Assessment of the burden of caregiving for patients with chronic obstructive pulmonary disease

Respir Med. 2007 Nov;101(11):2402-8. doi: 10.1016/j.rmed.2007.06.001. Epub 2007 Jul 12.

Abstract

Objective: To determine the effect of chronic obstructive pulmonary disease (COPD) on the quality of life of caregivers.

Design and methods: A cross-sectional study was carried out with forty-two COPD patients and their primary caregivers. Patients were assessed with the medical outcome survey short form (SF-36), the physical and mental component summary (PCS and MCS), Saint George's respiratory questionnaire (SGRQ), 6-min walking test, and spirometric and blood gas measurements. Caregivers were assessed using the medical outcome survey short form (SF-36), the physical and mental component summary (PCS and MCS), the 5-point Likert scale for measuring caregiver/patient relationships and the caregiver burden scale (CB scale).

Results: The majority of caregivers were female (85.3%), married (59%) and had low levels of income and schooling. The mean age was 51.6+/-16 years. Mean caregiver PCS and MCS scores were 45.9+/-10 and 46+/-12, while the mean total burden score was 1.79+/-0.6. The regression analysis showed caregiver/patient relationship quality, caregiver MCS scores and patient PCS scores to be important predictors of burden and explained 63% of the variance.

Conclusions: COPD causes a significant impact on the quality of life of caregivers. The two most important predictors of COPD burden are the relationship between caregivers and patients and caregiver MCS scores.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Caregivers / psychology*
  • Cost of Illness*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Pulmonary Disease, Chronic Obstructive / nursing
  • Pulmonary Disease, Chronic Obstructive / psychology*
  • Quality of Life*
  • Regression Analysis
  • Severity of Illness Index