Volume 19, Issue 2 (9-2022)                   J Res Dev Nurs Midw 2022, 19(2): 59-62 | Back to browse issues page

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1- school of nursing & midwifery, nursing and midwifery care research center, Tehran university of medical sciences, Tehran, Iran
2- Staff Training Center, Tehran university of medical Sciences, Tehran, Iran. , f.masomi@yahoo.com
Abstract:   (1381 Views)
Background: Hospitalization of coronavirus disease 2019 (COVID-19) patients can lead to burden of care and cause health problems for family members of the patients. The aim of this study was to investigate the relationship between burden of care and mental health of family members of hospitalized patients with COVID-19.
Methods: This cross-sectional correlation study was conducted from November 2021 to February 2022. The study population consisted 84 family members of COVID-19 patients who were hospitalized in Shariati Hospital affiliated with Tehran University of Medical Sciences. The subjects were selected via consecutive sampling. Data collection was done using a demographic information form, the Depression Anxiety Stress Scales-21, the Zarit Burden Interview, and the 12-item General Health Questionnaire. Data were analyzed using SPSS 16 and at significance level of 0.05.
Results: More than half of the participants (51.22%) experienced mild to moderate level of care burden, while 17.07% of them experienced moderate to severe level of care burden. The mean score of mental health in the participants was 16.925±1.953. By adjusting the demographic variables and the Depression Anxiety Stress Scales-21, the level of stress of family members led to more burden of care (coefficient beta= 0.608, 95% confidence interval= 0.451-1.556, P=0.001).
Conclusion: Paying attention to the issue of stress in the family members of hospitalized patients with COVID-19 and supporting these individuals can help to provide better care to the patients and reduce health challenges.
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Type of Study: Original Article | Subject: Psychology and Psychiatry

