Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-27T19:11:46.229Z Has data issue: false hasContentIssue false
  • English
  • Français

The influence of caregivers’ burden on the quality of life for caregivers of older adults with chronic illness in Nigeria

Published online by Cambridge University Press:  13 March 2017

Joel Olayiwola Faronbi  and
Adenike Ayobola Olaogun
Joel Olayiwola Faronbi*
Affiliation:
Department of Nursing Science, College of Health Science, Obafemi Awolowo University, Ile-Ife, Nigeria
Adenike Ayobola Olaogun
Affiliation:
Department of Nursing Science, College of Health Science, Obafemi Awolowo University, Ile-Ife, Nigeria
*
Correspondence should be addressed to: Joel Olayiwola Faronbi, Department of Nursing Science, College of Health Science, Obafemi Awolowo University, Ile-Ife, Nigeria. Phone: +2348033383018. Email: faronbiy2k@yahoo.co.uk, jfaronbi@cartafrica.org.
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

This study investigated the impact of caregivers’ burden on health-related quality of life (HRQoL) among the caregivers of older adults, and tested the predictive effect of burden and socio-demographic factors on HRQoL.

Methods:

The study employed a cross-sectional design. Three hundred and twenty-five caregivers of older adults with chronic illness were purposively selected. Data were collected using the Zarit Burden Interview and Short Form (SF-36) Health Survey. Data were analyzed descriptively and inferentially.

Results:

Findings revealed that 59.1% of caregivers experienced severe burden. In measuring the HQRoL, respondents performed poorly in seven domains: Role limitation due to emotional problems (19.69 ± 9.46), Energy/fatigue (43.47 ± 16.46), Emotional well-being, (45.83 ± 13.93), Social functioning (49.09 ± 18.46), Role limitation due to physical function (43.33 ± 10.15), Physical functioning (43.6 ± 18.73), and General health (37.31 ± 12.09). Respondents, however, showed a higher score in the pain domain (56.77 ± 35.79). Furthermore, findings revealed a positive correlation between caregivers’ burden and General health (r = 0.342), Emotional well-being (r = 0.222), and Physical functioning (r = 0.083). Similarly, there is a negative correlation between caregivers’ burden and Social functioning (r = –0.618), Role limitation due to physical activities (r = 0.459), Role limitation due to emotional well-being (r = –0.530), and Energy/fatigue domains (r = –0.509). In addition, burden of caregiving (β=–3.142119, p = 0.000) and age (β=0.612752, p = 0.011) are predictors of the quality of life of caregivers.

Discussion:

This study concluded that there is a high prevalence of caregivers’ burden resulting in poor HQRoL. In addition, burden and age are predictors of the quality of life of caregivers.

