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논문분류	춘계학술대회 초록집
제목	Insights into Caregiver Well-being in Chronic Dialysis - Assessing Burden and Depression : A Cross-Sectional Study
저자	Lydia Kamaruzaman
출판정보	2024; 2024(1):
키워드
초록	Objectives: This study delves into the impact of chronic dialysis on the physical and psychological well-being of caregivers. The primary objectives are to evaluate caregiver characteristics, their burden, depression, and to understand patients' perceptions of their caregivers' burdens. Methods: Conducted as a cross-sectional study, caregivers were independently interviewed, completed Zarith Burden Index (ZBI) questionnaires for burden assessment and Patient Health Questionnaires-9 (PHQ-9) for depression screening. Meanwhile, dialysis patients completed the Cousineau self-perceived burden questionnaires. Results: Recruiting 125 patients and 125 caregivers, caregivers, with a mean age of 46.4 ± 13.5 years, were primarily female (62%), employed (60%), spouses (51.2%), and possessed tertiary education (34%). Patients, aged 56.9 ± 13.4 years, were 55.2% male, with 74.4% on haemodialysis. Overall, caregivers perceived a low burden (mean ZBI score 19.9 ± 13.6), with 56.8% reporting little or no burden, 31.2% mild to moderate, and 15% moderate to severe burden. Chinese ethnicity exhibited a significant association with caregiver burden (p = 0.039). No associations were found with demographic variables or care-related factors. Depression levels among caregivers were low (mean PHQ-9 score 4.62 ± 4.64), with 53.6% reporting 'no to minimal' depression, 34.4% mild, and 12% moderate to severe depressive symptoms. Factors contributing to depression included being female (p = 0.05), age < 60 (p = 0.035), care duration < 2 years (p = 0.047), and dialysis duration < 5 years (p = 0.024). Importantly, dialysis modalities, education, and employment did not correlate with depression. Patients perceived caregivers' burden with a mean score of 27.8 ± 10.51, and 71% felt caregivers had a moderate to severe burden. Female (p = 0.001), single (p = 0.05), and working (p = 0.008) patients were more likely to perceive caregivers as overburdened. Conclusions: The study reveals low burden among caregivers but a significant proportion experiences depression.
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