Obstructive Lung Diseases |

Caregiver's Burden Among Primary Caregivers of Older COPD Patients FREE TO VIEW

Esther-Lee Marcus*, MD; Larissa Mirchevsky, MA; Ilya Polischuk, MD
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Herzog Hospital, Jerusalem, Israel

Chest. 2012;142(4_MeetingAbstracts):712A. doi:10.1378/chest.1384835
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PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: Chronic Obstructive Lung Disease (COPD) is prevalent among the elderly. The study aimed at evaluating: the level of burden among primary caregivers of elderly COPD patients; the association between patient's COPD-related quality of life and caregiver's burden; and the association between other patient's and caregiver's characteristics and caregiver's burden.

METHODS: The sample comprised 90 dyads of COPD patients, aged 64 and above and their primary caregivers. Socio-demographic data of patient and caregiver were collected using a questionnaire. Caregiver's burden was assessed by the Caregiver's Strain Index (CSI, range 0-13), and patient's COPD-related quality of life was assessed by the Saint George's Respiratory Questionnaire (SGRQ, range 1-100).

RESULTS: Patients' mean age was 75.6 (range 64-92) and mean SGRQ score was 70.1 (range 26.5- 92.7). Caregivers were 71 females and 19 males; 46 spouses, 33 offspring, and 11 other kin. Caregivers' mean age was 61.2 (range 26-84) and mean CSI score was 6 (range 0-13). A linear positive correlation (b=0.13, p<0.0001) was found between patients' SGRQ score and caregivers' CSI score. CSI scores of patients' daughters were higher than those of sons, male spouses, female spouses and other relatives (8.4, 5.8, 5.2, 5.1, and 4.3, respectively, p=0.0004). Backward stepwise multivariate analysis showed the following variables to be associated with higher caregivers' burden: higher patients' SGRQ score (p<0.0001), taking care of unmarried patients (p=0.003), devoting more than 6 hours a day for caring (p=0.004), and patients' origin from Asia or Africa (p=0.004).

CONCLUSIONS: The higher the impact of disease on patient's quality of life, the higher the caregiver's burden. Daughters report the highest level of burden. Devoting more hours for care is associated with a higher level of burden.

CLINICAL IMPLICATIONS: The comprehensive approach to COPD patients should include concern and support for the needs of the caregiver. Interventions focused on those who are most vulnerable may decrease the burden and help both patient and caregiver.

DISCLOSURE: The following authors have nothing to disclose: Esther-Lee Marcus, Larissa Mirchevsky, Ilya Polischuk

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Herzog Hospital, Jerusalem, Israel




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