Keywords

burdencaregiverschronic illnessquality of lifeinfluenceNigeriaolder adults
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 7 , July 2017 , pp. 1085 - 1093
Copyright
Copyright © International Psychogeriatric Association 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbott, J. (2003). Coping with cystic fibrosis. Journal of the Royal Society of Medicine, 96, 42.Google ScholarPubMed
Abdulraheem, I., Oladipo, A. and Amodu, M. (2011). Prevalence and correlates of physical disability and functional limitation among elderly rural population in Nigeria. Journal of Ageing Research, 2011, 13. Available at: http://dx.doi.org/10.4061/2011/369894; last accessed July 2016.Google ScholarPubMed
Adebusoye, L. A., Ladipo, M. M., Owoaje, E. T. and Ogunbode, A. M. (2011). Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria. African Journal of Primary Health Care and Family Medicine, 3, 6.CrossRefGoogle Scholar
Ajala, A. S. (2006). The changing perception of aging in Yoruba culture and its implications on the health of the elderly. Anthropologist, 8, 181–188.CrossRefGoogle Scholar
Akushevich, I., Kravchenko, J., Ukraintseva, S., Arbeev, K., Kulminski, A. and Yashin, A. I. (2013). Morbidity risks among older adults with pre-existing age-related diseases. Experimental Gerontology. doi: 10.1016/j.exger.2013.09.005 CrossRefGoogle ScholarPubMed
Alshubaili, A., Ohaeri, J., Awadalla, A. and Mabrouk, A. (2008). Quality of life in multiple sclerosis: a Kuwaiti MSQOL-54 experience. Acta Neurologica Scandinavica, 117, 384–392.CrossRefGoogle ScholarPubMed
Amine, E. et al. (2002). Diet, Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO/FAO Expert Consultation, Geneva, Switzerland: World Health Organization.Google Scholar
Anderson, G., Herbert, R., Zeffiro, T. and Johnson, N. (2004). Chronic Conditions: Making the Case for Ongoing Care. Baltimore, MD: John Hopkins University.Google Scholar
Aschbrenner, K. A., Cai, S., Grabowski, D. C., Bartels, S. J., and Mor, V. (2011). Medical comorbidity and functional status among adults with major mental illness newly admitted to nursing homes. Psychiatric Services, 62, 1098–1100. doi: 10.1176/appi.ps.62.9.1098.CrossRefGoogle ScholarPubMed
Aschkenasy, M. T. and Rothenhaus, T. C. (2006). Trauma and falls in the elderly. Emergency Medicine Clinics of North America, 24, 413–432.CrossRefGoogle ScholarPubMed
Avlund, K. (2004). Disability in old age. Longitudinal population-based studies of the disablement process. Danish Medical Bulletin, 51, 315–349.Google ScholarPubMed
Awad, A. G. and Voruganti, L. N. (2008). The burden of schizophrenia on caregivers. Pharmacoeconomics, 26, 149–162.CrossRefGoogle ScholarPubMed
Baiyewu, O. et al. (2012). Behavioral symptoms in community-dwelling elderly Nigerians with dementia, mild cognitive impairment, and normal cognition. International Journal of Geriatric Psychiatry, 27, 931–939.CrossRefGoogle ScholarPubMed
Balducci, L. (2007). Ageing, frailty, and chemotherapy. Cancer Control, 14, 7.CrossRefGoogle ScholarPubMed
Baum, A. and Posluszny, D. M. (1999). Health psychology: mapping biobehavioral contributions to health and illness. Annual Review of Psychology, 50, 137–163.CrossRefGoogle ScholarPubMed
Baumgarten, M., Lebel, P., Laprise, H., Leclerc, C. and Quinn, C. (2002). Adult day care for the frail elderly outcomes, satisfaction, and cost. Journal of Ageing and Health, 14, 237–259.CrossRefGoogle ScholarPubMed
Bonsdorff, M. V. (2009). Physical Activity as a Predictor of Disability and Social and Health Service Use in Older People. Jyväskylä: University of Jyväskylä,Jyväskylä University Printing House.Google Scholar
Brouwer, W. B., Van Exel, N., van de Berg, B., Dinant, H. J., Koopmanschap, M. A. and van den Bos, G. A. (2004). Burden of caregiving: evidence of objective burden, subjective burden, and quality of life impacts on informal caregivers of patients with rheumatoid arthritis. Arthritis Care and Research, 51, 570–577.CrossRefGoogle ScholarPubMed
Buchman, A. S., Wilson, R. S., Yu, L., James, B. D., Boyle, P. A. and Bennett, D. A. (2013). Total daily activity declines more rapidly with increasing age in older adults. Archives of Gerontolgy Geriatrics, doi: 10.1016/j.archger.2013.08.001.Google ScholarPubMed
Buhse, M. (2008). Assessment of caregiver burden in families of persons with multiple sclerosis. Journal of Neuroscience Nursing, 40, 25–31.CrossRefGoogle ScholarPubMed
Carver, C. S. (1997). You want to measure coping but your protocol too long: consider the brief cope. International Journal of Behavioral Medicine, 4, 92–100.CrossRefGoogle ScholarPubMed
Caughey, G. E., Vitry, A. I., Gilbert, A. L. and Roughead, E. E. (2008). Prevalence of comorbidity of chronic diseases in Australia. BMC Public Health, 8, 221.CrossRefGoogle ScholarPubMed
Cavalieri, T. A. (2005). Management of pain in older adults. JAOA: Journal of the American Osteopathic Association, 105, 12S–17S.Google ScholarPubMed
Centre for Disease Control and Prevention. (2012). Chronic disease prevention and health promotion. The Power of Prevention. Available at: http://www.cdc.gov/chronicdisease/pdf/2009-power-of-prevention.pdf; last accessed July 2016Google Scholar
Chan, S. W. (2011). Global perspective of burden of family caregivers for persons with schizophrenia. Archives of Psychiatric Nursing, 25, 339–349.CrossRefGoogle ScholarPubMed
Cohen, C. A., Colantonio, A. and Vernich, L. (2002). Positive aspects of caregiving: rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17, 184–188.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Shmotkin, D. and Hazan, H. (2010). The effect of homebound status on older persons. Journal of the American Geriatrics Society, 58, 2358–2362.CrossRefGoogle ScholarPubMed
