Caregiver burden and related factors in nursing students

authors:

avatar Abbasali Ebrahimian , avatar Monir Nobahar ORCID , * , avatar Elham Namvar , avatar Masoomeh Fallahi

Koomesh: Vol.19, issue 2; 353-363
published online: June 02, 2017
article type: Research Article
received: May 02, 2016
accepted: November 02, 2017

how to cite: Ebrahimian A, Nobahar M, Namvar E, Fallahi M. Caregiver burden and related factors in nursing students. koomesh. 2017;19(2):e151088. 

Abstract

Introduction: Nursing students become responsible for many elements of nursing care. Their efforts of care generate caregiving burden. This study was conducted to determine caregiver burden and related factors in nursing students. Materials and Methods: This cross-sectional study performed by using a convenience sampling method in 2015. One hundred and thirty-three nursing student from Semnan University of Medical Sciences participated in this study. The Caregiver Burden Inventory (CBI), Demographic and Educational Status Questionnaire (DEQ) were used to assess the caregiver burden and related factors in nursing students. The range of tools to measure caregiver burden scores from 0 to 100. Spearman correlation and Chi-Square tests were used to analyze the relationship between demographic and educational factors with caregiver burden. Results: The mean scores of total caregiver burden in nursing students were 39.47±11.52. Subscale analysis on the CBI revealed that the mean scores of time dependence, developmental, physical, social and emotional burdens were respectively 8.77±3.05, 10.04±2.88, 8.37±3.86, 6.02±3.37, and 6.27±3.44. The Spearman correlation test demonstrated that having a history of patient care was significantly associated with total CBI (p=0. 049). Also, there was no significant difference between other nursing student;#39s demographic and educational status characteristics with total CBI (P> 0.05). Conclusion: Caregiver burden is one of the educational problems in nursing students. Therefore, recommended that during clinical training, nursing students more supported by teachers and nursing staffs

References

  • 1.

    Mokhtari nori J, Ebadi A, Alhani F, Reje N. Importance centered teaching model in nursing education. J Learn Strat 2011; 3: 149-154. (Persian).

  • 2.

    Abbasali E, Nader K, Maedeh T. Continuing education of intensive and emergency units nurses during clinical shifs. Health Med 2012; 6: 3346-3350.

  • 3.

    Sawatzky JA, Enns CL, Asheroft TJ, Davis PL, Harder BN. Teaching excellence in nursing education; A caring framework. J Prof Nur 2009; 25: 260-265.

  • 4.

    Leonello VM, Oliveria M. Competencies for educational activities in nursing. Rev Lat Am Enfermagem 2008; 16: 177-183.

  • 5.

    Ghodsbin F, Shafakhah M. Facilitating and preventing factors in learning clinical skills from the viewpoints of the third year student of Fatemeh school of nursing and midwifery. Iran J Med Educ 2008; 7: 343-351.

  • 6.

    Hosoda Y. Development and testing of a clinical learning environment diagnostic inventory for baccalaureate nursing students. J Adv Nurs 2006; 56: 480-490.

  • 7.

    Ebrahimian A, Saberi-ZafarGhandi MB, Alaei S, Tourdeh M, Davari H. The trend of changes in depression, anxiety and stress in men with lower limb trauma: A prospective study. Koomesh 2016; 17: 924-932. (Persian).

  • 8.

    Dadkhah B, Mohammadi M, Mozafari N. Mental health status of the students in Ardabil university of medical sciences. J Ardabil Univ Med Sci 2004; 16: 31-36. (Persian).

  • 9.

    Abedini S, Davachi A, Sahbaei F, MahmoudiI M, Safa O. Depression in medical and nursing students, Bandar Abbas. Hormozgan Med J 2007; 11: 139-145. (Persian).

  • 10.

    Hosseini H, Sadeghi A, Rajabzadeh R, Reza zadeh J, Nabavi S, Ranaei M, et al. Mental health and related factor in students of North Khorasan University of Medical Sciences. J North Khorasan Univ Med Sci 2011; 3: 23-28. (Persian).

  • 11.

    Mohammadbeygi A, Ghamari F, Salehi B. Depression symptoms prevalence, general health status and its risk factors in dormitory students of Arak universities. J Arak Univ Med Sci 2009; 12: 116-123. (Persian).

  • 12.

    Khademian Z, Sharif F. Nursing studentsinitial clinical experiences. Iran J Nurs Res 2012; 7: 23-33. (Persian).

  • 13.

    Shaban IA, Khater WA, Akhu-Zaheya LM. Undergraduate nursing students' stress sources and coping behaviours during their initial period of clinical training: A Jordanian perspective. Nurse Educ Pract 2012; 12: 204-209.

  • 14.

    Khater WA, Akhu-Zaheya LM, Shaban IA. Sources of stress and coping behaviours in clinical practice among baccalaureate nursing students. IJHSSS 2014; 4: 194-202.

  • 15.

    Given BA, Given CW, Kozachik S. Family support in advanced cancer. CA Cancer J Clin 2001; 51: 213-231.

  • 16.

    Mosher CE, Bakas T, Champion VL. Physical health, mental health, and life changes among family caregivers of patients with lung cancer. Oncol Nurs Forum 2013; 40: 53-61.

  • 17.

    Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psychooncology 2010; 19: 1013-1025.

  • 18.

    Deshields TL, Rihanek A, Potter P, Zhang Q, Kuhrik M, Kuhrik N, et al. Psychosocial aspects of caregiving: perceptions of cancer patients and family caregivers. Support Care Cancer 2012; 20: 349-356.

