International Journal of Research in Medical Sciences | August 2021 | Vol 9 | Issue 8 Page 2225
International Journal of Research in Medical Sciences
Oztop KE et al. Int J Res Med Sci. 2021 Aug;9(8):2225-2230
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Quality of life, depression and self-perceived burden among geriatric
and non-geriatric hemodialysis patients
Kenan Evren Oztop
1
, Ferhat Cetin
2
, Ahmet Bilal Genc
3
, Ceyhun Varim
3
*, Savas Sipahi
4
INTRODUCTION
Patients on maintenance dialysis must deal with a
multitude of physical and emotional symptoms. Due to the
difficulties caused by the disease and the treatment,
hemodialysis patients often required to take support from
other people, especially family members.
1
Family
members, who assist in patient care, may experience many
negative objective and subjective results of caregiving
including psychological problems, health problems,
socioeconomic problems, deterioration in family
relationships and a sense of burnout.
2
All these negative
situations faced by family members (unpaid caregivers)
are defined as ‘caregiver burden’ and the effects of this
burden to their caregiver’s life have been extensively
examined in the literature. The number of studies on the
caregiver burden has been reported that the quality of life
(QOL) in caregivers of hemodialysis patients related to
burden of caregiving.
3,4
Being a burden to a family member can be interpreted as
meaning that feeling guilty because of caring needs, so it
can link to depression and reduction in QOL. Cousineau
and colleagues developed a scale for measuring chronic
patient’s feelings of being a burden to their caregivers and
confirmed that the scores of this Self-perceived burden
scale (SPBS) were negatively correlated with functional
status index and QOL of patients.
5
Although the burden in
1
Department of Internal Medicine, Sakarya Nefromed Dialysis Center, Sakarya, Turkey
2
Department of Internal Medicine, Kadıkoy NB Private Hospital, Istanbul, Turkey
3
Department of Internal Medicine, Sakarya University, Sakarya, Turkey
4
Department of Nephrology, Sakarya University, Sakarya, Turkey
Received: 29 May 2021
Accepted: 30 June 2021
*Correspondence:
Dr. Ceyhun Varim,
E-mail: ceyhunvarim@sakarya.edu.tr
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Many hemodialysis patients need support at various levels from their relatives while performing their
daily activities. The ‘burden’ of these needs of patients on their relatives and their negative effects on their lives have
been shown in the literature. The aim of the study was to evaluate the ‘care burden’ in terms of the patient.
Methods: The patient who had received hemodialysis for at least 3 months was included in the study. A patient
identification form including demographic data and medical history data was prepared. The Perceived care burden scale,
Beck depression scale and WHO Quality of life questionnaire were applied to the patients.
Results: A statistically significant positive correlation was found between SPBS and BDI (p<0.001, r=0.820). A
statistically significant negative correlation was observed between the perceived care burden and all sub-dimensions of
the quality of life scale (p<0.001). The frequency of comorbidity in the geriatric group was higher than non-geriatric
group. A statistically significant positive correlation was found between comorbidity and QOL (p<0.001). The median
scores of all sub-dimensions of the QOL scale were lower in geriatric group and there were significance differences
except environment dimension.
Conclusions: The self-perceived burden on caregivers of hemodialysis patients was positively associated with
depression and negatively associated with QOL. Decrease in QOL was more pronounced in geriatric patients.
Keywords: Perceived care burden, Quality of life, Depression
DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20213064