Volume 16, Issue 1 (1-2019)
J Res Dev Nurs Midw 2019, 16(1): 13-24 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hemmati Maslakpak M, Torabi M, Radfar M, Alinejad V. The Effect of Psycho-educational Intervention on the Caregiver Burden among Caregivers of Hemodialysis Patients. J Res Dev Nurs Midw 2019; 16 (1) :13-24
URL: http://nmj.goums.ac.ir/article-1-1093-en.html
URL: http://nmj.goums.ac.ir/article-1-1093-en.html
1- Associate Prof., Maternal and Childhood Obesity Research Center, Department of Medical Surgical Nursing, Urmia University of Medical Sciences
2- Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
3- Department of Psychiatric Nursing, Urmia University of Medical Sciences, Urmia, Iran
4- Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
3- Department of Psychiatric Nursing, Urmia University of Medical Sciences, Urmia, Iran
4- Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (14778 Views)
Background and objectives: Chronic renal failure has a progressive nature and there is always a need for a person to care for them. A caregiver, who is usually a patient's family member, may face many problems during the care process, which ultimately causes burnout. The aim of this study is to determine the effect of psycho-educational intervention on the caregiver burden of patients undergoing hemodialysis.
Methods: This study was a clinical trial that carry out on 105 caregivers of patients undergoing hemodialysis. The burnout questionnaire of Zarit was completed by the participants. The Caregivers were allocated randomly in two groups of intervention (discussion, workshops) and control. Two weeks after the completion of 6 sessions of the group discussion and 4 sessions of the workshop, caregiver burdon questionnaire of Zarit was completed again. Data was analyzed by using version 16 of spss software and parametric and non-parametric tests.
Results: Results showed that there was no significant difference between the three groups before intervention in the mean scores of burden (p=0.423). However, after the intervention there was significant difference in the mean scores of burden between intervention groups with control group (p<0.001). Tukey post hoc test showed no significant difference between the two intervention groups in the mean scores of burden (P=0.204).
Conclusion: The results of this study can be found that training classes such as group discussion had a significant reduction in the severity of caregiver burden. Therefore, it is recommended that in the health system planning attend to the role of family members in the treatment of these patients also benefit from this training method.
Methods: This study was a clinical trial that carry out on 105 caregivers of patients undergoing hemodialysis. The burnout questionnaire of Zarit was completed by the participants. The Caregivers were allocated randomly in two groups of intervention (discussion, workshops) and control. Two weeks after the completion of 6 sessions of the group discussion and 4 sessions of the workshop, caregiver burdon questionnaire of Zarit was completed again. Data was analyzed by using version 16 of spss software and parametric and non-parametric tests.
Results: Results showed that there was no significant difference between the three groups before intervention in the mean scores of burden (p=0.423). However, after the intervention there was significant difference in the mean scores of burden between intervention groups with control group (p<0.001). Tukey post hoc test showed no significant difference between the two intervention groups in the mean scores of burden (P=0.204).
Conclusion: The results of this study can be found that training classes such as group discussion had a significant reduction in the severity of caregiver burden. Therefore, it is recommended that in the health system planning attend to the role of family members in the treatment of these patients also benefit from this training method.
