google Scholar
Andreakou, MI, Papadopoulos, AA, Panagiotakos, DB, et al. (2016) Assessment of health-related quality of life for caregivers of Alzheimer’s disease patients. International Journal of Alzheimer’s Disease 2016, . doi:10.1155/2016/9213968Google ScholarPubMed
Arvanitakis, Z, Shah, RC and Bennett, DA (2019) Diagnosis and management of dementia: Review. JAMA 322(16), 15891599. doi:10.1001/jama.2019.4782CrossRefGoogle ScholarPubMed
Ashrafizadeh, H, Gheibizadeh, M, Rassouli, M, et al. (2021) Explain the experience of family caregivers regarding care of Alzheimer’s patients: A qualitative study. Frontiers in Psychology 12, . doi:10.3389/fpsyg.2021.699959Google ScholarPubMed
Babarro, AA, Barral, AG, Ponce, AD, et al. (2019) Profile and burden of care in caregivers of patients with dementia included in the ALOIS Program. Atencion primaria 33(2), 6166. doi: 10.1016/s0212-6567(04)79352-xGoogle Scholar
Cengiz, Z, Turan, M, Olmaz, D, et al. (2021) Care burden and quality of life in family caregivers of palliative care patients. Journal of Social Work in End-of-Life & Palliative Care 17(1), . doi:10.1080/15524256.2021.1888844CrossRefGoogle ScholarPubMed
Dawood, S (2016) Caregiver burden, quality of life and vulnerability towards psychopathology in caregivers of patients with dementia/Alzheimer’s disease. Journal of the College of Physicians and Surgeons Pakistan: JCPSP 26(11), 892895.Google ScholarPubMed
Elshahidi, MH, Elhadidi, MA, Sharaqi, AA, et al. (2017) Prevalence of dementia in Egypt: A systematic review. Neuropsychiatric Disease and Treatment 13, 715720. doi:10.2147/NDT.S127605CrossRefGoogle ScholarPubMed
Froelich, L, Lladó, A, Khandker, RK, et al. (2021) Quality of life and caregiver burden of Alzheimer’s disease among community dwelling patients in Europe: Variation by disease severity and progression. Journal of Alzheimer’s Disease Reports 5(1), 791804. doi:10.3233/ADR-210025CrossRefGoogle ScholarPubMed
Ghezeljeh, N, Rafii, F, and Ladani, F (2020) in the caregiver burden of Alzheimer’s patients: An evolutionary concept analysis. Revista Latinoamericana de Hipertensión 15(1), 3743 doi:10.5281/zenodo.4074208Google Scholar
Hazzan, AA, Dauenhauer, J, Follansbee, P, et al. (2022) Family caregiver quality of life and the care provided to older people living with dementia: Qualitative analyses of caregiver interviews. BMC Geriatrics 22(1), . doi:10.1186/s12877-022-02787-0CrossRefGoogle ScholarPubMed
Jones, RW, Romeo, R, Trigg, R, et al. (2015) Dependence in Alzheimer’s disease and service use costs, quality of life, and caregiver burden: The DADE study. Alzheimer’s & Dementia 11(3), . doi:10.1016/j.jalz.2014.03.001CrossRefGoogle ScholarPubMed
Khalil, A, Aladwani, N and Aljehani, S (2020) Relationship between knowledge, attitude, and burden among Alzheimer’s family care givers in Jeddah, Saudi Arabia. Saudi Journal of Nursing and Health Care 3(6), 167174. doi:10.36348/sjnhc.2020.v03i06.002CrossRefGoogle Scholar
Kuzu, F. and Tel Aydin, H. (2022) Effects of Education on Care Burden and Quality of Life to Caregivers of Patients with COPD. Turkish Thoracic Journal, 23(2), . doi:10.5152/TurkThoracJ.2022.21002.CrossRefGoogle ScholarPubMed
Maldonado, G, Bedmar, G, Casares, F, et al. (2017) Health-related quality of life in caregivers of patients with Alzheimer disease. Neurología 32(8), 508515 doi:10.1016/j.nrleng.2016.02.011Google Scholar
