Showing 9 results for Caregiver
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.
Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale having two dimensions of problem-focused part (15 questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.
Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).
Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.
Material and Methods: In this descriptive and analytical study, 120 Caregivers of chronic renal failure patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).
Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities (p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).
Conclusion: According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .
Hossein Rahmani Anaraki, Dr Gholam Reza Mahmoodi, Ghanbar Rouhi, Hamid Asayesh, Hossein Nasiri, Hossein Rakhshani,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Chronic neurologic diseases due to associated disabilities and high cost of their medical services are considered as a crisis for patients and family. The stress caused by these problems can jeopardize the health of the caregivers. Thus, the aim of this study was to determine the general health status of neurologic patients’ caregivers and the related factors.
Material and Methods: In this cross-sectional study conducted in 2009, the caregivers of the patients with neurological disorders (n=200) were selected via convenience sampling. The data was gathered by a demographic checklist and general health questionnaire (GHQ-28) completed by caregivers and analyzed by descriptive statistic, Pearson correlation coefficient and chi square, using SPSS-16.
Results: The mean age is 31.78±9.94 and 59.5% of the subjects are males. The caregivers (72.5%) general health is disturbed (Score more than 23 based on GHQ-28 cut of point). General health of male and female caregivers is significantly different (P<0.05). Between the subscales of GHQ-28, female caregivers compared to males have higher depression score, which is significant (P<0.05). The caregivers’ general health are correlated with (P<0.05) the patient’s care dependency and the income of family. There is no significant relationship between general health and demographic variables such as marital status, history of the disease and educational level.
Conclusion: Based on the results, significant percent of caregivers of the patients with neurological disorders suffer from disrupted general health. Thus, the presence of supportive resources and effective coping skills can be effective in improving the health.
Dr Mahshid Forooghan, Danial Amanian, Dr Mohammad Ali Hosseini,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: With increasing older people population, the need to provide health care services in nursing homes is increasing. The aim of this study was to determine the effect of an educational program about the management of common problems in old age on the level of job stress in the caregivers of Golestan province nursing homes.
Material and Methods: This pre-experimental study was conducted on all 24 caregivers (11 males and 13 females) working in the nursing homes of Golestan province. The valid and reliable instruments were a researcher-made questionnaire to evaluate the knowledge and Osipow's job stress questionnaire, the intervention was an educational package to increase their knowledge and skills about the management of old age problems. The questionnaires were completed before, immediately after, one month and three months after the training. The data was analyzed by analysis variance, Pearson correlation, independent t-test and paired t-test.
Results: With increasing the knowledge of the caregivers, a significant reduction in job stress scores (p<0.001) was found after three months. Two components of job stress including overload (p<0.001) and insufficiency (p=0.002) showed significant decreases after three months compared to the mean scores before training.
Conclusion: Due to The effect of training on stress reduction, providing comprehensive training programs for caregivers may lead to higher quality services and health promotion for both elders and their caregivers.
Amin Haghgoo , Mohammad Zoladl, Khairollah Nooryan , Shirali Kharamin, Soleiman Afrooghi,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
Methods: In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p< 0.05).
Results: The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P< 0.05).
Conclusion: Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.
Masumeh Hemmati Maslakpak , Mehdi Torabi, Moloud Radfar, Vahid Alinejad,
Volume 16, Issue 1 (1-2019)
Abstract
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.
Dr Leila Sayadi, Ms Faranak Masoumi Fard,
Volume 19, Issue 2 (9-2022)
Abstract
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.
Seyedmohammad Mirhosseini, Ali Abbasi, Anahita Divani, Fateme Askarinezhad, Soheila Hasanpournamaghi, Samuel Grimwood , Ali Montazeri, Hossein Ebrahimi,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Family caregivers of cancer patients encounter numerous challenges while providing care, and self-efficacy is a key factor in alleviating these negative effects. This study aimed to investigate the psychometric properties of the Persian version of the Caregiver Self-Efficacy Scale (CSES) among caregivers of cancer patients.
Methods: This methodological study employed a cross-sectional design involving 382 family caregivers of cancer patients in a teaching hospital in Iran, in 2024. The CSES was translated into Persian using the forward-backward procedure. The initial translation was assessed for face and content validity through both quantitative and qualitative methods. Construct validity was evaluated using exploratory and confirmatory factor analysis. Discriminant validity was examined using the Heterotrait–Monotrait (HTMT) ratio. Reliability was assessed by evaluating internal consistency using Cronbach's alpha and Mcdonald's omega, and stability was measured using intraclass correlation coefficients (ICCs).
Results: In this study, 53.7% of the participants were male, and the caregivers' mean age was 42.52 ± 11.83 years. Scale-level content validity index was reported 0.97 by expert panel during content validity stage. During the exploratory factor analysis, one item was excluded, leaving seven items were categorized into two factors: caregiver self-management and patient challenges. These factors collectively accounted for 43.9% of the variance in self-efficacy. Confirmatory factor analysis confirmed the adequacy of the model derived from the exploratory factor analysis (RMSEA = 0.05, GFI = 0.947, and CFI = 0.906). The factors demonstrated discriminant validity. Cronbach's alpha values for the patient challenges and caregiver self-management factors were 0.802 and 0.798, respectively. In addition, the ICC for these two factors was reported to be 0.830 and 0.802, respectively.
Conclusion: The Persian adaptation of the CSES demonstrates satisfactory validity and reliability for assessing the self-efficacy of family caregivers of cancer patients in Iran.
Peiman Fereidouni Sarijeh , Ali Khatib , Soheileddin Salmani , Maryam Fransiz ,
Volume 22, Issue 2 (6-2025)
Abstract
Background: Family caregivers face a caregiving burden due to providing care to patients with mental illness. It is essential to employ appropriate strategies to reduce the caregiving burden and increase resilience. Telenursing, as an accessible and cost-effective strategy, enables continued support and education after discharge. This study was conducted with aim to evaluate the effect of education and telephone follow-up (telenursing) on care burden and resilience in caregivers of patients with bipolar disorder.
Methods: This quasi-experimental study was conducted from September 2024 to March 2025 at Razi Psychiatric Hospital, Tehran, Iran. A total of 60 caregivers of bipolar disorder patients were selected through convenience sampling. Participants were then randomly assigned to the intervention (n=30) and control (n=30) groups using a simple randomization method. The intervention group received eight group-based telenursing sessions (two sessions per week, 40–50 minutes each). The control group received only routine discharge education. Data were collected using the Caregiver Burden Scale and the Connor-Davidson Resilience Scale before and after the intervention. The data were analyzed using SPSS software (version 25) and independent and paired t-tests. P<0.05 was considered significant.
Results: After the intervention, the mean caregiving burden in the intervention group significantly decreased (28.03±16.72) compared to the control group (58.93 ± 12.18) (p<0.0001). Also, the mean resilience in the intervention group significantly increased (36.63 ± 1.86) compared to the control group (26.10±8.26) (p<0.0001). These results indicate the strong evidence for effectiveness of education and telenursing in reducing caregiving burden (p<0.0001) and increasing resilience of caregivers of bipolar patients (p<0.0001).
Conclusion: The results indicate that telenursing has a positive effect on reducing caregiving pressure and increasing the resilience in caregivers of patients with bipolar disorder. This type of support is useful for providing comprehensive care and maintaining the health of family caregivers.
