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Volume 29, Issue 135 (July & August 2021)
J Adv Med Biomed Res 2021, 29(135): 206-214 |
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Arbabi M, Rahimi H, Mehrpooya N, Vagharseyyedin S A, Mortazavi Moghaddam S G. The Effects of a Multidisciplinary Supportive Program on Caregiver Burden among the Family Caregivers of Patients with Advanced Chronic Obstructive Pulmonary Disease: A Randomized Controlled Field Trial. J Adv Med Biomed Res 2021; 29 (135) :206-214
URL: http://journal.zums.ac.ir/article-1-6165-en.html
URL: http://journal.zums.ac.ir/article-1-6165-en.html
Mahdi Arbabi1 
, Hossein Rahimi1 , Nasim Mehrpooya2 , Seyyed Abolfazl Vagharseyyedin *3 , Sayyed Gholamreza Mortazavi Moghaddam4
, Hossein Rahimi1 , Nasim Mehrpooya2 , Seyyed Abolfazl Vagharseyyedin *3 , Sayyed Gholamreza Mortazavi Moghaddam4
1- Dept. of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
2- Dept. of Nursing, School of Nursing and Midwifery, Neyshaboor University of Medical Sciences, Neyshaboor, Iran.
3- Dept. of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran ,waghars@bums.ac.ir
4- Dept. of Internal Medicine, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
2- Dept. of Nursing, School of Nursing and Midwifery, Neyshaboor University of Medical Sciences, Neyshaboor, Iran.
3- Dept. of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran ,
4- Dept. of Internal Medicine, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Abstract: (132395 Views)
Background and Objective: The family caregivers of patients with chronic obstructive pulmonary disease (COPD) experience heavy caregiver burden (CB). This study investigated the effects of a multidisciplinary supportive program on CB in the family caregivers of patients with advanced COPD.
Materials and Methods: This randomized field trial was conducted in the pulmonary subspecialty clinic of Birjand University of Medical Sciences, in 2019. In the present study, 92 eligible family caregivers of COPD patients were randomly allocated into intervention and control groups. The study intervention included eight sessions. Three educational sessions on COPD were held by a pulmonary disease specialist and an experienced nurse in COPD care, two educational sessions were held on coping strategies by a psychiatric nurse and three peer support sessions. CB was assessed before, immediately after and two months after the study intervention. SPSS (v. 21.0) was used for data analysis.
Results: CB significantly decreased in the intervention group (P=0.01). It did not change significantly in the control group (P=0.63). Between-group differences, with respect to the mean score of CB at the baseline (P=0.66) and the first posttest (P=0.72) were not significant. The mean score of CB in the second posttest was significantly lower in the intervention group, compared to the control group (P=0.007).
Conclusion: Multidisciplinary supportive program is effective in reducing CB among the family caregivers of patients with advanced COPD.
Keywords: Caregiver burden, Chronic obstructive pulmonary disease, Family caregiver, Multidisciplinary supportive program
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✅ Multidisciplinary supportive program is effective in reducing CB among the family caregivers of patients with advanced COPD.
Type of Study: Original Research Article |
Subject:
Clinical Medicine
Received: 2020/08/12 | Accepted: 2020/12/19 | Published: 2021/02/28
Received: 2020/08/12 | Accepted: 2020/12/19 | Published: 2021/02/28
References
1. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of COPD 2018 report. https://goldcopd.org/wp-content/uploads/2017/11/GOLD-2018-v6.0-FINAL-revised-20-Nov_WMS.pdf
2. Sharifi H, Ghanei M, Jamaati H, et al. Burden of obstructive lung disease study in Iran: First report of the prevalence and risk factors of COPD in five provinces. Lung India. 2019; 36:14-19. [DOI:10.4103/lungindia.lungindia_129_18]
3. Rehman AU, Hassali MAA, Muhammad SA, Harun SN, Shah S, Abbas S. The economic burden of chronic obstructive pulmonary disease (COPD) in Europe: results from a systematic review of the literature. Eur J Health Econ. 2020; 21:181-94. [DOI:10.1007/s10198-019-01119-1]
4. Pennacchini M, Tartaglini D. The education of family caregivers as an ethical issue. La Clinica terapeutica. 2014; 165:e219-22.