Margelaki, A and Katharaki, M (2021) Assessing the burden of family caregivers of people with dementia living in the community of a Greek Island. International Journal of Nursing and Health Care Research 4, . doi:10.29011/2688-9501.101227Google Scholar
Mas, M, Aribau, A, Souza, D, et al. (2021) Improving the quality of life of family caregivers of people with Alzheimer’s disease through virtual communities of practice: A quasi-experimental study. International Journal of Alzheimer’s Disease 2021(1), . doi:10.1155/2021/8817491Google Scholar
Monteiro, AMF, Santos, RL, Kimura, N, et al. (2018) Coping strategies among caregivers of people with Alzheimer disease: A systematic review. Trends in Psychiatry and Psychotherapy 40(3), 258268 doi:10.1590/2237-6089-2017-0065CrossRefGoogle ScholarPubMed
Montgomery, W, Goren, A, Wrobleski, K, et al. (2018) Alzheimer’s disease severity and its association with patient and caregiver quality of life in Japan. BMC Geriatrics 18, . doi:10.1186/s12877-018-0831-2CrossRefGoogle ScholarPubMed
Ohno, S, Chen, Y, Sakamaki, H, et al. (2021) Humanistic burden among caregivers of patients with Alzheimer’s disease or dementia in Japan: A large-scale cross-sectional survey. Journal of Medical Economics 24(1), 181192. doi:10.1080/13696998.2021.1877149CrossRefGoogle ScholarPubMed
Queiroz, R, Camacho, A and Gurgel, J (2018) Socio-demographic profile and quality of life of caregivers of elderly people with dementia. Revista Brasileira de Geriatria e Gerontologia 21(2), 205214. doi:10.1590/1981-22562018021.170170CrossRefGoogle Scholar
Seidel, D and Thyrian, J (2019) Burden of caring for people with dementia – Comparing family caregivers and professional caregivers. A descriptive study. Journal of Multidisciplinary Healthcare 12, 655663. doi:10.2147/JMDH.S209106CrossRefGoogle ScholarPubMed
Srivastava, G, Tripathi, RK, Tiwari, SC, et al. (2016) Caregiver burden and quality of life of key caregivers of patients with dementia. Indian Journal of Psychological Medicine 38(2), 133136. doi:10.4103/0253-7176.178779CrossRefGoogle ScholarPubMed
Toledano-Toledano, F, Rodríguez-Rey, R, Moral de la Rubia, J, et al. (2019) A sociodemographic variables questionnaire (Q-SV) for research on family caregivers of children with chronic disease. BMC Psychology 7(1), 111. doi:10.1186/s40359-019-0350-8CrossRefGoogle ScholarPubMed
Tsai, CF, Hwang, WS, Lee, JJ, et al. (2020) Predictors of caregiver burden in aged caregivers of demented older patients. BMC Geriatrics 21(59), 29. doi:10.1186/s12877-021-02007-1Google Scholar
Villars, H, Cantet, C, de Peretti, E, et al. (2021) Impact of an educational programme on Alzheimer’s disease patients’ quality of life: Results of the randomized controlled trial THERAD. Alzheimer’s Research & Therapy 13(1), . doi:10.1186/s13195-021-00896-3Google ScholarPubMed
Wimo, A, Ali, G, Guerchet, M, et al. (2015) World Alzheimer Report 2015: The global impact of dementia: An analysis of prevalence, incidence, cost and trends. London: Alzheimer’s Disease International, . https://www.alzint.org/u/WorldAlzheimerReport2015.pdf (accessed 12  May 2022).Google Scholar
World Health Organization (2019) Risk reduction of cognitive decline and dementia: WHO guidelines. In Risk Reduction of Cognitive Decline and Dementia: WHO Guidelines Geneva: World Health Organization, 401401.Google Scholar