BURDEN OF CAREGIVERS OF THE ELDERLY WITH CHRONIC ILLNESSES AND THEIR ASSOCIATED FACTORS IN AN URBAN SETTING IN MALAYSIA

Ghazali, Suriawati and Abdullah, Khatijah Lim and Abd Aziz, Aniza and Mohd Amin, Rahmah and Jusoh, Ayu Sulaini and Mansor, Mardiana and Wan Abdul Rahman, Wan Nor Aliza and Mohd Shafie, Zainab (2015) BURDEN OF CAREGIVERS OF THE ELDERLY WITH CHRONIC ILLNESSES AND THEIR ASSOCIATED FACTORS IN AN URBAN SETTING IN MALAYSIA. Malaysian Journal of Public Health Medicine , 15 (1). pp. 1-9. ISSN 1675-0306

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Abstract

The burden faced by caregivers undertaking caregiving responsibilities may affect their health. This study aims to determine the burden of caregivers of elderly with chronic illness based on caregivers’ sociodemographic, experience and elderly dependence level. A cross-sectional study involving 166 caregivers of elderly with chronic illness was conducted at the outpatient medical clinic of a tertiary teaching hospital in Malaysia. The Barthel’s Index (BI) of Activity of Daily Living (ADL) scale was used to assess the degree of physical care required by the elderly with chronic illnesses. Caregiver Burden Inventory (CBI) Scale was used to assess the level of burden of caregivers. Descriptive statistics was used to determine the sociodemographic characteristics of caregiver and the level of elderly dependency. Chi-square test and Multivariable logistic regression were used to determine factors associated with the level of burden among caregivers. About two third (67.5%) of the elderly suffered medium to high range of functional disabilities; 38.0% were partially dependent and 29.5% were dependent. Almost one fifth (21.7%) of caregivers experienced high level of burden, especially time-dependent burden followed by physical and emotional burden. Caregivers who were employed and served more than 14 hours of caregiving have more than three times greater burden. Additionally, caregiving for elderly with greater functional dependence were seven times more burden. Level of caregivers’ burden in local urban population in Malaysia was lower than other studies in Asia. Employed caregivers, long duration of caregiving per day and functionally dependent care were significant for caregivers burden. Results highlighted that that health care provider should consider these factors when planning interventions to alleviate the burden. Bebanan yang dihadapi oleh penjaga yang dipertanggunjawabkan boleh memberi kesan kepada kesihatan mereka. Tujuan kajian ini adalah untuk menentukan tahap beban di kalangan penjaga bagi warga tua yang mempunyai penyakit kronik berdasarkan sosiodemografi penjaga, pengalaman dan tahap kebergantungan oleh warga tua. Satu kajian keratan rentas telah melibatkan seramai 166 orang penjaga warga tua yang berpenyakit kronik telah dijalankan di klinik perubatan pesakit luar Hospital Pengajar Tertiari di Malaysia. Skala Barthel’s Index untuk aktiviti hidup harian telah digunakan bagi menilai tahap penjagaan fizikal yang diperlukan oleh warga tua yang mempunyai penyakit-penyakit kronik. Skala Caregiver Burden Inventory telah digunakan untuk menilai tahap bebanan oleh penjaga. Statistik deskriptif telah digunakan untuk menentukan ciri-ciri sosiodemograpfi penjaga dan tahap kebergantungan warga tua. Ujian Khi kuasa dua dan regresi logistik multivariat telah digunakan untuk menentukan faktor-faktor yang berkaitan dengan tahap bebanan di kalangan penjaga. Dua pertiga (67.5%) warga tua adalah mengalami ketidakupayaan berfungsi pada tahap yang sederhana dan tinggi; 38.0% adalah tahap kebergantungan sederhana, dan 29.5% tahap kebergantungan sepenuhnya. Hampir satu perlima (21.7%) penjaga mengalami tahap bebanan yang tinggi, terutamanya beban kebergantungan masa diikuti oleh beban fizikal dan emosi. Penjaga yang berkerja dan memberi masa jagaan kepada warga tua lebih daripada 14 jam sehari didapati mengalami tiga kali lebih bebanan. Tambahan pula, penjaga kepada warga tua yang mengalami lebih kebergantungan fungsi didapati mengalami tujuh kali bebanan. Tahap bebanan penjaga di kalangan populasi penempatan bandar di Malaysia adalah lebih rendah berbanding kajian-kajian lain di Asia. Penjaga yang berkerja, penjagaan dalam jangka masa yang panjang dalam sehari dan jagaan terhadap kebergantungan fungsi adalah signifikan dengan beban penjaga. Hasil kajian ini menekankan bahawa Personel Kesihatan perlu mengambil kira faktor-faktor ini dalam intervensi untuk meringankan bebanan yang dialami.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Faculty / Institute: Faculty of Medicine
Depositing User: Madam Suriawati Ghazali
Date Deposited: 01 Jul 2015 00:58
Last Modified: 01 Jul 2015 00:58
URI: http://erep.unisza.edu.my/id/eprint/3303

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