Cooper, C., Owens, C., Katona, C. and Livingston, G. (2008). Attachment style and anxiety in carers of people with Alzheimer's disease: results from the LASER-AD study. International Psychogeriatrics, 20, 494–507.CrossRefGoogle ScholarPubMed
Coyne, J. C., Aldwin, C. and Lazarus, R. S. (1981). Depression and coping in stressful episodes. Journal of Abnormal Psychology, 90, 439.CrossRefGoogle ScholarPubMed
Cramm, J. M. and Nieboer, A. P. (2013). High-quality chronic care delivery improves experiences of chronically ill patients receiving care. International Journal for Quality in Health Care, 25, 689–695.CrossRefGoogle ScholarPubMed
Dotchin, C. L. et al. (2014). A comparison of caregiver burden in older persons and persons with Parkinson's disease or dementia in sub-Saharan Africa. International Psychogeriatrics, 26, 687–692.CrossRefGoogle ScholarPubMed
Dye, C., Scheele, S., Dolin, P., Pathania, V. and Raviglione, M.; for the WHO Global Surveillance and Monitoring Project. (1999). Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. JAMA, 282, 677–686.CrossRefGoogle ScholarPubMed
Fajemilehin, B. and Odebiyi, A. (2011). Predictors of elderly persons' quality of life and health practices in Nigeria. International Journal of Sociology and Anthropology, 3, 245.Google Scholar
Faronbi, J. O. (2015). Burden, Coping Strategies and Health Related Quality of Life of Caregivers of the Elderly with Chronic Illness in Osun State, Nigeria. Doctoral Thesis. Ile-Ife, Nigeria: Obafemi Awolowo University.Google Scholar
Garratt, A., Schmidt, L., Mackintosh, A. and Fitzpatrick, R. (2002). Quality of life measurement: bibliographic study of patient assessed health outcome measures. BMJ, 324, 1417.CrossRefGoogle ScholarPubMed
Koenig, K. N., Steiner, V. and Pierce, L. L. (2011). Information needs of family caregivers of persons with cognitive versus physical deficits. Gerontology and Geriatrics Education, 32, 396–413.CrossRefGoogle ScholarPubMed
Kornblith, A. B., Herr, H. W., Ofman, U. S., Scher, H. I. and Holland, J. C. (1994). Quality of life of patients with prostate cancer and their spouses. The value of a data base in clinical care. Cancer, 73, 2791–2802.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Lai, D. and Thomson, C. (2011). The impact of perceived adequacy of social support on caregiving burden of family caregivers. Families in Society: The Journal of Contemporary Social Services, 92, 99–106.CrossRefGoogle Scholar
Morimoto, T., Schreiner, A. S. and Asano, H. (2003). Caregiver burden and health-related quality of life among Japanese stroke caregivers. Age and Ageing, 32, 218–223.CrossRefGoogle ScholarPubMed
Nachar, N., Guay, S., Beaulieu-Prévost, D. and Marchand, A. (2013). Assessment of the psychosocial predictors of health-related quality of life in a PTSD clinical sample. Traumatology, 19, 20.CrossRefGoogle Scholar
National Population Commission (2015). National Population Commission. Abuja. Available at: http://www.population.gov.ng/; last accessed July 2016Google Scholar
Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist, 30, 583–594.CrossRefGoogle ScholarPubMed
Rivera-Navarro, J., Manuel Morales-González, J. and Benito-León, J. (2003). Informal caregiving in multiple sclerosis patients: data from the Madrid demyelinating disease group study. Disability and Rehabilitation, 25, 1057–1064.CrossRefGoogle ScholarPubMed
Shelkey, M. and Wallace, M. (2012). Katz. Index of Independence in Activities of Daily Living (ADL) [Internet]. New York: Hartford Institute for Geriatric Nursing, New York University, College of Nursing [cited 2015 Jan 27].Google Scholar
Sherwood, P. R., Given, C. W., Given, B. A. and Von Eye, A. (2005). Caregiver burden and depressive symptoms analysis of common outcomes in caregivers of elderly patients. Journal of Ageing and Health, 17, 125–147.CrossRefGoogle ScholarPubMed
Thrall, J. H. (2005). Prevalence and costs of chronic disease in a health care system structured for treatment of acute illness1. Radiology, 235, 9–12.CrossRefGoogle Scholar
Titilola, L.-m. A., Abiola, O. M., Akorede, Q. J. and Tunrayo, E. B. (2013). Assessment of socio-economic, dietary intake, hygienic practice and anthropometric indices in determining the nutritional status of mothers in Akure South Local Government, Ondo State. International Journal of Research and Reviews in Applied Sciences, 15, 158–167.Google Scholar
Viana, M. C. et al. (2013). Family burden related to mental and physical disorders in the world: results from the WHO World Mental Health (WMH) surveys. Revista Brasileira de Psiquiatria, 35, 115–125.CrossRefGoogle ScholarPubMed
Vitaliano, P. P., Zhang, J. and Scanlan, J. M. (2003). Is caregiving hazardous to one's physical health? A meta-analysis. Psychological Bulletin, 129, 946.CrossRefGoogle ScholarPubMed
Ware, J. E. Jr (2000). SF-36 health survey update. Spine, 25, 3130–3139.CrossRefGoogle ScholarPubMed
Yang, X., Hao, Y., George, S. M. and Wang, L. (2012). Factors associated with health-related quality of life among Chinese caregivers of the older adults living in the community: a cross-sectional study. Health and Quality of Life Outcomes, 10, 143. doi:10.1186/1477-7525-10-143.CrossRefGoogle ScholarPubMed
Zarit, S. H., Todd, P. A. and Zarit, J. M. (1986). Subjective burden of husbands and wives as caregivers: a longitudinal study. The Gerontologist, 26, 260–266.CrossRefGoogle ScholarPubMed
Supplementary material: File

Faronbi and Olaogun supplementary material

Faronbi and Olaogun supplementary material 1

Download Faronbi and Olaogun supplementary material(File)
File 36.4 KB