The other side of the coin in renal replacement therapies: the burden on caregivers

Purpose Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated fac...

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Bibliographic Details
Published in:	International urology and nephrology Vol. 51; no. 2; pp. 343 - 349
Main Authors:	Bardak, Simge, Demir, Serap, Aslan, Eda, Turgutalp, Kenan, Celikcan, Havva Didem, Dolarslan, Murside Esra, Kılıcarslan, Cennet, Karasu, Filiz, Gunes, Ayse Jini, Kurt, Cemal, Kıykım, Ahmet
Format:	Journal Article
Language:	English
Published:	Dordrecht Springer Netherlands 01-02-2019 Springer Nature B.V
Subjects:	Adaptation, Psychological - physiology Adult Anxiety Behavioral Symptoms - diagnosis Behavioral Symptoms - prevention & control Behavioral Symptoms - psychology Caregivers Caregivers - psychology Compassion Fatigue - etiology Compassion Fatigue - prevention & control Compassion Fatigue - psychology Cost of Illness End-stage renal disease Female Hemodialysis Humans Kidney diseases Kidney Failure, Chronic - psychology Kidney Failure, Chronic - therapy Kidney Transplantation - psychology Male Medicine Medicine & Public Health Mental depression Middle Aged Needs Assessment Nephrology Nephrology - Original Paper Peritoneal dialysis Peritoneal Dialysis - psychology Peritoneum Quality of Life Renal Dialysis - psychology Transplantation Turkey - epidemiology Urology Turkey Caregivers Caregiver burden Renal replacement therapy Psychological symptoms
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Summary:	Purpose Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors. Methods A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients’ dialysis were enrolled. Patients had been on renal replacement therapy at least for 6 months and caregivers had given care at least for 6 months. The World Health Organization Quality of Life short version and hospital anxiety and depression scale (HAD) were applied to the patients. Symptom Checklist-90-Revised and Zarit caregiver burden scale were applied to the caregivers. Results Zarit caregiver burden score was found highest in HD group, which was significantly higher than PD and TX. All three groups had similar HAD anxiety scores, whereas the HAD depression score was highest in HD group, lower in PD, and lowest in TX. Quality of life was lowest in HD group. Zarit caregiver burden score was found higher in caregivers with symptoms like somatization, anxiety, obsessive–compulsive, depression, interpersonal sensitivity, psychoticism, paranoid ideation, hostility, and additional psychological symptoms than the ones who did not have these symptoms. Psychological symptoms were similar in PD, HD, and TX groups. Conclusion Caregiver burden was found highest in HD group. Educational, social, and psychological support interventions may be considered for caregivers.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0301-1623 1573-2584
DOI:	10.1007/s11255-018-2029-0