Abstract

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: RELATIONSHIP BETWEEN THE ABILITY TO CARE AND THE OVERLOAD OF CAREGIVER OF PEOPLE WITH CHRONIC DISEASE IN COLOMBIA. BACKGROUND: Chronic illness affects not only those who suffer it but also the family caregivers. 1 The family caregiver assumes various tasks for which in most cases he or she is not ready. To assume the new role generates overhead associated with care. 2,3 It has been explored the relationship between overload and gender of the caregiver, 4 the time spent caring, 5,6 depressive symptoms 7 and social support, 8,9 but not yet explored the relationship between the overload and the caregiver ability to care. OBJECTIVE: To determine the relationship between the variables caregiver overload and ability to care of family caregivers of people with chronic non transmissible disease (CNTD) and to determine this relationship in the Colombian regions (Amazon, Caribbean, Andean, Pacific). METHOD: Study of quantitative, correlational approach. The sample consisted of 2,040 family caregivers of people with chronic disease in Colombia (200 from Amazon, 1,677 of the Andean region, 86 from the Caribbean region and 77 from the Pacific region). The statistic of choice to determine the relationship between the two variables was the Spearman Rho coefficient. The instruments used were the Zarit Overload Interview (1980), 10 which assesses the dimensions of impact, interpersonal, skills and expectations and the Care Skill Inventory proposed by Nkongho (1990), 11 which has the dimensions Knowledge, Courage and Patience. Participation in the study was voluntary, and informed consent process was performed. RESULTS: A weak but statistically significant negative correlation (p < 0.01) in Colombia (-0.219) and the Amazon (-0.289) and Pacific (-0.345) regions was found. In the Caribbean region (-0.483) a moderate and statistically significant negative correlation (p < 0.01) was observed. In the Andean region (-0043) (p = 0.079) there is no relationship between the ability to care and the caregiver burden. CONCLUSION: In Colombia and Amazon, Pacific and Caribbean regions, a relationship between the two variables is observed, suggesting that the greater the ability to care, the less the caregiver overload. This may be in connection with some associated cultural protective factors that have yet to be explored. Finding no relationship between the two variables in the Andean region, it is assumed that for this population these variables operate independently and that their comparative evaluation does not determine the improvement of the status of the caregiver. References: 1Rogero-Garcia, Jesus. Las consecuencias del cuidado familiar sobre el cuidador: Una valoracion compleja y necesaria. Index Enferm [review in the Internet]. 2010 Mar [cited 2014, Dic 13]; 19(1): 47-50. Available at: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962010000100010&lng=es. http://dx.doi.org/10.4321/S1132-12962010000100010. 2 Goldstein, N.; Concato, J.; Fried, T.; Kasl, S.; Johnson-Hurzeler, R.; Bradley, E. Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care. 2004;20(1):38-43. 3 Zambrano Cruz, Renato; Ceballos Cardona, Patricia. Sindrome de carga del cuidador.rev.colomb.psiquiatr. [Series on the Internet]. 2007 Oct [cited, December 13, 2014];36 (Suppl 1): 26-39.Available at: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502007000500005&lng=en. 4D'Onofrio, G.; Sancarlo, D.; Addante, F.; Ciccone, F.; Cascavilla, L.; Paris, F., et al. Caregiver burden characterization in patients with Alzheimer's disease or vascular dementia. Int J Geriatr Psychiatry. 2014 Dec 4. 5Akpan-Idiok, P.; Anarado, A. Perceptions of burden of caregiving by informal caregivers of cancer patients attending University of Calabar Teaching Hospital, Calabar, Nigeria. Pan Afr Med J. 2014 Jun 18;18:159. 6Gonzalez, F.; Graz, A.; Pitiot, D.; Podesta, J. Sobrecarga de cuidador de personas con lesiones neurologicas. Revista del Hospital J.M. Ramos Mejia. 2004; 9(4). [Online]. [Cited, December 13, 2014]. Available at: http://www.hospitalramosmejia.info/r/200404/7.pdf 7Bozkurt Z.; Sunbul, M.; Zincir, S.; Aydin, S.; Oguz, M.; Feriha Cengiz, F., et al.Burden and depressive symptoms associated with adult-child caregiving for individuals with heart failure. Scientific World Journal. 2014;2014:641817. 8Chien, WT; Chan, SW; Morrissey, J. The perceived burden among Chinese family caregivers of people with schizophrenia. J Clin Nurs. 2007 Jun;16(6):1151-61. 9Jaracz, K.; Grabowska-Fudala, B.; Garna, K.; Kozubski, W. Caregiving burden and its determinants in Polish caregivers of stroke survivors. Arch Med Sci. 2014 Oct 27;10(5):941-50. 10Zarit, S.; Reever, K.; Bach - Peterson, J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980; 20: 649-655. 11Nkongho, N. (1990). The Caring Ability Inventory. In: Strickland, OL and Waltz, CF. Measurement of Nursing Outcomes: SelfCare and Coping . Vol. 4th Ed. New York: Springer Publishing Company, pp. 3-16.