5. Wang KY, Sung PY, Yang ST, Chiang CH, Perng WC. Influence of family caregiver caring behavior on COPD patients' self-care behavior in Taiwan. Respir Care. 2012; 57 (2): 263-72. [DOI:10.4187/respcare.00986]
6. Nakken N, Janssen DJ, van den Bogaart EH, et al. Informal caregivers of patients with COPD: Home Sweet Home? Eur Respir Rev. 2015; 24 :498-504. [DOI:10.1183/16000617.00010114]
7. Cruz J, Marques A, Figueiredo D. Impacts of COPD on family carers and supportive interventions: a narrative review. Health Soc Care Community. 2017; 25:11-25. [DOI:10.1111/hsc.12292]
8. Janssen DJ, Schols JM, Wouters EF, Spruit MA. One-year stability of care dependency in patients with advanced chronic organ failure. J Am Med Dir Assoc. 2014; 15:127-32. [DOI:10.1016/j.jamda.2013.10.002]
9. Figueiredo D, Gabriel R, Jácome C, Cruz J, Marques A. Caring for relatives with chronic obstructive pulmonary disease: how does the disease severity impact on family carers? Aging Ment Health. 2014; 18:385-93. [DOI:10.1080/13607863.2013.837146]
10. Gabriel R, Figueiredo D, Jácome C, Cruz J, Marques A. A Day-to-day living with severe chronic obstructive pulmonary disease: towards a family-based approach to the illness impacts. Psychol Health. 2014; 29:967-83. [DOI:10.1080/08870446.2014.902458]
11. Simpson AC, Young J, Donahue M, Rocker G. A day at a time: caregiving on the edge in advanced COPD. Int J Chron Obstruct Pulmon Dis. 2010; 5:141-51. [DOI:10.2147/COPD.S9881]
12. Lima FV, Yen TY, Patel JK. Trends in in-hospital outcomes among adults hospitalized with exacerbation of chronic obstructive pulmonary disease. COPD. 2015; 12:636-42.
13. Lindquist G, Albin B, Heikkilä K., Hjelm K. Conceptions of daily life in women living with a man suffering from chronic obstructive pulmonary disease. Prim Health Care Res. Dev 2013; 14 :40-51. [DOI:10.1017/S146342361200031X]
14. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980; 20:649-55. [DOI:10.1093/geront/20.6.649]
15. Mansfield E, Bryant J, Regan T, Waller A, Boyes A, Sanson-Fisher R. Burden and unmet needs of caregivers of chronic obstructive pulmonary disease patients: a systematic review of the volume and focus of research output. COPD. 2016; 13:662-7. [DOI:10.3109/15412555.2016.1151488]
16. Strang S, Osmanovic M, Hallberg C, Strang P. Family caregivers' heavy and overloaded burden in advanced chronic obstructive pulmonary disease. J Palliat Med. 2018; 21:1768-72. [DOI:10.1089/jpm.2018.0010]
17. Badr H, Federman AD, Wolf M, Revenson TA, Wisnivesky JP. Depression in individuals with chronic obstructive pulmonary disease and their informal caregivers. Aging Ment Health. 2017; 21:975-82. [DOI:10.1080/13607863.2016.1186153]
18. 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. 2015; 16(20): E3977. [DOI:10.3390/ijerph16203977]
19. Strang S, Fährn J, Strang P, Ronstad A, Danielsson L. Support to informal caregivers of patients with severe chronic obstructive pulmonary disease: a qualitative study of caregivers' and professionals' experiences in Swedish hospitals. BMJ Open. 2019, 9:e028720. [DOI:10.1136/bmjopen-2018-028720]
20. Farquhar M, Penfold C, Benson J, et al. Six key topics informal carers of patients with breathlessness in advanced disease want to learn about and why: MRC phase I study to inform an educational intervention. PLoS One. 2017; 12:e0177081. [DOI:10.1371/journal.pone.0177081]
