Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease
Aim Based on the ageing population and the inadequate healthcare system in China, the majority of care for patients with Alzheimerʼs disease (AD) is provided by family caregivers. Caregivers suffer a long‐term heavy care burden and pressure, which affects their physical and mental health. The presen...
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| Veröffentlicht in: | Psychogeriatrics 2020-07, Vol.20 (4), p.398-405 |
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| creator | Liao, Xiangping Huang, Ying Zhang, Ziliang Zhong, Shanquan Xie, Gaosheng Wang, Linghong Xiao, Hai |
| description | Aim
Based on the ageing population and the inadequate healthcare system in China, the majority of care for patients with Alzheimerʼs disease (AD) is provided by family caregivers. Caregivers suffer a long‐term heavy care burden and pressure, which affects their physical and mental health. The present study aims at investigating health‐related quality of life (HRQOL) among family caregivers of AD patients and exploring its influencing factors.
Methods
This study included 206 family caregivers (76 male, 130 female) of AD patients recruited from one Tier 3 hospital, one psychiatric hospital, two gerocomiums and three communities in Ganzhou city, Jiangxi Province, China. Measures included the World Health Organization (WHO) Quality of Life (WHO/ QOL‐BREF) questionnaire, Zarit burden of care scale (ZBI), and social support rating scale (SSRS).We performed face‐to‐face or telephone interviews with patients and caregivers. The association between possible factors and changes in HRQOL was examined through stepwise multiple regression analysis.
Results
The majority of family caregivers felt moderate to severe level of burden. The average HRQOL score was 54.24 ± 10.36. The mean SSRS score was 30.4 ± 10.9. The average ZBI score was 41.2 ± 12.8. The HRQOL of family caregivers of AD patients was negatively correlated with the neuropsychiatric questionnaire score, ZBI score, and chronic diseases of caregivers (P |
| doi_str_mv | 10.1111/psyg.12528 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2352639766</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2352639766</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3818-f8e3ba9b0f1525dda8e32a9d2f5e8bf8f3c1f0e365d39d742477ccab93df7cea3</originalsourceid><addsrcrecordid>eNp9kc9qFTEUh4MotlY3PoAEXCjC1PyZTDLLUmwVChbUhauQyZzcm5K5mSYzLePKR-gz9klMO9WFi55Nzjn5-Aj5IfSakkNa6uOYl80hZYKpJ2if1rKtFCf0ael53VRcELKHXuR8QQirBefP0R5nhEkpm32UT4ydYsrY5BytNxP0-NpPW7wFE6bt7e-bBOF-ezmb4KcFR4eDd4DNEHcb7Mzgw4KtSbDxV1BE5X6EOAZYPUfh1xb8AOldxr3PYDK8RM-cCRlePZwH6MfJp-_Hn6uzr6dfjo_OKssVVZVTwDvTdsRRwUTfmzIz0_bMCVCdU45b6gjwRvS87WXNaimtNV3LeyctGH6A3q_eMcXLGfKkB58thGB2EOesGRes4a1smoK-_Q-9iHPalddpVjPJJVFCFerDStkUc07g9Jj8YNKiKdF3Uei7KPR9FAV-86CcuwH6f-jfvy8AXYFrH2B5RKXPv_08XaV_ADQKly0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2427370858</pqid></control><display><type>article</type><title>Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease</title><source>MEDLINE</source><source>Sociological Abstracts</source><source>Wiley Online Library All Journals</source><creator>Liao, Xiangping ; Huang, Ying ; Zhang, Ziliang ; Zhong, Shanquan ; Xie, Gaosheng ; Wang, Linghong ; Xiao, Hai</creator><creatorcontrib>Liao, Xiangping ; Huang, Ying ; Zhang, Ziliang ; Zhong, Shanquan ; Xie, Gaosheng ; Wang, Linghong ; Xiao, Hai</creatorcontrib><description>Aim
Based on the ageing population and the inadequate healthcare system in China, the majority of care for patients with Alzheimerʼs disease (AD) is provided by family caregivers. Caregivers suffer a long‐term heavy care burden and pressure, which affects their physical and mental health. The present study aims at investigating health‐related quality of life (HRQOL) among family caregivers of AD patients and exploring its influencing factors.
