Burden and Anxiety in Family Caregivers in the Hospital That Debut in Caregiving
Abstract
:1. Introduction
1.1. The Caregivers in the Hospital
1.2. Association between Burden and Anxiety
1.3. The Mediating Role of Subjective Burden
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Measurements
2.3.1. Sociodemographic Variables
2.3.2. Dependent Variable
2.3.3. Mediator Variable
2.3.4. Independent Variables
2.3.5. Control Variable
2.4. Data Collection
2.5. Data Analysis
3. Results
3.1. Sample Population Description
3.2. Levels of Burden and Anxiety
3.3. Bivariate Analysis
3.4. Multivariate Analysis
4. Discussion
4.1. Levels of Burden and Anxiety
4.2. Objective Burden, Burden, and Anxiety
5. Conclusions
- The levels of subjective burden and anxiety may be higher than in those that have not recently started caregiving, highlighting the importance of these problems and the need that debut caregivers in the hospital should be preferentially attended to in order to prevent these consequences.
- Subjective burden is a possible risk factor for anxiety, independent of the objective burden.
- Subjective burden may buffer the effects of objective burden on anxiety.
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Mean (SD) | Theoretical Range | Practical Range | n (%) | 95% CI | |
---|---|---|---|---|---|
Care recipient | |||||
Age | 75.5 (8.2) | 60–92 | 73.27–77.73 | ||
Gender | |||||
Male | 46 (63.9%) | 52.10–75.67 | |||
Female | 26 (36.1%) | 24.32–47.90 | |||
Main pathology | |||||
Stroke | 35 (48.6%) | 36.37–60.85 | |||
Cancer | 15 (20.8%) | 10.75–30.90 | |||
Dementia | 1 (1.4%) | 0.03–7.49 | |||
Other | 21 (29.2%) | 17.97–40.36 | |||
Functional capacity | 22 (20.9) | 0–100 | 0–90 | 16.27–27.66 | |
Cognitive impairment | 3.8 (3.1) | 0–10 | 0–10 | 4.00–4.71 | |
Caregiver | |||||
Age | 56 (14.7) | 23–4 | 52.57–59.49 | ||
Gender | |||||
Female | 57 (79.2%) | 69.09–89.24 | |||
Male | 15 (20.8%) | 10.75–30.90 | |||
Relationship | |||||
Spouse | 34 (47.2%) | 34.99–59.44 | |||
Offspring | 32 (44.4%) | 32.27–56.61 | |||
Other | 6 (8.3%) | 1.25–15.44 | |||
Education level | |||||
No primary school | 43 (59.7%) | 47.69–71.74 | |||
Secondary school | 21 (29.2%) | 17.93–40.36 | |||
University | 8 (11.1%) | 3.15–19.06 | |||
Employment status | |||||
Active | 20 (27.8%) | 16.73–38.81 | |||
Unemployed | 12 (16.7%) | 7.36–25.696 | |||
Retired | 10 (13.9%) | 5.20–22.57 | |||
Housewife | 29 (40.3%) | 28.25–52.30 | |||
Other | 1 (1.4%) | 0.03–7.49 | |||
Common residence | 47 (65.3%) | 53.58–76.96 | |||
Number of ADLs assisted | 4.8 (3.1) | 1–10 | 4.06–5.52 | ||
Hours of surveillance or supervision | 5.5 (4.9) | 1–10 | 4.37–6.69 | ||
Stressful life events | 96.2 (47.3) | 44–239 | 85.11–107.36 | ||
Anxiety | 15.4 (10) | 0–56 | 0–46 | 13.03–17.72 | |
Subjective burden | 5.4 (3.1) | 0–13 | 0–12 | 4.67–6.11 |
2 | 3 | 4 | 5 | 6 | 7 | |
---|---|---|---|---|---|---|
1. Anxiety | 0.614 ** | 0.212 | 0.225 | 0.012 | −0.135 | 0.232 |
2. Subjective burden | 0.397 ** | 0.305 ** | 0.010 | −0.220 | 0.510 ** | |
3. Number of ADL assisted | 0.433 ** | 0.114 | −0.088 | 0.121 | ||
4. Hours of surveillance or supervision | 0.079 | 0.222 | 0.080 | |||
5. Stressful life event | 0.032 | −0.196 | ||||
6. Functional capacity | −0.452 ** | |||||
7. Cognitive impairment |
Direct Effects | Indirect Effects | Total Effect | |
---|---|---|---|
Subjective burden | 0.61 | 0 | 0.61 |
Number of ADL assisted | 0 | 0.17 | 0.17 |
Hours of surveillance or supervision | 0 | 0.11 | 0.11 |
Cognitive impairment | 0 | 0.24 | 0.24 |
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Pérez-Cruz, M.; Parra-Anguita, L.; López-Martínez, C.; Moreno-Cámara, S.; del-Pino-Casado, R. Burden and Anxiety in Family Caregivers in the Hospital That Debut in Caregiving. Int. J. Environ. Res. Public Health 2019, 16, 3977. https://doi.org/10.3390/ijerph16203977
Pérez-Cruz M, Parra-Anguita L, López-Martínez C, Moreno-Cámara S, del-Pino-Casado R. Burden and Anxiety in Family Caregivers in the Hospital That Debut in Caregiving. International Journal of Environmental Research and Public Health. 2019; 16(20):3977. https://doi.org/10.3390/ijerph16203977
Chicago/Turabian StylePérez-Cruz, Margarita, Laura Parra-Anguita, Catalina López-Martínez, Sara Moreno-Cámara, and Rafael del-Pino-Casado. 2019. "Burden and Anxiety in Family Caregivers in the Hospital That Debut in Caregiving" International Journal of Environmental Research and Public Health 16, no. 20: 3977. https://doi.org/10.3390/ijerph16203977