★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★Open research. Global perspectives.
Articles OPEN ACCESS

Weak Correlations and Strong Implications: Patient Age, Functional Status, and Caregiver Burden

Onome Hillary Onomuighokpo
MBBS, Department of Orthopaedics & Trauma Federal Medical Centre, Asaba, Delta State, Nigeria
Kennedy Oberhiri Obohwemu
PhD Department of Health, Wellbeing & Social Care, Global Banking School/Oxford Brookes University, Birmingham, United Kingdom; and PENKUP Research Institute, Birmingham, United Kingdom
Ochei Oboratare
FWACP Department of Community Medicine Delta State University Teaching Hospital (DELSUTH) Oghara, Delta State, Nigeria
Ucho Clitt Ejiroghene
MSC, Department of Community Medicine Delta State University Teaching Hospital (DELSUTH) Oghara, Delta State, Nigeria
Onodua Kindness Ogheneruona
MBBS, Department of Surgery [Ear, Nose & Throat (ENT)] Federal Medical Centre, Asaba, Delta State, Nigeria
Isioma Deborah Onyeogo
MBBS, Department of Internal Medicine (Nephrology) Delta State University Teaching Hospital (DELSUTH) Oghara, Delta State, Nigeria
Daniel Omofuoma
MBBS, Department of Internal Medicine Federal Medical Centre, Owo, Ondo State, Nigeria
Diane Omokiti
MBBS, Department of Surgery Federal Medical Centre, Asaba, Delta State, Nigeria
tajiir 2025
VOL. 7 / NO. 01 JANUARY
VOLUME 7
ISSUE 01
YEAR 2025
PAGES 51-59

Abstract

Background: Family caregivers often face significant physical, emotional, and financial challenges when caring for surgical patients. Caregiver burden, a critical aspect of healthcare, is influenced by various patient-related factors, including age, functional capacity, and illness severity. This study examines the relationships between caregiver burden, assessed using the Zarit Burden Index (ZBI), and patient characteristics among surgical patients in Delta State, Nigeria, with a focus on practical implications for caregiving strategies.

Methodology: The study utilized a cross-sectional design involving caregivers of surgical patients at two hospitals in Delta State, Nigeria. Data were collected through interviewer-administered questionnaires. Caregiver burden was evaluated using the ZBI, functional status was measured with the Palliative Performance Scale (PPS), and illness severity was categorized as mild, moderate, or severe.

Results: Weak correlations were observed between caregiver burden and patient age (r = 0.218, p = 0.01) as well as functional status (r = -0.347, p = 0.01). However, illness severity showed a strong association with caregiver burden (p < 0.0001), with caregivers of patients with severe conditions or low functional capacity experiencing the greatest burden.

Conclusion: Although some correlations are modest, the findings emphasize the need for targeted caregiving strategies. Interventions such as caregiver education, emotional support, and financial assistance are essential to mitigate the burdens faced by those caring for elderly or severely ill patients.

Downloads

Download data is not yet available.