Methods
This study included 206 family caregivers (76 male, 130 female) of AD patients recruited from one Tier 3 hospital, one psychiatric hospital, two gerocomiums and three communities in Ganzhou city, Jiangxi Province, China. Measures included the World Health Organization (WHO) Quality of Life (WHO/ QOL‐BREF) questionnaire, Zarit burden of care scale (ZBI), and social support rating scale (SSRS).We performed face‐to‐face or telephone interviews with patients and caregivers. The association between possible factors and changes in HRQOL was examined through stepwise multiple regression analysis.
Results
The majority of family caregivers felt moderate to severe level of burden. The average HRQOL score was 54.24 ± 10.36. The mean SSRS score was 30.4 ± 10.9. The average ZBI score was 41.2 ± 12.8. The HRQOL of family caregivers of AD patients was negatively correlated with the neuropsychiatric questionnaire score, ZBI score, and chronic diseases of caregivers (P < 0.05), and positively correlated with the SSRS score (P < 0.05).
Conclusion
Reduced QOL was highly prevalent among AD patient family caregivers, and the level of burden, neuropsychiatric symptoms of patients, social support, and chronic diseases of caregivers were factors associated with HRQOL, and the effect of care burden is greatest. Interventions aimed at reducing the level of burden should focus not only on the patient but also on the caregiver.</description><identifier>ISSN: 1346-3500</identifier><identifier>EISSN: 1479-8301</identifier><identifier>DOI: 10.1111/psyg.12528</identifier><identifier>PMID: 32027776</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Aging ; Alzheimer Disease - nursing ; Alzheimer's disease ; Alzheimerʼs disease ; Caregivers ; China ; Chronic illnesses ; Cost of Illness ; Cross-Sectional Studies ; Families & family life ; family caregivers ; Female ; Health services ; health‐related quality of life (HRQOL) ; Hospitalization ; Humans ; influencing factors ; Male ; Mental disorders ; Mental health ; Multiple regression analysis ; Neurodegenerative diseases ; Patients ; Quality of Life ; Questionnaires ; Social interactions ; Social support ; Social workers</subject><ispartof>Psychogeriatrics, 2020-07, Vol.20 (4), p.398-405</ispartof><rights>2020 Japanese Psychogeriatric Society</rights><rights>2020 Japanese Psychogeriatric Society.</rights><rights>Psychogeriatrics © 2020 Japanese Psychogeriatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3818-f8e3ba9b0f1525dda8e32a9d2f5e8bf8f3c1f0e365d39d742477ccab93df7cea3</citedby><cites>FETCH-LOGICAL-c3818-f8e3ba9b0f1525dda8e32a9d2f5e8bf8f3c1f0e365d39d742477ccab93df7cea3</cites><orcidid>0000-0002-4655-5162</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpsyg.12528$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpsyg.12528$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,33773,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32027776$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liao, Xiangping</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Zhang, Ziliang</creatorcontrib><creatorcontrib>Zhong, Shanquan</creatorcontrib><creatorcontrib>Xie, Gaosheng</creatorcontrib><creatorcontrib>Wang, Linghong</creatorcontrib><creatorcontrib>Xiao, Hai</creatorcontrib><title>Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease</title><title>Psychogeriatrics</title><addtitle>Psychogeriatrics</addtitle><description>Aim
Based on the ageing population and the inadequate healthcare system in China, the majority of care for patients with Alzheimerʼs disease (AD) is provided by family caregivers. Caregivers suffer a long‐term heavy care burden and pressure, which affects their physical and mental health. The present study aims at investigating health‐related quality of life (HRQOL) among family caregivers of AD patients and exploring its influencing factors.
