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The Relationship Between Care Burden and Coping Strategies in Caregivers of Hemodialysis Patients in Kermanshah, Iran

Authors Menati L, Torabi Y, Andayeshgar B, Khatony A

Received 1 October 2019

Accepted for publication 21 January 2020

Published 5 February 2020 Volume 2020:13 Pages 133—140


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Igor Elman

Lida Menati,1 Yousef Torabi,2 Bahare Andayeshgar,1 Alireza Khatony3

1Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran; 3Infectious Diseases Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Correspondence: Alireza Khatony
Clinical Research Development Center, Imam Reza Hospital, Kermanshah, Iran
Tel/Fax +98 38 279 394

Objective: The purpose of this study was to investigate the relationship between care burden and coping strategies in caregivers of hemodialysis patients.
Methods: This cross-sectional survey was conducted from September to December 2018 in Kermanshah, Iran. A total of 130 caregivers of patients admitted to the hemodialysis wards of Imam Reza and Imam Khomeini hospitals of Kermanshah, Iran were selected via convenience sampling. Data-collection tools included a demographic information form, caregiver-burden inventory, and coping inventory for stressful situations. Data were analyzed using descriptive and analytical tests.
Results: The mean age of the caregivers was 35.8± 13.7 years, and 71 (54.6%) were patients’ children. The mean caregiver-burden score was 58.5± 20.5 out of 96. Mean scores of time-dependent, evolutionary, physical, social, and emotion-dependent care burdens were 17.5± 5.3, 12.2± 6.3, 9.1± 4.7, 8.2± 4.0, and 11.4± 5.1, respectively. Mean scores of problem-focused, emotion-focused, and avoidance-oriented coping strategies were 46.0± 80.8, 43.1± 9.0, and 48.9± 9.5, respectively. Among the strategies, only the avoidance-oriented one had a significant positive relationship with total care burden and all its subscales.
Conclusion: Caregivers of hemodialysis patients experienced a relatively high care burden. However, they did not use appropriate coping strategies; therefore, they should be trained to select an effective coping strategy.

Keywords: avoidance-oriented coping strategy, burden, coping, family caregiver, hemodialysis

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