Caregiver Burden and Health-Related Quality of Life Outcomes of Spouses of Coronary Artery Bypass Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/154545
Type:
Presentation
Title:
Caregiver Burden and Health-Related Quality of Life Outcomes of Spouses of Coronary Artery Bypass Patients
Abstract:
Caregiver Burden and Health-Related Quality of Life Outcomes of Spouses of Coronary Artery Bypass Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Halm, Margo A., RN, PhD, APRN-BC
P.I. Institution Name:United Hospital
Title:Director of Nursing Research & Quality
Co-Authors:Ruth Ann Lindquist, RN, PhD, APRN, BC, FAAN; Diane Treat-Jacobson, PhD, RN
Introduction: CAB patients often rely on spouses for support and assistance during their recovery after surgery. While caregiving may be meaningful, it may also be stressful and affect spouse?s health related-quality of life (HRQL) and their ability for caregiving.  However, little is known about the impact of burden on spousal HRQL.Methods:  This cross-sectional study assessed the hypothesis that total caregiver burden would be reduced at 12 months (versus 3 and 6 month cohorts), and that caregiver burden (total, objective, subjective) would be negatively associated with spousal HRQL.  A convenience sample of CAB spouses (N=166) (power analysis: moderate effect size .5, power .80, alpha .05) was recruited at 3, 6 or 12 months. Spouses completed surveys on patient health status, caregiver burden and other caregiving variables, and HRQL outcomes.Results:  Caregiver burden was low-to-moderate.  No differences were found between total, objective or subjective burden at 3, 6 or 12 months.  Male caregivers had significantly higher total burden but more positive caregiving outcomes. Caregiver burden was predicted by patient?s gender (female) and poorer health status, lower caregiver mental HRQL, and increased personal gain and caregiver competence; these predictors explained 38% of the variance in burden.  Additionally, burden was significantly associated with poorer life satisfaction, physical and mental HRQL, State anxiety and depression.Conclusions:  Total, objective and subjective burden were negatively associated with HRQL outcomes in spouse cohorts of all timepoints, but these outcomes were not lower at 12 months as expected.  At-risk caregivers need to be identified so that nurses can link spouses to appropriate hospital and community resources. Longitudinal investigations over the first year after CAB surgery could identify timepoints most burdensome for caregivers, as well as the impact of burden on patient recovery outcomes to lay the foundation for intervention programs to support CAB patients and spouse caregivers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCaregiver Burden and Health-Related Quality of Life Outcomes of Spouses of Coronary Artery Bypass Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154545-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caregiver Burden and Health-Related Quality of Life Outcomes of Spouses of Coronary Artery Bypass Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Halm, Margo A., RN, PhD, APRN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">United Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing Research &amp; Quality</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">margo.a.halm@allina.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ruth Ann Lindquist, RN, PhD, APRN, BC, FAAN; Diane Treat-Jacobson, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Introduction: CAB patients often rely on spouses for support and assistance during their recovery after surgery. While caregiving may be meaningful, it may also be stressful and affect spouse?s health related-quality of life (HRQL) and their ability for caregiving.&nbsp; However, little is known about the impact of burden on spousal HRQL.Methods:&nbsp; This cross-sectional study assessed the hypothesis that total caregiver burden would be reduced at 12 months (versus 3 and 6 month cohorts), and that caregiver burden (total, objective, subjective) would be negatively associated with spousal HRQL.&nbsp; A convenience sample of CAB spouses (N=166) (power analysis: moderate effect size .5, power .80, alpha .05) was recruited at 3, 6 or 12 months. Spouses completed surveys on patient health status, caregiver burden and other caregiving variables, and HRQL outcomes.Results:&nbsp; Caregiver burden was low-to-moderate.&nbsp; No differences were found between total, objective or subjective burden at 3, 6 or 12 months.&nbsp; Male caregivers had significantly higher total burden but more positive caregiving outcomes. Caregiver burden was predicted by patient?s gender (female) and poorer health status, lower caregiver mental HRQL, and increased personal gain and caregiver competence; these predictors explained 38% of the variance in burden.&nbsp; Additionally, burden was significantly associated with poorer life satisfaction, physical and mental HRQL, State anxiety and depression.Conclusions:&nbsp; Total, objective and subjective burden were negatively associated with HRQL outcomes in spouse cohorts of all timepoints, but these outcomes were not lower at 12 months as expected.&nbsp; At-risk caregivers need to be identified so that nurses can link spouses to appropriate hospital and community resources. Longitudinal investigations over the first year after CAB surgery could identify timepoints most burdensome for caregivers, as well as the impact of burden on patient recovery outcomes to lay the foundation for intervention programs to support CAB patients and spouse caregivers.</td></tr></table>en_GB
dc.date.available2011-10-26T13:05:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:05:01Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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