Methods
This study included 206 family caregivers (76 male, 130 female) of AD patients recruited from one Tier 3 hospital, one psychiatric hospital, two gerocomiums and three communities in Ganzhou city, Jiangxi Province, China. Measures included the World Health Organization (WHO) Quality of Life (WHO/ QOL‐BREF) questionnaire, Zarit burden of care scale (ZBI), and social support rating scale (SSRS).We performed face‐to‐face or telephone interviews with patients and caregivers. The association between possible factors and changes in HRQOL was examined through stepwise multiple regression analysis.
Results
The majority of family caregivers felt moderate to severe level of burden. The average HRQOL score was 54.24 ± 10.36. The mean SSRS score was 30.4 ± 10.9. The average ZBI score was 41.2 ± 12.8. The HRQOL of family caregivers of AD patients was negatively correlated with the neuropsychiatric questionnaire score, ZBI score, and chronic diseases of caregivers (P < 0.05), and positively correlated with the SSRS score (P < 0.05).
Conclusion
Reduced QOL was highly prevalent among AD patient family caregivers, and the level of burden, neuropsychiatric symptoms of patients, social support, and chronic diseases of caregivers were factors associated with HRQOL, and the effect of care burden is greatest. Interventions aimed at reducing the level of burden should focus not only on the patient but also on the caregiver.</description><subject>Aged</subject><subject>Aging</subject><subject>Alzheimer Disease - nursing</subject><subject>Alzheimer's disease</subject><subject>Alzheimerʼs disease</subject><subject>Caregivers</subject><subject>China</subject><subject>Chronic illnesses</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Families & family life</subject><subject>family caregivers</subject><subject>Female</subject><subject>Health services</subject><subject>health‐related quality of life (HRQOL)</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>influencing factors</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Multiple regression analysis</subject><subject>Neurodegenerative diseases</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Social interactions</subject><subject>Social support</subject><subject>Social workers</subject><issn>1346-3500</issn><issn>1479-8301</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kc9qFTEUh4MotlY3PoAEXCjC1PyZTDLLUmwVChbUhauQyZzcm5K5mSYzLePKR-gz9klMO9WFi55Nzjn5-Aj5IfSakkNa6uOYl80hZYKpJ2if1rKtFCf0ael53VRcELKHXuR8QQirBefP0R5nhEkpm32UT4ydYsrY5BytNxP0-NpPW7wFE6bt7e-bBOF-ezmb4KcFR4eDd4DNEHcb7Mzgw4KtSbDxV1BE5X6EOAZYPUfh1xb8AOldxr3PYDK8RM-cCRlePZwH6MfJp-_Hn6uzr6dfjo_OKssVVZVTwDvTdsRRwUTfmzIz0_bMCVCdU45b6gjwRvS87WXNaimtNV3LeyctGH6A3q_eMcXLGfKkB58thGB2EOesGRes4a1smoK-_Q-9iHPalddpVjPJJVFCFerDStkUc07g9Jj8YNKiKdF3Uei7KPR9FAV-86CcuwH6f-jfvy8AXYFrH2B5RKXPv_08XaV_ADQKly0</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Liao, Xiangping</creator><creator>Huang, Ying</creator><creator>Zhang, Ziliang</creator><creator>Zhong, Shanquan</creator><creator>Xie, Gaosheng</creator><creator>Wang, Linghong</creator><creator>Xiao, Hai</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4655-5162</orcidid></search><sort><creationdate>202007</creationdate><title>Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease</title><author>Liao, Xiangping ; Huang, Ying ; Zhang, Ziliang ; Zhong, Shanquan ; Xie, Gaosheng ; Wang, Linghong ; Xiao, Hai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3818-f8e3ba9b0f1525dda8e32a9d2f5e8bf8f3c1f0e365d39d742477ccab93df7cea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aging</topic><topic>Alzheimer Disease - nursing</topic><topic>Alzheimer's disease</topic><topic>Alzheimerʼs disease</topic><topic>Caregivers</topic><topic>China</topic><topic>Chronic illnesses</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Families & family life</topic><topic>family caregivers</topic><topic>Female</topic><topic>Health services</topic><topic>health‐related quality of life (HRQOL)</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>influencing factors</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Multiple