References
1. Worldometer. Worldometer's COVID-19 data. 2020. [View at paplisher]
2. Berlin DA, Gulick RM, Martinez FJ. Severe Covid-19. New England Journal of Medicine. 2020; 383:2451-2460. [View at paplisher] [DOI] [Google Scholar]
3. Siddiqi HK, Mehra MR. COVID-19 illness in native and immunosuppressed states: A clinical-therapeutic staging proposal. The Journal of heart and lung transplantation. 2020;39(5):405-7. [View at paplisher] [DOI] [Google Scholar]
4. Kent EE, Ornstein KA, Dionne-Odom JN. The family caregiving crisis meets an actual pandemic. Journal of Pain and Symptom Management. 2020;60(1): e66-e69. [View at paplisher] [DOI] [Google Scholar]
5. Adelman RD, Tmanova LL, Delgado D, Dion S, Lachs MS. Caregiver burden: a clinical review. JAMA. 2014;311(10):1052-60. [View at paplisher] [DOI] [Google Scholar]
6. Stokes JE, Patterson SE. Intergenerational Relationships, Family Caregiving Policy, and COVID-19 in the United States. Journal of Aging & Social Policy. 2020;32(4-5):416-24. [View at paplisher] [DOI] [Google Scholar]
7. Geng H-M, Chuang D-M, Yang F, Yang Y, Liu W-M, Liu L-H, et al. Prevalence and determinants of depression in caregivers of cancer patients: A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(39):e11863-e. [View at paplisher] [DOI] [Google Scholar]
8. Trevino KM, Prigerson HG, Maciejewski PK. Advanced cancer caregiving as a risk for major depressive episodes and generalized anxiety disorder. Psycho-Oncology. 2018;27(1):243-9. [View at paplisher] [DOI] [Google Scholar]
9. Williams A-l. Family Caregivers to Adults with Cancer: The Consequences of Caring. In: Goerling U, Mehnert A, editors. Psycho-Oncology. Recent Results in Cancer Research .Cham: Springer International Publishing; 2018. p. 87-103. [View at paplisher] [DOI] [Google Scholar]
10. Picardi A, Miniotti M, Leombruni P, Gigantesco A. A Qualitative Study Regarding COVID-19 Inpatient Family Caregivers' Need for Supportive Care. Clinical practice and epidemiology in mental health : CP & EMH. 2021;17:161-9. [View at paplisher] [DOI] [Google Scholar]
11. Chen C, Wittenberg E, Sullivan SS, Lorenz RA, Chang YP. The Experiences of Family Members of Ventilated COVID-19 Patients in the Intensive Care Unit: A Qualitative Study. The American journal of hospice & palliative medicine. 2021;38(7):869-76. [View at paplisher] [DOI] [Google Scholar]
12. Sheikhbardsiri H, Tavan A, Afshar PJ, Salahi S, Heidari-Jamebozorgi M. Investigating the burden of disease dimensions (time-dependent, developmental, physical, social and emotional) among family caregivers with COVID-19 patients in Iran. BMC primary care. 2022;23(1):165. [View at paplisher] [DOI] [Google Scholar]
13. Mirzaei A, Raesi R, Saghari S, Raei M. Evaluation of family caregiver burden among COVID-19 patients. The Open Public Health Journal. 2020;13(1).808-814. [View at paplisher] [DOI] [Google Scholar]
14. Beach SR, Schulz R, Donovan H, Rosland A-M. Family Caregiving During the COVID-19 Pandemic. The Gerontologist. 2021;61(5):650-60. [View at paplisher] [DOI] [Google Scholar]
15. Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-9. [View at paplisher] [DOI] [Google Scholar]
16. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health. 2020;17(5):1729. [View at paplisher] [DOI] [Google Scholar]
17. Tanoue Y, Nomura S, Yoneoka D, Kawashima T, Eguchi A, Shi S, et al. Mental health of family, friends, and co-workers of COVID-19 patients in Japan. Psychiatry Research. 2020;291:113067. [View at paplisher] [DOI] [Google Scholar]
18. Medrano M, Rosario RL, Payano AN, Capellán NR. Burden, anxiety and depression in caregivers of Alzheimer patients in the Dominican Republic. Dementia & Neuropsychologia. 2014;8(4):384-8. [View at paplisher] [DOI] [Google Scholar]
19. Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour research and therapy. 1997;35(1):79-89. [View at paplisher] [DOI] [Google Scholar]
20. Le MTH, Tran TD, Holton S, Nguyen HT, Wolfe R, Fisher J. Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents. PloS one. 2017;12(7):e0180557. [View at paplisher] [DOI] [Google Scholar]
21. Samani S, Joukar B. A study on the reliability and validity of the short form of the depression anxiety stress scale (dass-21). Journal of Social Sciences and Humanities of Shiraz University. 2007;26(3 -52): 65-77. [View at paplisher] [Google Scholar]
22. Bédard M, Molloy DW, Squire L, Dubois S, Lever JA, O'Donnell M. The Zarit Burden Interview: a new short version and screening version. Gerontologist. 2001;41(5):652-7. [View at paplisher] [DOI] [Google Scholar]
23. Rajabi-Mashhadi MT, Mashhadinejad H, Ebrahimzadeh MH, Golhasani-Keshtan F, Ebrahimi H, Zarei Z. The Zarit Caregiver Burden Interview Short Form (ZBI-12) in spouses of veterans with chronic spinal cord injury, validity and reliability of the Persian version. Archives of Bone and Joint Surgery. 2015;3(1): 56-63. 25692171. [View at paplisher] [Google Scholar]
24. Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. British medical journal. 1970;1(5707):439-43. [View at paplisher] [DOI] [Google Scholar]
25. Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and Quality of Life Outcomes. 2003;1(1):66. [View at paplisher] [DOI] [Google Scholar]
26. Mondal S, Tandon R, Dasgupta J. An exploratory study of caregiver burden amongst urban upper class adults in India during COVID-19. Alzheimer's & Dementia. 2021;17(S7):e052800. [View at paplisher] [DOI] [Google Scholar]
27. Raesi R, Mirzaei A, Saghari S, Raei M, Bokaie S, Hushmandi K. Investigating the Effect of Tele-Nursing on the Care Burden of Family Caregivers of COVID- 19 Patients. jccnursing. 2021;14(3):21-9. [View at paplisher] [Google Scholar]
28. Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, Hasson-Ohayon I, Matalon N, Gross R, et al. Anxiety and depression symptoms in COVID-19 isolated patients and in their relatives. Frontiers in psychiatry. 2020;11:581598. [View at paplisher] [DOI] [Google Scholar]
29. Hu P, Yang Q, Kong L, Hu L, Zeng L. Relationship between the anxiety/depression and care burden of the major caregiver of stroke patients. Medicine (Baltimore). 2018;97(40):e12638. [View at paplisher] [DOI] [Google Scholar]
30. Del-Pino-Casado R, Priego-Cubero E, López-Martínez C, Orgeta V. Subjective caregiver burden and anxiety in informal caregivers: A systematic review and meta-analysis. PLOS ONE. 2021;16(3):e0247143. [View at paplisher] [DOI] [Google Scholar]
31. Kumar A, Nayar KR. COVID 19 and its mental health consequences. Journal of Mental Health. 2021;30(1):1-2. [View at paplisher] [DOI] [Google Scholar]
32. Javed B, Sarwer A, Soto EB, Mashwani Z-u-R. The coronavirus (COVID-19) pandemic's impact on mental health. The International Journal of Health Planning and Management. 2020;35(5):993-6. [View at paplisher] [DOI] [Google Scholar]
33. Saghafi F, West S, Lopez V, Cleary M. Mental Health Impacts of Family Members Isolated from Patients in the ICU during the Coronavirus Disease (COVID-19) Pandemic. Issues in Mental Health Nursing. 2022;43(1):87-90. [View at paplisher] [DOI] [Google Scholar]
34. Banitalebi S, Mohammadi K, Marjanian Z, Rabiei L, Masoudi R. The effect of COVID-19 epidemic on the mental health of nurses' family members. J Educ Health Promot. 2021;10:368. [View at paplisher] [Google Scholar]
35. Frank E, Zhao Z, Fang Y, Rotenstein LS, Sen S, Guille C. Experiences of Work-Family Conflict and Mental Health Symptoms by Gender Among Physician Parents During the COVID-19 Pandemic. JAMA network open. 2021;4(11):e2134315-e. [View at paplisher] [DOI] [Google Scholar]
36. Bahari G. Caregiving burden, psychological distress, and individual characteristics among family members providing daily care to patients with chronic conditions. Perspectives in Psychiatric Care. 2022;1-7. [View at paplisher] [DOI] [Google Scholar]
37. Raesi R, Mirzaei A, Saghari S, Raei M, Pourhaji F, Rahmanian V, et al. Investigating the moderating role of resilience on the relationship between perceived stress and caring burden in family caregivers of COVID-19 patients. Journal of Military health Promotion. 2021;2(2):334-44. [View at paplisher] [Google Scholar]
38. Tartaglini MF, Hermida PD, Ofman SD, Feldberg C, Heisecke SL, Somale V, et al. COVID-19: Prevalence evaluation of anxiety, depression, and burden in Argentine family caregivers. Alzheimer's & Dementia. 2021;17(S7):e052528. [View at paplisher] [DOI] [Google Scholar]

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