Quality of life predictors in informal caregivers of seniors with a functional performance deficit – an example of home care in Poland
Received 28 October 2018
Accepted for publication 7 March 2019
Published 17 May 2019 Volume 2019:14 Pages 889—903
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 4
Editor who approved publication: Dr Richard Walker
Barbara Ślusarska, Agnieszka Bartoszek, Katarzyna Kocka, Alina Deluga, Agnieszka Chrzan-Rodak, Grzegorz Nowicki
Department of Family Medicine and Community Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
Background: There is insufficient research into informal caregivers’ quality of life (QoL) in Poland. The purpose of this work is to study predictors that considerably affect QoL of informal caregivers (IC) providing home care for seniors with chronic diseases and a functional performance deficit.
Materials and methods: In the cross-sectional research design, ICs were randomly chosen among the geriatric population receiving care in 5 primary health care settings. The WHOQoL-AGE questionnaire was used to assess QoL of ICs (n=138). The Barthel scale and Polish version of the Abbreviated Mental Test Score (AMTS) were applied to assess individuals with chronic diseases and functional and mental performance deficits (n=138). The Geriatric Depression Scale Short Form (GDS-SF) was used to measure the extent of risk of depressive symptoms in care-receivers. A hierarchical regression analysis was carried out to determine predictors of caregivers’ QoL.
Results: Mean values in the group of seniors provided with home care were as follows: the Barthel scale M=43.20, SD=27.06, the AMTS M=7.78 (SD=1.65), and the GDS-SF M=7.34 (SD=3.10). QoL of ICs (the WHOQoL-AGE) was M=70.14 (SD=15.31). Significant predictors of caregivers’ QoL turned out to be support in care given by others β =0.605, p<0.001, experience in care β =–0.220; p<0.001, caregivers’ health self-assessment β =0.174, p<0.001, and depressive disorders in care-receivers GDS β = −0.178, p<0.001.
Conclusions: The QoL of ICs who provide care for individuals with chronic diseases and a functional performance deficit improves with an increase in the support they receive from others, their higher health self-assessment, and greater experience in care. An increase in depressive symptoms in care-receivers determines a lower level of caregivers’ QoL.
Keywords: predictors, informal caregivers, quality of life, home care, functional performance deficit, patients with chronic diseases
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