regression analysis</topic><topic>Neurodegenerative diseases</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Social interactions</topic><topic>Social support</topic><topic>Social workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liao, Xiangping</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Zhang, Ziliang</creatorcontrib><creatorcontrib>Zhong, Shanquan</creatorcontrib><creatorcontrib>Xie, Gaosheng</creatorcontrib><creatorcontrib>Wang, Linghong</creatorcontrib><creatorcontrib>Xiao, Hai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Psychogeriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liao, Xiangping</au><au>Huang, Ying</au><au>Zhang, Ziliang</au><au>Zhong, Shanquan</au><au>Xie, Gaosheng</au><au>Wang, Linghong</au><au>Xiao, Hai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease</atitle><jtitle>Psychogeriatrics</jtitle><addtitle>Psychogeriatrics</addtitle><date>2020-07</date><risdate>2020</risdate><volume>20</volume><issue>4</issue><spage>398</spage><epage>405</epage><pages>398-405</pages><issn>1346-3500</issn><eissn>1479-8301</eissn><abstract>Aim
Based on the ageing population and the inadequate healthcare system in China, the majority of care for patients with Alzheimerʼs disease (AD) is provided by family caregivers. Caregivers suffer a long‐term heavy care burden and pressure, which affects their physical and mental health. The present study aims at investigating health‐related quality of life (HRQOL) among family caregivers of AD patients and exploring its influencing factors.
Methods
This study included 206 family caregivers (76 male, 130 female) of AD patients recruited from one Tier 3 hospital, one psychiatric hospital, two gerocomiums and three communities in Ganzhou city, Jiangxi Province, China. Measures included the World Health Organization (WHO) Quality of Life (WHO/ QOL‐BREF) questionnaire, Zarit burden of care scale (ZBI), and social support rating scale (SSRS).We performed face‐to‐face or telephone interviews with patients and caregivers. The association between possible factors and changes in HRQOL was examined through stepwise multiple regression analysis.
Results
The majority of family caregivers felt moderate to severe level of burden. The average HRQOL score was 54.24 ± 10.36. The mean SSRS score was 30.4 ± 10.9. The average ZBI score was 41.2 ± 12.8. The HRQOL of family caregivers of AD patients was negatively correlated with the neuropsychiatric questionnaire score, ZBI score, and chronic diseases of caregivers (P < 0.05), and positively correlated with the SSRS score (P < 0.05).
Conclusion
Reduced QOL was highly prevalent among AD patient family caregivers, and the level of burden, neuropsychiatric symptoms of patients, social support, and chronic diseases of caregivers were factors associated with HRQOL, and the effect of care burden is greatest. Interventions aimed at reducing the level of burden should focus not only on the patient but also on the caregiver.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>32027776</pmid><doi>10.1111/psyg.12528</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4655-5162</orcidid></addata></record> |
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| ispartof | Psychogeriatrics, 2020-07, Vol.20 (4), p.398-405 |
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| source | MEDLINE; Sociological Abstracts; Wiley Online Library All Journals |
| subjects | Aged Aging Alzheimer Disease - nursing Alzheimer's disease Alzheimerʼs disease Caregivers China Chronic illnesses Cost of Illness Cross-Sectional Studies Families & family life family caregivers Female Health services health‐related quality of life (HRQOL) Hospitalization Humans influencing factors Male Mental disorders Mental health Multiple regression analysis Neurodegenerative diseases Patients Quality of Life Questionnaires Social interactions Social support Social workers |
| title | Factors associated with health‐related quality of life among family caregivers of people with Alzheimer's disease |
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