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The other side of the coin in renal replacement therapies: the burden on caregivers

  • Nephrology - Original Paper
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Abstract

Purpose

Living with end-stage renal disease may be burdensome, not only for patients, but also for caregivers. In this study, we aim to compare caregiver burden, psychological symptoms in caregivers of peritoneal dialysis (PD), hemodialysis (HD), and transplantation (TX), and find out associated factors.

Methods

A total of 43 PD, 42 HD, 42 TX patients and a total of 127 caregivers that were actively involved with the care of their patients’ dialysis were enrolled. Patients had been on renal replacement therapy at least for 6 months and caregivers had given care at least for 6 months. The World Health Organization Quality of Life short version and hospital anxiety and depression scale (HAD) were applied to the patients. Symptom Checklist-90-Revised and Zarit caregiver burden scale were applied to the caregivers.

Results

Zarit caregiver burden score was found highest in HD group, which was significantly higher than PD and TX. All three groups had similar HAD anxiety scores, whereas the HAD depression score was highest in HD group, lower in PD, and lowest in TX. Quality of life was lowest in HD group. Zarit caregiver burden score was found higher in caregivers with symptoms like somatization, anxiety, obsessive–compulsive, depression, interpersonal sensitivity, psychoticism, paranoid ideation, hostility, and additional psychological symptoms than the ones who did not have these symptoms. Psychological symptoms were similar in PD, HD, and TX groups.

Conclusion

Caregiver burden was found highest in HD group. Educational, social, and psychological support interventions may be considered for caregivers.

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Authors and Affiliations

  1. Department of Internal Medicine, Division of Nephrology, School of Medicine, Mersin University, Ciftlikkoy, Yenisehir, Mersin, Turkey

    Simge Bardak, Serap Demir, Kenan Turgutalp, Murside Esra Dolarslan, Cennet Kılıcarslan & Ahmet Kıykım

  2. Department of Psychiatry, School of Medicine, Mersin University, Mersin, Turkey

    Eda Aslan

  3. Department of Biostatistics and Medical Informatics, Mersin University, Mersin, Turkey

    Havva Didem Celikcan

  4. Department of Internal Medicine, Division of Nephrology, Mersin State Hospital, Mersin, Turkey

    Filiz Karasu, Ayse Jini Gunes & Cemal Kurt

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  1. Simge Bardak
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  2. Serap Demir
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Correspondence to Simge Bardak.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Bardak, S., Demir, S., Aslan, E. et al. The other side of the coin in renal replacement therapies: the burden on caregivers. Int Urol Nephrol 51, 343–349 (2019). https://doi.org/10.1007/s11255-018-2029-0

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  • DOI: https://doi.org/10.1007/s11255-018-2029-0

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