Caregiver burden of the elderly in a selected urban community, Chittoor district, Andhra Pradesh

Authors

  • Chandana N. Department of Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Marteena James Department of Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Kokilavani C. Department of Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Padmasree P. Department of Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Soniya N. Department ofNursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Jayanthi Tarugu Department of Medical and Surgical Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Udayasree K. Department of Medical and Surgical Nursing, The Apollo College of Nursing, Chittoor, Andhra Pradesh, India
  • Kiranmayi Koni Department of Psychiatric Nursing, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240271

Keywords:

Caretaker, Caregiver burden, Elderly, Late adulthood, Old age

Abstract

Background: In India, families are the primary source of support in caring for the elderly, whereas the potential group of family caregivers is shrinking. Caregivers need greater recognition and support to help them care for the elderly and to maintain their own health and well-being. Assessment of the perceived burden of caregivers helps identify those in need of support.

Methods: A cross-sectional questionnaire-based study was conducted to estimate the perceived level of caregiver burden in families of elderly and to identify the association between selected socio-demographic characteristics of the caregivers and the level of caregiver burden. The caregivers of 50 elderly people categorized as mild and moderate dependents as per the Katz index of Independence were included in the study. The Zarith caregiver burden scale was used to evaluate their perceived level of caregiver burden.

Results: Thirty-two (64%) caregivers were found to experience a mild to moderate perceived level of caregiver burden. An ordinal regression analysis between other burdens/responsibilities (predictor) of the caregiver and the perceived level of caregiver burden showed a significant association (χ2; p=0.009) between the two. An odds ratio of 6.7 (95% CI, 2.22 to 22.7; p=0.00115) showed that as the predictor increased, the event (caregiver burden) increased as well.

Conclusions: The majority of the caregivers suffer from a mild to moderate perceived level of caregiver burden. They experience more burden when they hold additional responsibility of caring for the elderly.

References

United Nations. The Sustainable Development Goals (SDGs), 2021. Available at: https://www.un.org/ en/desa/sustainable-development-goals-sdgs. Accessed on 6 December 2022.

World Health Organization. Ageing. Available at: https://www.who.int/health-topics/ageing. Accessed 6 on December 2022.

Institute of Labor Economics. Discussion Papers. Available at: https://www.iza.org/publications/dp. Accessed on 6 December 2022.

Lamb S. In/dependence, intergenerational uncertainty, and the ambivalent state: Perceptions of old age security in India. South Asia J South Asi Stud. 2013;36(1):65-78.

Ugargol AP, Hutter I, James KS, Bailey A. Care needs and caregivers: Associations and effects of living arrangements on caregiving to older adults in India. Age Int. 2016;41(2):193-213.

Schulz R, Eden J. Committee on Family Caregiving for Older Adults Board on Health Care Services Health and Medicine Division. Families caring for an aging America. 2016.

American Psychological Association. Zarit Burden Interview, 2020. Available at: https://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/zarit. Accessed on 29 September 2023.

Lobo A de JS, Santos L, Gomes S. Level of dependency and quality of life of elderly. Rev Bras Enferm. 2014;67:913-9.

Wang X, Hu J, Wu D. Risk factors for frailty in older adults. Medi (Baltimore). 2022 26;101(34):e30169.

Misra S, Oswal R, Patel M. Family burden in caregivers of elderly with cognitive impairment residing in rural and tribal population of a district in Western India–A baseline study. Ind J Commu Med: Publ Ind Associa Prevent Soc Medi. 2020;45(4):445.

Why Does Blood-pressure Rise with Age? The Lancet. 1981;318(8241):289-90.

Morhardt DJ. The gender gap: women predominate among caregivers of the elderly. Available at: https://arborsassistedliving.com/the-gender-gap-women-predominate-among-caregivers-of-the-elderly. Accessed on 6 December 2022.

National Alliance for Caregiving. Caregiving in the U.S., 2015 report, 2015. Available at: https://www.aarp.org/content/dam/aarp/ppi/2015/caregiving-in-the-united-states-2015-report-revised.pdf. Accessed on 10 February 2022.

Gabriel IO, Aluko JO, Okeme MI. Caregiver burden among informal caregivers of women with breast cancer. Biomed J Sci & Tech Res. 2019;15(3):11384-92.

Schulz R, Eden J. Adults C on FC for O, Services B on HC, Division H and M, National Academies of Sciences E. Recommendations to Support Family Caregivers of Older Adults. In: Families Caring for an Aging America. National Academies Press (US); 2016.

Ong HL, Vaingankar JA, Abdin E, Sambasivam R, Fauziana R, Tan ME, et al. Resilience and burden in caregivers of older adults: moderating and mediating effects of perceived social support. BMC Psych. 2018;18(1):1-9.

Reinhard S, Given B, Petlick N, Bemis A. Supporting Family Caregivers in Providing Care. In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008.

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Published

2024-01-31

How to Cite

N., C., James, M., C., K., P., P., N., S., Tarugu, J., K., U., & Koni, K. (2024). Caregiver burden of the elderly in a selected urban community, Chittoor district, Andhra Pradesh. International Journal Of Community Medicine And Public Health, 11(2), 815–822. https://doi.org/10.18203/2394-6040.ijcmph20240271

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Section

Original Research Articles