Type of Study: Original Article |
References
1. Belasco A, Barbosa D, Bettencourt AR, Diccini S, Sesso R. Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis. American Journal of Kidney Diseases. 2006;48(6):955-63. [View at paplisher] [DOI] [Google Scholar]
2. Rosell-Murphy M, Bonet-Simó JM, Baena E, Prieto G, Bellerino E, Solé F, et al. Intervention to improve social and family support for caregivers of dependent patients: ICIAS study protocol. BMC family practice. 2014;15(1):15-53. [View at paplisher] [DOI] [Google Scholar]
3. Hudson P, Thomas T, Quinn K, Cockayne M, Braithwaite M. Teaching family carers about home-based palliative care: final results from a group education program. Journal of pain and symptom management. 2009;38(2):299-308. [View at paplisher] [DOI] [Google Scholar]
4. Chen Y-M, Hedrick SC, Young HM. A pilot evaluation of the Family Caregiver Support Program. Evaluation and program planning. 2010;33(2):113-9. [View at paplisher] [DOI] [Google Scholar]
5. Deeken JF, Taylor KL, Mangan P, Yabroff KR, Ingham JM. Care for the caregivers: a review of self-report instruments developed to measure the burden, needs, and quality of life of informal caregivers. Journal of pain and symptom management. 2003;26(4):922-53. [View at paplisher] [DOI] [Google Scholar]
6. Habibzadeh H, Jafarizadeh H, Mohammadpoor Y, Kiani P, Lak KH, Bahrechi A. A survey on quality of life in hemodialysis patients care giver. Journal of Urmia Nursing And Midwifery Faculty. 2009;7(3): 128-135:[ persian]. [View at paplisher] [Google Scholar]
7. Jürgensen JS, Arns W, Haß B. Cost-effectiveness of immunosuppressive regimens in renal transplant recipients in Germany: a model approach. The European Journal of Health Economics. 2010;11(1):15-25. [View at paplisher] [DOI] [Google Scholar]
8. Mottahedian Tabrizi E, Najafi S, Samiey S, Einollahi B, Mohammadi E. Effect of programmed nursing care in prevention of hemodialysis complications. Journal of Critical Care Nursing. 2009;2(2):55-9: [persian]. [View at paplisher] [Google Scholar]
9. Cabral L, Duarte J, Ferreira M, dos Santos C. Anxiety, stress and depression in family caregivers of the mentally ill. Atención Primaria. 2014;46:176-9. [View at paplisher] [DOI] [Google Scholar]
10. Irazábal M, Marsà F, García M, Gutiérrez-Recacha P, Martorell A, Salvador-Carulla L, et al. Family burden related to clinical and functional variables of people with intellectual disability with and without a mental disorder. Research in developmental disabilities. 2012;33(3):796-803. [View at paplisher] [DOI] [Google Scholar]
11. Jest DV, Liberman JA, Fassler D, Peele R. Diagnostic and statistical manual of mental disorders (DSM). 5th ed. American Psychiatric Association 2013: 313. [Google Scholar]
12. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The gerontologist. 1980;20(6):649-55. [View at paplisher] [DOI] [Google Scholar]
13. Mollaoğlu M, Kayataş M, Yürügen B. Effects on caregiver burden of education related to home care in patients undergoing hemodialysis. Hemodialysis International. 2013;17(3):413-20. [View at paplisher] [DOI] [Google Scholar]
14. Creedle C, Leak A, Deal AM, Walton AM, Talbert G, Riff B, et al. The impact of education on caregiver burden on two inpatient oncology units. Journal of Cancer Education. 2012;27(2):250-6. [View at paplisher] [DOI] [Google Scholar]
15. Byers DJ, Mona NW, Beard TH. Depressive symptoms and health promotion behaviors of African-American women who are family caregivers of hemodialysis recipients. Nephrology Nursing Journal. 2011;38(5):425-30. [View at paplisher] [Google Scholar]
16. Won CW, Fitts SS, Favaro S, Olsen P, Phelan EA. Community-based "powerful tools" intervention enhances health of caregivers. Archives of gerontology and geriatrics. 2008;46(1):89-100. [View at paplisher] [DOI] [Google Scholar]
