Quality of life on caregiver of schizophrenia client in outpatient installation of Tampan psychiatric hospital
Keywords:Quality of life, Burden, Caregiver, Schizophrenia
Background: The process of caring for a schizophrenic client creates a stressful situation; caregiver's unpreparedness in dealing with this problem has an impact on the deterioration of the quality of life. The decline in quality of life of caregiver is influenced by several factors such as caregiver’s burden and characteristic of caregiver include age, gender, sex, marital status, education, income, and relationship with client. This study aimed to determine the relationship of burden and characteristic with the quality of life on the caregiver.
Methods: The design of this study was descriptive analytic with cross sectional study approach on 186 caregiver with convenient technique sampling. Data were collected by the Zarit Burden Interview questionnaire and the World Health Organization Quality of Life (WHOQOL-BREF).
Results: The results showed 99 (53.2%) caregivers had a low quality of life, 92 (49.5%) caregivers felt heavy burden. Chi-square statistical test proved a significant relationship between burden (0.001) and all characteristics caregiver include age (0.033), gender (0.033), sex (0.000) marital status (0.001), education (0.001), income (0.002), and relationship with client (0.000) with quality of life.
Conclusions: The result showed that test proved a significant relationship between burden and characteristics caregiver with quality of life of multivariate analysis showed that marital status was the most correlated with quality of life of caregiver. Suggestions for Tampan Psychiatric Hospital Pekanbaru are to improve mental nursing service comprehensively to client and family like health education program about how to improve quality of life.
Fontaine KL. Contemporary Psychiatric-Mental Health Nursing. New Jersey, US: Pearson Education, Inc; 2009.
World Health Organization, 2009. Investing in Mental Health. Available at www.who.int/mental. Accessed 13 March 2016.
Larsen PD. Lubkin’s chronic illness: impact and intervention. 9th ed. Burlington, MA: Jones and Bartlett Learning; 2006.
Chan S, Yu IW. The quality of life of clients with schizophrenia. J Adv Nurs. 2004;45(1):72-83.
The caregiver perspective: caregivers of individuals with bipolar disorder, schizophrenia and schizoaffective disorder. Fact sheet: Psychiatrist's perspectives on mental illness and wellness, 2006. Available at www.wfmh.com/WFMH_GIAS_ Caregiver. Accessed 1 April 2015.
Cw Lam P, Ng P, Tori C. Burdens and Psychological Health of Family Caregivers of People with Schizophrenia in Two Chinese Metropolitan Cities: Hong Kong and Guangzhou. Community Ment Health J. 2013;49(6):841-6.
World Health Organization, 2004. Introducing the WHOQOL Instruments. Available at http://dept. washington.edi/yqol/docs/whoqol_infopdf. Accessed 1 April 2016.
Caqueo UA, Maldonado JG, Castillo CM. Quality of life in caregivers of patients with schizophrenia: A literature review. Health Qual Life Outcomes. 2009;7:84.
Rafiyah W, Suttharangsee, Sangchan H. Burden on Family Caregivers Caring for Patients with Schizophrenia. Nurse Media J Nurs. 2011;1(1):29-41.
Kaur N. Caregiving burden and social support among caregivers of schizophrenic patients. Delhi Psychiatr J. 2014;17(2):337-42.
Kate N, Grover S, Kulhara P, Nehra R. Relationship of caregiver burden with coping strategies, social support, psychological morbidity and quality of life in the caregivers of schizophrenia. Asian J Psychiatr. 2013;6(5):380-8.
Winahyu KM, Hemchayat M, Charoensuk S. Perceived Control of Symptoms. Caregiver Burden. Perceived social support and quality of life among family caregivers of patients with schizophrenia in Indonesia. J Prapokklao Hosp Clin Med Educat Center. 2014;32:44-57.
Skevington SM, Lotfy M, O’Connell KA. The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and result of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13(2):299-310.
Polit DF, Back CT. Nursing research: Generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams and Wilkins; 2008.
Kaushik P, Bhatia MS. (2013). Burden and quality of life in spouses of patients with schizophrenia and bipolar disorder. Delhi Psychiatr J. 2013;16(1):83-9.
White CL, Lauzon S, Yaffe MJ, Wood-Dauphinee S. Toward a model of quality of life for family caregivers of stroke survivors. Qual Life Res. 2004;13(3):625-38.
Magana SM, Garcia RJI, Hernandez MG, Cortez R. Psychological distress among Latino family caregivers of adults with schizophrenia: The roles of burden and stigma. Psychiatr Serv. 2007;58(3):378-84.
Li J, Lambert CE, Lambert VA. Predictors of family caregiver‟s burden and quality of life when providing care for a family member with schizophrenia in the people‟s republic of China. Nurs Health Sci. 2007;9(3):192-8.
ZamZam R, Midin M, Lim SH, Yi EJ, Ahmad SNA, Azman SFA, et al. Schizophrenia in Malaysian families: A study on factors associated with quality of life of primary family caregivers. Int J Mental Health Syst. 2011;5(1):16-8.
Wong DF, Lam AY, Chan SK, Chan SF. Quality of life of caregivers with relatives suffering from mental illness in Hongkong: roles of caregiver characteristics. caregiving burdens. and satisfaction with psychiatric services. Health Qual Life Outcomes. 2012;10:15.
Awadalla AW, Ohaeri JU, Salih AA, Tawfiq AM. Subjective quality of life of family caregivers of community living Sudanese psychiatric patients. Soc Psychiatry Psychiatr Epidemiol. 2005;40(9):755-63.
Maldonado JG, Urízar AC, Kavanagh DJ. Burden of care and general health in families of patients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 2005;40(11):899-904.