References

  1. Abah, V.O., (2022). Poor health care access in Nigeria: A function of fundamental misconceptions and misconstruction of the health system. In Healthcare Access-New Threats, New Approaches. IntechOpen.
  2. Amedari, M.I. and Ejidike, I.C., (2021). Improving access, quality and efficiency in health care delivery in Nigeria: a perspective. PAMJ-One Health, 5(3).
  3. Andrade, J.J.D.C., Silva, A.C.O., Frazão, I.D.S., Perrelli, J.G.A., Silva, T.T.D.M. and Cavalcanti, A.M.T.S., (2021). Family functionality and burden of family caregivers of users with mental disorders. Revista Brasileira de Enfermagem, 74(05), p.e20201061.
  4. Aregbeshola, B.S. and Folayan, M.O., (2022). Nigeria's financing of health care during the COVID‐19 pandemic: Challenges and recommendations. World Medical & Health Policy, 14(1), pp.195-204.
  5. Bayly, M., Morgan, D., Elliot, V., Kosteniuk, J., Froehlich Chow, A., Peacock, S. and O'Connell, M.E., (2021). Does early-stage intervention improve caregiver well-being or their ability to provide care to persons with mild dementia or mild cognitive impairment? A systematic review and meta-analysis. Psychology and Aging, 36(7), p.834.
  6. Choi, U.Y., Patterson, P. and Chinho, N., (2024). Reducing the Burdens of Paid Caregivers of Older Adults by Using Assistive Technology: A Scoping Review. Western Journal of Nursing Research, 46(4), pp.315-326.
  7. Cui, J., Fang, F., Shen, F., Song, L., Zhou, L., & Ma, X. (2014). Caregiver burden and its influencing factors for the disabled elderly in China. Archives of Gerontology and Geriatrics, 58(1), 37-42.
  8. Culberson, J.W., Kopel, J., Sehar, U. and Reddy, P.H., (2023). aaUrgent Needs of Caregiving in Ageing Populations with Alzheimer’s Disease and Other Chronic Conditions: Support Our Loved Ones. Ageing Research Reviews, p.102001.
  9. Gallagher, R., Luttik, M. L., & Jaarsma, T. (2018). Social support and self-care in heart failure. Journal of Cardiovascular Nursing, 33(2), 123-129.
  10. Gemito, L., Alves, E., Moreira, J., Marques, M.F., Caldeira, E., Ferreira, R., Bico, I., Pinho, L., Fonseca, C., Sousa, L. and Lopes, M., (2024). Programmes Addressed to Informal Caregivers’ Needs: A Systematic Literature Review. Geriatrics, 9(3), p.71.
  11. Glajchen, M. (2012). Physical well-being of oncology caregivers: An important quality-of-life domain. Seminars in Oncology Nursing, 28(4), 226-235.
  12. Kaminishi, K.S., Morris, S., Garcia, R., Safavi, R. and Hirsch, C.H., (2024). Caregiver Interventions in Geriatric Psychiatry. In Geriatric Psychiatry: A Case-Based Textbook (pp. 801-821). Cham: Springer International Publishing.
  13. Khosravi, B., Ghazanfari, Z., & Parsa, P. (2016). The relationship between caregiver burden and quality of life in caregivers of hemodialysis patients. Journal of Nursing and Midwifery Sciences, 3(4), 44-50.
  14. Mercer, S. W., Zhou, Y., Humphris, G. M., McConnachie, A., & Bikker, A. P. (2012). Multimorbidity and the inverse care law in primary care. BMJ, 344, e4152.
  15. Milton, A., Schandl, A., Larsson, I.M., Wallin, E., Savilampi, J., Meijers, K., Joelsson‐Alm, E., Bottai, M. and Sackey, P., (2022). Caregiver burden and emotional wellbeing in informal caregivers to ICU survivors—A prospective cohort study. Acta Anaesthesiologica Scandinavica, 66(1), pp.94-102.
  16. Mirzaei, M., Ahmadi, N., Bagheri Fahraji, B., Ardekani, A.M., Rahimdel, A., Soltani, M.H., Ardekani, S.M.Y., Bidaki, R., Kasnavie, F.H., Dastjerdi, G. and Aboutorabi, M., (2024). A randomized clinical trial evaluating Hydralazine’s efficacy in early-stage Alzheimer’s disease: The EHSAN Study. Scientific Reports, 14(1), p.28837.
  17. Moreno-Alonso, D., Julià-Torras, J., Majó Llopart, J., Serrano-Bermúdez, G., Duran Adán, A., Pergolizzi, D., Llorens-Torromé, S. and Trelis-Navarro, J., (2024). The Catalan Institute of Oncology (ICO) Presents the ICO Toolkit-2: An Updated, Spanish National Assessment Kit for Patients with Malignant Neoplasm in Palliative Care. Journal of Palliative Medicine.
  18. Pérez, V., Menéndez-Crispín, E.J., Sarabia-Cobo, C., de Lorena, P., Fernández-Rodríguez, A. and González-Vaca, J., (2022). Mindfulness-based intervention for the reduction of compassion fatigue and burnout in nurse caregivers of institutionalized older persons with dementia: a randomized controlled trial. International Journal of Environmental Research and Public Health, 19(18), p.11441.
  19. Reinhard, S. C., Given, B., Petlick, N. H., & Bemis, A. (2008). Supporting family caregivers in providing care. In R. G. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses (pp. 341-404). Agency for Healthcare Research and Quality (US).
  20. Reis, K.M.C.D. and Jesus, C.A.C.D., (2021). Impaired comfort at the end of life: An association with nursing diagnosis and clinical variables. Texto & Contexto-Enfermagem, 30, p.e20200105.
  21. Reynolds 3rd, C.F., Jeste, D.V., Sachdev, P.S. and Blazer, D.G., (2022). Mental health care for older adults: recent advances and new directions in clinical practice and research. World Psychiatry, 21(3), pp.336-363.
  22. Winn, P., (2023). Integrating Palliative Care into Long-Term Care. In Post-Acute and Long-Term Care Medicine: A Guide for Practitioners (pp. 197-228). Cham: Springer International Publishing.
  23. Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649–655.
CONTINUE EXPLORING

Most read articles by the same author(s)

Explore other published research by the authors of this article.

JOURNAL ARTICLE 2024

CHILDHOOD OBESITY IN URBAN AND RURAL INDIA: A SYSTEMATIC REVIEW AND META-ANALYSES OF PREVALENCE STUDIES

Abraham Minnu , Joyce Eberechukwu Idomeh, Kennedy Oberhiri Obohwemu, Gordon Mabengban Yakpir, Ama Maame Owusuaa-Asante, Gabriel Olaoluwa Abayomi, Oluwatoyin Aderinsola Bewaji , Ibiangake Friday Ndioho, Nourhan Abdelkader, Temitayo Oluwakemi Fynecontry, Victoria Yewande Soyobi
PUBLISHED IN The American Journal of Interdisciplinary Innovations and Research Vol. 6 No. 11 (2024): Volume 06 Issue 11
View Article