  • 19.

    Williams A.L, McCorkle R. Cancer family caregivers during the palliative, hospice, and bereavement phases: a review of the descriptive psychosocial literature. Palliat Support Care 2011; 9: 315-325.

  • 20.

    Song JI, Shin DW, Choi JY, Kang J, Baik YJ, Mo H, et al. Quality of life and mental health in family caregivers of patients with terminal cancer. Support Care Cancer 2011; 19: 1519-1526.

  • 21.

    Choi-Kwon S, Kim HS, Kwon SU, Kim JS.. Factors Affecting the Burden on Caregivers of Stroke Survivors in South Korea. Arch Phys Med Rehabil 2005; 86: 1043-1048.

  • 22.

    Fletcher BS, Paul SM, Dodd MJ, Schumacher K, West C, Cooper B, et al. Prevalence, severity, and impact of symptoms on female family caregivers of patients at the initiation of radiation therapy for prostate cancer. J Clin Oncol 2008; 26: 599-605.

  • 23.

    Harding R, Gao W, Jackson D, Pearson C, Murray J, Higginson IJ. Comparative analysis of informal caregiver burden in advanced cancer, dementia, and acquired brain injury. J Pain Symptom Manage 2015; 50: 445-452.

  • 24.

    Mohammed S, George C, Priya SS. Caregiver burden in a community mental health program: a cross sectional study. Kerala J Psychiatry 2015; 28: 26-33.

  • 25.

    Ebrahimian A, Dehvan F. Evaluation of nurses job expectations in hospitals executing the efficiency improvement law in Semnan. Koomesh 2016; 17: 739-746. (Persian).

  • 26.

    Novak M, Guest C. Application of a multidimensional caregiver burden inventory. Gerontologist 1989; 29: 798-803.

  • 27.

    Ashghali Farahani M, Ghane G, Sydfatemi N, Hagani H. Effect of educational program on the burden of family caregivers of hemodialysis patients. Evid Based Care J 2016; 6: 7-18. (Persian).

  • 28.

    McCleery A, Addington J, Addington D. Family assessment in early psychosis. Psychiatry Res 2007; 152: 95-102.

  • 29.

    Abbasi A, Ashraf Rezaie N, Easement H, et al. Caregiver burden associated with the coping, skills of caregivers care for hemodialysis. J Urmia Nurs Midwifery Fac 2012; 4: 533-539. (Persian).

  • 30.

    DOnofrio G, Sancarlo D, Addante F, Ciccone F, Cascavilla L, Paris F, et al. Caregiver burden characterization in patients with Alzheimers disease or vascular dementia. Int J Geriatr Psychiatry 2014; 30: 891-899.

  • 31.

    Yu H, Wang X, He R, Liang R, Zhou L. Measuring the caregiver burden of caring for community-residing people with Alzheimers disease. PLoS One 2015; 10: e0132168.

  • 32.

    Lima-Silva TB1, Bahia VS, Carvalho VA, Guimares HC, Caramelli P, Balthazar ML, et al. Neuropsychiatric symptoms, caregiver burden and distress in behavioral-variant frontotemporal dementia and Alzheimers disease. Dement Geriatr Cogn Disord 2015; 40: 268-275.

  • 33.

    Dowling Glenna A, Merrilees J, Mastick J, Chang Vickie Y, Hubbard E, Moskowitz JT. Life enhancing activities for family caregivers of people with frontotemporal dementia. Alzheimer Dis Assoc Disord 2014; 28: 175-181.

  • 34.

    Soileaua MJ, Persadb C, Jennifer Taylor J, Patilc PG, Chouc KL. Caregiver burden in patients with parkinson disease undergoing deep brain stimulation: An exploratory analysis. J Parkinsons Dis 2014; 4: 517-521.

  • 35.

    Shu-Ying Hou, Chiao-Li Khale Ke, Yi-Ching Su, For-Wey Lung, Chun-Jen Huang. Exploring the burden of the primary family caregivers of schizophrenia patients in Taiwan. Psychiatry Clin Neurosci 2008; 62: 508-514.

  • 36.

    Razani J, Corona R, Quilici J, Matevosyan A, Funes C, Larco A, et al. The effects of declining functional abilities in dementia patients and increases in psychological distress on caregiver burden over a one-year period. Clin Gerontol 2014; 37: 235-252.

  • 37.

    Iavarone A, Ziello AR, Pastore F, Fasanaro AM, Poderico C. Caregiver burden and coping strategies in caregivers of patients with Alzheimers disease. Neuropsychiatr Dis Treat 2014; 10: 1407-1413.

  • 38.

    De Fazio P, Ciambrone P, Cerminara G, Barbuto E, Bruni A, Gentile P, Talarico A, et al. Depressive symptoms in caregivers of patients with dementia: demographic variables and burden. Clin Interv Aging 2015; 10: 1085-1090.

  • 39.

    Akpnar B, O zlem K, Yener G. Effects of gender on burden among caregivers of Alzheimers patients. J Nurs Scholarsh 2011; 43: 248-254.

  • 40.

    Liu S, Jin Y, Shi Z, Huo YR, Guan Y, Liu M, et al. The effects of behavioral and psychological symptoms on caregiver burden in frontotemporal dementia, Lewy body dementia, and Alzheimer's disease: clinical experience in China. Aging Ment Health 2016; 20: 1-7.