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Author Details

Sonia Carreno-Moreno, RN, MSN; Lorena Chaparro Diaz, BSN, PhD; Gloria Mabel Carrillo Gonzalez, RN, MSN; Beatriz Sanchez Herrera, RN, MSN; Lucy Barrera Ortiz, RN, MSN; Elizabeth Vargas Rosero, RN, MSc

Sigma Membership

Upsilon Nu

Lead Author Affiliation

Universidad Nacional de Colombia, Bogota, Colombia

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Caring Ability, Caregiver burden, Chronic Illness

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

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Abstract Review Only: Reviewed by Event Host

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Proxy-submission

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Relationship between the ability to care and the overload of caregiver of people with chronic disease in Colombia

Las Vegas, Nevada, USA

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: RELATIONSHIP BETWEEN THE ABILITY TO CARE AND THE OVERLOAD OF CAREGIVER OF PEOPLE WITH CHRONIC DISEASE IN COLOMBIA. BACKGROUND: Chronic illness affects not only those who suffer it but also the family caregivers. 1 The family caregiver assumes various tasks for which in most cases he or she is not ready. To assume the new role generates overhead associated with care. 2,3 It has been explored the relationship between overload and gender of the caregiver, 4 the time spent caring, 5,6 depressive symptoms 7 and social support, 8,9 but not yet explored the relationship between the overload and the caregiver ability to care. OBJECTIVE: To determine the relationship between the variables caregiver overload and ability to care of family caregivers of people with chronic non transmissible disease (CNTD) and to determine this relationship in the Colombian regions (Amazon, Caribbean, Andean, Pacific). METHOD: Study of quantitative, correlational approach. The sample consisted of 2,040 family caregivers of people with chronic disease in Colombia (200 from Amazon, 1,677 of the Andean region, 86 from the Caribbean region and 77 from the Pacific region). The statistic of choice to determine the relationship between the two variables was the Spearman Rho coefficient. The instruments used were the Zarit Overload Interview (1980), 10 which assesses the dimensions of impact, interpersonal, skills and expectations and the Care Skill Inventory proposed by Nkongho (1990), 11 which has the dimensions Knowledge, Courage and Patience. Participation in the study was voluntary, and informed consent process was performed. RESULTS: A weak but statistically significant negative correlation (p < 0.01) in Colombia (-0.219) and the Amazon (-0.289) and Pacific (-0.345) regions was found. In the Caribbean region (-0.483) a moderate and statistically significant negative correlation (p < 0.01) was observed. In the Andean region (-0043) (p = 0.079) there is no relationship between the ability to care and the caregiver burden. CONCLUSION: In Colombia and Amazon, Pacific and Caribbean regions, a relationship between the two variables is observed, suggesting that the greater the ability to care, the less the caregiver overload. This may be in connection with some associated cultural protective factors that have yet to be explored. Finding no relationship between the two variables in the Andean region, it is assumed that for this population these variables operate independently and that their comparative evaluation does not determine the improvement of the status of the caregiver. References: 1Rogero-Garcia, Jesus. Las consecuencias del cuidado familiar sobre el cuidador: Una valoracion compleja y necesaria. Index Enferm [review in the Internet]. 2010 Mar [cited 2014, Dic 13]; 19(1): 47-50. Available at: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962010000100010&lng=es. http://dx.doi.org/10.4321/S1132-12962010000100010. 2 Goldstein, N.; Concato, J.; Fried, T.; Kasl, S.; Johnson-Hurzeler, R.; Bradley, E. Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care. 2004;20(1):38-43. 3 Zambrano Cruz, Renato; Ceballos Cardona, Patricia. Sindrome de carga del cuidador.rev.colomb.psiquiatr. [Series on the Internet]. 2007 Oct [cited, December 13, 2014];36 (Suppl 1): 26-39.Available at: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502007000500005&lng=en. 4D'Onofrio, G.; Sancarlo, D.; Addante, F.; Ciccone, F.; Cascavilla, L.; Paris, F., et al. Caregiver burden characterization in patients with Alzheimer's disease or vascular dementia. Int J Geriatr Psychiatry. 2014 Dec 4. 5Akpan-Idiok, P.; Anarado, A. Perceptions of burden of caregiving by informal caregivers of cancer patients attending University of Calabar Teaching Hospital, Calabar, Nigeria. Pan Afr Med J. 2014 Jun 18;18:159. 6Gonzalez, F.; Graz, A.; Pitiot, D.; Podesta, J. Sobrecarga de cuidador de personas con lesiones neurologicas. Revista del Hospital J.M. Ramos Mejia. 2004; 9(4). [Online]. [Cited, December 13, 2014]. Available at: http://www.hospitalramosmejia.info/r/200404/7.pdf 7Bozkurt Z.; Sunbul, M.; Zincir, S.; Aydin, S.; Oguz, M.; Feriha Cengiz, F., et al.Burden and depressive symptoms associated with adult-child caregiving for individuals with heart failure. Scientific World Journal. 2014;2014:641817. 8Chien, WT; Chan, SW; Morrissey, J. The perceived burden among Chinese family caregivers of people with schizophrenia. J Clin Nurs. 2007 Jun;16(6):1151-61. 9Jaracz, K.; Grabowska-Fudala, B.; Garna, K.; Kozubski, W. Caregiving burden and its determinants in Polish caregivers of stroke survivors. Arch Med Sci. 2014 Oct 27;10(5):941-50. 10Zarit, S.; Reever, K.; Bach - Peterson, J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980; 20: 649-655. 11Nkongho, N. (1990). The Caring Ability Inventory. In: Strickland, OL and Waltz, CF. Measurement of Nursing Outcomes: SelfCare and Coping . Vol. 4th Ed. New York: Springer Publishing Company, pp. 3-16.