Caring for you is straining me! -Strain among the informal caregivers of the elderly attending Health Centres of a Coastal City in Karnataka
DOI:
https://doi.org/10.47203/IJCH.2019.v31i01.010Keywords:
Caregiving, Activities of Daily Living, Aged, BurdenAbstract
Background: Census 2011 estimated 104 million elderly in India. Unprecedented demand for informal caregivers of elderly has resulted in physical, emotional and economic difficulties called caregiver strain. Aim & Objective: To determine the association between levels of strain among informal caregivers and the dependency levels of the elderly. Material & Methods: A cross-sectional study during January -March 2018 was conducted in the health centres attached to field practice areas of a tertiary care hospital. Data collection was done using a pre-tested, semi-structured questionnaire after informed consent from elderly and informal caregivers meeting the inclusion criteria. Statistical Analysis used: Data was entered in MS Excel and analysed using SPSS version 20. Percentages and proportions of Activities of daily living (ADL) and informal caregiver strain of Modified Caregivers Strain Index (MSCI) and their scores were expressed in median and interquartile range. Spearman’s Rho was used to determine the association of ADL and MCSI scores. Results: 47.5% of informal caregivers experienced mild stress; 70 % of the 200 elderly were fully functional. Strain level of the informal caregivers showed a negative correlation (0.557) with the dependency level of the elderly. Conclusion: With increasing dependency level of elderly, informal caregiver strain should be assessed.
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References
Borah H, Shukla P, Jain K, Kumar S, Prakash C, Gajrana KR. Ministry of Statistics and Programme Implementation. Elderly in India- Profile and Programmes 2016. New Delhi, India: MOSPI: 2016 p. 104.
Tavares DM, dos S, Dias FA. Functional capacity, morbidities and quality of life of the elderly. Text Context Nur Florianopolis. 2012;21(1):112–20.
Roth DL, Fredman L, Haley WE. Informal caregiving and its impact on health: a reappraisal from population-based studies. Gerontologist. 2015 Apr;55(2):309-19. doi: 10.1093/geront/gnu177. Epub 2015 Feb 18. Review. PubMed PMID: 26035608.[PubMed]
Murthy RS. Caregiving and caregivers: Challenges and opportunities in India. Indian J Soc Psychiatry. 2016;32(1):10.
Bierhals CC, Santos NO, Fengler FL, Raubustt KD, Forbes DA, Paskulin LM. Needs of family caregivers in home care for older adults. Rev Lat Am Enfermagem. 2017 Apr 6;25:e2870. doi: 10.1590/1518-8345.1511.2870. English, Portuguese, Spanish. PubMed PMID: 28403338; PubMed Central PMCID: PMC5396486.[PubMed]
Onega LL. The Modified Caregiver Strain Index (MCSI). Try ThisBest Pract Nurs Care Older Adults. 2013;(14):2.
Sabzwari S, Badini AM, Fatmi Z, Jamali T, Shah S. Burden and associated factors for caregivers of the elderly in a developing country. East Mediterr Health J. 2016 Sep 25;22(6):394-403. PubMed PMID: 27686980.[PubMed].
Wallace M. Katz Index of Independence in Activities of Daily Living (ADL). Try This Best Pract Nurs Care Older Adults.2007;(2):4.
Ran L, Jiang X, Li B, Kong H, Du M, Wang X, et al. Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority. BMC Geriatr. 2017;17(74).
Sharma D, Parashar A, Mazda S. Functional status and its predictor among the elderly population in a hilly state of North India. Int J Health Allied Sci. 2014;3(3):159-63.
Patil KS, Kulkarni MV, Dharmadhikari PP. Assessment of the burden of dependency among the elderly population in an urban slum. J Community Health Manag. 2016;3(3):123-6.
Bhaskar A, Manjula V, Joseph J. Elderly, functional disability, Activities of daily living (ADL), morbidity, instrumental activities of daily living (IADL). J Evol Med Dent Sci. 2014;3(37):9601–9.
Veerapu N, Praveenkumar B, Subramanyian P, Arun G. Functional dependence among elderly people in a rural community of Andhra Pradesh, South India. Int J Community Med Public Health. 2016;3(7):1835–40.
Millán-Calenti JC, Tubío J, Pita-Fernández S, González-Abraldes I, Lorenzo T, Fernández-Arruty T, et al. Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors as predictors of morbidity and mortality. Arch Gerontol Geriatr. 2010;50(3):306–10.
Hsu T, Loscalzo M, Ramani R, Forman S, Popplewell L, Clark K, Katheria V, Feng T, Strowbridge R, Rinehart R, Smith D, Matthews K, Dillehunt J, Hurria A. Factors associated with high burden in caregivers of older adults with cancer. Cancer. 2014 Sep 15;120(18):2927-35. doi: 10.1002/cncr.28765. Epub 2014 Jun 4. PubMed PMID: 24898093; PubMed Central PMCID: PMC4159406.[PubMed].
Robinson BC. Validation of a Caregiver Strain Index. J Gerontol. 1983 May;38(3):344-8. PubMed PMID: 6841931.[PubMed].
Chow EO, Ho HC. Caregiver strain, age, and psychological well-being of older spousal caregivers in Hong Kong. J Soc Work. 2015; 15(5):479–97.
Dhandapani M, Gupta S, Dhandapani S, Kaur P, Samra K, Sharma K, et al. Study of factors determining caregiver burden among primary caregivers of patients with intracranial tumours. Surg Neurol Int. 2015;6(1):160.
Mehta KK. Stress among family caregivers of older persons in Singapore. J Cross Cult Gerontol. 2005 Dec;20(4):319-34. PubMed PMID: 17024577.[PubMed].
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