21. Hu X, Dolansky MA, Su Y, Hu X, Qu M, Zhou L. Effect of a multidisciplinary supportive program for family caregivers of patients with heart failure on caregiver burden, quality of life, and depression: a randomized controlled study. Int J Nurs Stud. 2016; 62:11-21. [DOI:10.1016/j.ijnurstu.2016.07.006]
22. Cianfrocca C, Caponnetto V, Donati D, Lancia L, Tartaglini D, Di Stasio E. The effects of a multidisciplinary education course on the burden, health literacy and needs of family caregivers. Appl Nurs Res. 2018; 44:100-6. [DOI:10.1016/j.apnr.2018.10.004]
23. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2020 report). http://www.goldcopd.org/gold-reports
24. Göriş S, Klç Z, Elmal F, Tutar N, Takc Ö. Care burden and social support levels of caregivers of patients with chronic obstructive pulmonary disease. Holist Nurs Pract. 2016; 30:227-35. [DOI:10.1097/HNP.0000000000000153]
25. Jafari Shirvani, Ghaffari F, Fotokian Z, Monadi M. Association between perceived family social support and self-care behaviors in elders with chronic obstructive pulmonary disease (COPD): A Medical Center-based Study from Iran. Open Nurs J. 2020; 14: 1-7.
26. Ewing G, Grande G. On behalf of the National Association for Hospice at Home Development of a carer support needs assessment tool (CSNAT) for end-of-life care practice at home: a qualitative study. Palliat Med. 2013; 27:244-56. [DOI:10.1177/0269216312440607]
27. Siltanen H, Jylhä V, Holopainen A, Paavilainen E. Family members' experiences and expectations of self-management counseling while caring for a person with chronic obstructive pulmonary disease: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2019;17 (11):2214-47. [DOI:10.11124/JBISRIR-D-19-00056]
28. Lippiett KA, Richardson A, Myall M, Cummings A, May CR. Patients and informal caregivers' experiences of burden of treatment in lung cancer and chronic obstructive pulmonary disease (COPD): a systematic review and synthesis of qualitative research. BMJ Open. 2019; 9 (2): e020515. [DOI:10.1136/bmjopen-2017-020515]
29. Farquhar M, Ewing G, Moore C, et al. Preparedness to care in advanced COPD: how prepared are informal carers of patients with advanced COPD and what are their support needs? Baseline data from an ongoing longitudinal study. BMJ Support Palliat Care. 2014; 4(Suppl):A8-9. [DOI:10.1136/bmjspcare-2014-000654.22]
30. Ghane G, Farahani MA, Seyedfatemi N, Haghani H. Effectiveness of problem-focused coping strategies on the burden on caregivers of hemodialysis patients. Nurs Midwifery Stud. 2016; 5:e35594. [DOI:10.17795/nmsjournal35594]
31. Chu H, Yang CY, Liao YH, et al. The effects of a support group on dementia caregivers' burden and depression. J Aging Health. 2011; 23: 228-41. [DOI:10.1177/0898264310381522]
32. Wilkerson DA, Brady E, Yi E-H, Bateman DR. Friendsourcing peer support for Alzheimer's caregivers using Facebook social media. J Technol Hum Serv. 2018; 36 :105-24. [DOI:10.1080/15228835.2018.1449709]
33. van Dam HA, van der Horst FG, Knoops L, Ryckman RM, Crebolder HF, van den Borne BH. Social support in diabetes: a systematic review of controlled intervention studies. Patient Educ Couns. 2005, 59:1-12. [DOI:10.1016/j.pec.2004.11.001]
34. Hyung-Chul J, Ji-Young K, Soon-Jeong C, Harry KH. The relationship among social support, acculturation stress and depression of Chinese multi-cultural families in leisure participations. Procedia Soc Behav Sci. 2015; 205:201-10. [DOI:10.1016/j.sbspro.2015.09.059]
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