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Burdens of Caregivers for Patients With Chronic Ventilator-Dependent: Impact of Gender Differences FREE TO VIEW

Yi-Ying Liu, NP; Yu-Mu Chen, MD; Jui-Fang Liu, RRT; Mei-Lian Tu, RRT; Shi-Feng Liu, MD; Wen-Feng Fang, MD; Meng-Chih Lin, MD
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Kaoshiung Chang Gung Memorial hospital, Kaohsiung, Taiwan

Chest. 2015;148(4_MeetingAbstracts):486A. doi:10.1378/chest.2273568
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SESSION TITLE: Process Improvement in Obstructive Lung Disease Education, Pneumonia Readmissions and Rapid Response Systems II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Previous studies revealed female caregivers bear more physical, mental, and socioeconomic stress then male for patients with chronic obstructive pulmonarydisease. As to our knowledge, few studies focus on gender difference in caregivers’ burdens that took care of chronic ventilator dependent patients. This study aimed to know if there is gender difference to influence caregiver burden of chronic ventilator-dependent patients.

METHODS: This prospective, cross-sectional study included adult chronic ventilator dependent patients (defined as continuous ventilator usage for more than 21 days) at respiratory care facilities or home from June 2010 to October 2010 in Taiwan. We used structured questionnaire for patients’ baseline characteristics, caregivers’ information and the burden assessment scale(BAS).

RESULTS: A total of 241 patients and 241 caregivers (91 male and 150 female) were included for investigation. The average age of caregivers was 50.86±12.83 years old in female and 52.43±12.39 in male. Most caregivers were married and did not quit their job when taking care of patients in both male and female. However, most male caregivers had Bachelor Degree (bachelor degree vs. senior high school diploma: 47.3% vs. 33.0%) and most female caregivers had senior high school diploma (bachelor degree vs. senior high school diploma: 30.6% vs. 34.7%). Among patients cared by female caregivers, although no statistics significance, they had trend to be younger in age (70.3 vs. 75.0 y/o), longer in mechanical ventilator usage duration (26.2 vs. 23.6 months), more tracheostomy usage (84% vs. 78%), and more with clear consciousness than those cared by male caregivers (52.7% vs. 46.2%). When compared to male, female caregivers were more likely to have physical stress (12.03 vs. 10.26, p <0.01) including inadequate sleeping or resting, tired sensation, and back pain; psychological burden (15.9 vs. 14.14, p <0.01) including frustration, helpless sensation, poor appetite, and social burden (15.01 vs. 13.0, p <0.01) including no time for housekeeping, no free time, felt trapped, career impact, no time to cultivate the friendship.

CONCLUSIONS: The study revealed female caregivers had more physical, psychological, and social burden than male for patients requiring long-term mechanical ventilation.

CLINICAL IMPLICATIONS: Further stress relief procedures should be developed to alleviate their stress in every possible way and provide an opportunity to improve their stress by pay more attention to female caregivers.

DISCLOSURE: The following authors have nothing to disclose: Yi-Ying Liu, Yu-Mu Chen, Jui-Fang Liu, Mei-Lian Tu, Shi-Feng Liu, Wen-Feng Fang, Meng-Chih Lin

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