17. Carbonneau H, Caron CD, Desrosiers J. Effects of an adapted leisure education program as a means of support for caregivers of people with dementia. Archives of Gerontology and Geriatrics. 2011;53(1):31-9. [View at paplisher] [DOI] [Google Scholar]
18. Gutiérrez-Maldonado J, Caqueo-Urízar A. Effectiveness of a psycho-educational intervention for reducing burden in Latin American families of patients with schizophrenia. Quality of Life Research. 2007;16(5):739-47. [View at paplisher] [DOI] [Google Scholar]
19. Riebschleger J, Scheid J, Luz C, Mickus M, Liszewski C, Eaton M. How are the experiences and needs of families of individuals with mental illness reflected in medical education guidelines? Academic Psychiatry. 2008;32(2):119-26. [View at paplisher] [DOI] [Google Scholar]
20. Belasco AG, Sesso R. Burden and quality of life of caregivers for hemodialysis patients. American journal of kidney diseases. 2002;39(4):805-12. [View at paplisher] [DOI] [Google Scholar]
21. Wilkins VM, Bruce ML, Sirey JA. Caregiving tasks and training interest of family caregivers of medically ill homebound older adults. Journal of aging and health. 2009;21(3):528-42. [View at paplisher] [DOI] [Google Scholar]
22. Hudson P, Quinn K, Kristjanson L, Thomas T, Braithwaite M, Fisher J, et al. Evaluation of a psycho-educational group programme for family caregivers in home-based palliative care. Palliative Medicine. 2008;22(3):270-80. [View at paplisher] [DOI] [Google Scholar]
23. Johnson JP, Mighten A. A comparison of teaching strategies: lecture notes combined with structured group discussion versus lecture only. The Journal of nursing education. 2005;44(7):319-22. [View at paplisher] [Google Scholar]
24. Masterson MM, Morgan AL. Documenting the effectiveness of an educational tool and group discussion for understanding the cardiovascular adjustments to upright posture. Advances in Physiology Education. 2005;29(4):211-2. [View at paplisher] [DOI] [Google Scholar]
25. Karslı UT, Özker S. The contributions of workshops on formal Interior architecture education. Procedia-Social and Behavioral Sciences. 2014;152:47-52. [View at paplisher] [DOI] [Google Scholar]
26. Sufi1 Sh, Nenadic A, Silva R, Duckles B, Simera L, de Beyer JA et al. Ten simple rules for measuring the impact of workshops. PLOS Computational Biology. 2018; 30 [DOI] [Google Scholar]
27. Farahani M, Ghane G, Sydfatemi N, Hagani H. Effect of educational program on the burden of family caregivers of hemodialysis patients. Evidence Based Care. 2016;6(1):7-18. [View at paplisher] [DOI] [Google Scholar]
28. Ghane G, Farahani MA, Seyedfatemi N, Haghani H. The effect of supportive educative program on the quality of life in family caregivers of hemodialysis patients. J Edu Health Promot [serial online] 2017 ;6:80. Available from: http://www.jehp.net/text.asp [View at paplisher] [DOI] [Google Scholar]
29. Fallahi Khoshknab M, Sheikhona M, Rahgouy A, Rahgozar M, Sodagari F. The effects of group psychoeducational programme on family burden in caregivers of Iranian patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing. 2014;21(5):438-46. [View at paplisher] [DOI] [Google Scholar]
30. Navidian A, Bahari F. Burden experienced by family caregivers of patients with mental disorders. Pakistan Journal of Psychological Research. 2008;23(1-2):19-28. [Google Scholar]
31. Koohestani HR, Baghcheghi N. Burn out in caregivers of patients with stroke and its related factors. Hakim Research Journal. 2012; 14(4): 242- 248:[persian]. [Google Scholar]
32. Alley M, Orehovec B. Revisiting the writing workshop: management, assessment, and mini-lessons. 2007. First Edition. New York: Scholastic. [Google Scholar]
33. Mashayekhi F, Pilevarzadeh M, Rafati F. The Assessment of Caregiver Burden in Caregivers of Hemodialysis Patients. Materia Socio-Medica. 2015;27(5):333-6. [DOI] [Google Scholar]
34. Conway-Giustra F, Crowley A, Gorin SH. Crisis in caregiving: a call to action. Health & Social Work. 2002; 27(4):307-11. [DOI:10.1093/hsw/27.4.307] [Google Scholar]
35. Graces J, Carretero S, Rodenas F, Sanjose V. Variables related to informal caregivers burden of dependent senior citizens in Spain. Archives of Gerontology and Geriatrics. 2009; 48(3):372-9. [DOI:10.1016/j.archger.2008.03.004] [Google Scholar]
36. Jadhav BS, Dhavale HS, Dere SS, Dadarwala DD. Psychiatric morbidity, quality of life and caregiver burden in patients undergoing hemodialysis. Medical Journal of Dr DY Patil University. 2014;7(6):722-7. [DOI:10.4103/0975-2870.144858] [Google Scholar]
37. Hu X, Dolansky MA, Su Y, Hu X, Qu M, Zhou L. Effect of a multidisciplinary supportive program for family caregivers of patients with heart failure on caregiver burden, quality of life, and depression: A randomized controlled study. International Journal of Nursing Studies. 2016;62:11-21. [DOI:10.1016/j.ijnurstu.2016.07.006] [Google Scholar]
38. Karahan AY, Kucuksen S, Yilmaz H, Salli A, Gungor T, Sahin M. Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers. Acta Medica. 2014;57(2):68-72. [DOI:10.14712/18059694.2014.42] [Google Scholar]
39. Talebi M, Mokhtari Lakeh N, Rezasoltani P. Caregiver Burden in Caregivers of RenalF Patients under Hemodialysis. Journal of Holistic Nursing And Midwifery. 2016;26(2):59-68:[persian]. [Google Scholar]
40. Honea NJ, Brintnall R, Given B, Sherwood P, Colao DB, Somers SC, Northouse LL. Putting evidence into practice: nursing assessment and interventions to reduce family caregiver strain and burden. Clinical Journal of Oncology Nursing. 2008;12(3):507-16. [DOI:10.1188/08.CJON.507-516] [Google Scholar]
41. Sörensen S, Pinquart M, Duberstein P. How effective are interventions with caregivers? An updated meta-analysis. The gerontologist. 2002;42(3):356-72. [DOI:10.1093/geront/42.3.356] [Google Scholar]
42. Vaghee S, Salarhaji A, Asgharipour N, Chamanzari H. Effects of psychoeducation on stigma in family caregivers of patients with schizophrenia: A clinical trial. Evidence Based Care. 2015;5(3):63-76:[persian]. [Google Scholar]
43. Bahrami M, Farzi S. The effect of a supportive educational program based on COPE model on caring burden and quality of life in family caregivers of women with breast cancer. Iranian Journal of Nursing and Midwifery Research. 2014;19(2):119-26. [Google Scholar]
44. Chen HM, Huang MF, Yeh YC, Huang WH, Chen CS. Effectiveness of coping strategies intervention on caregiver burden among caregivers of elderly patients with dementia. Psychogeriatrics. 2015;15(1):20-5. [DOI:10.1111/psyg.12071] [Google Scholar]
45. Etemadifar S, Bahrami M, Shahriari M, Farsani AK. The effectiveness of a supportive educative group intervention on family caregiver burden of patients with heart failure. Iranian journal of nursing and midwifery research. 2014;19(3):217-23. [Google Scholar]
46. Navidian A, Kermansaravi F, Navabi Rigi Sh. The effectiveness of a group psycho-educational program on family caregiver burden of patients with mental disorders. BMC research notes. 2012;5(1):399-406:[persian]. [DOI:10.1186/1756-0500-5-399] [Google Scholar]
47. McMillan SC, Small BJ, Haley WE, Zambroski C, Buck HG. The COPE intervention for caregivers of patients with heart failure: an adapted intervention. Journal of Hospice and Palliative Nursing. 2013;15(4):196-206. [DOI:10.1097/NJH.0b013e31827777fb] [Google Scholar]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
