Gbolahan Olalere Omoyosola, Amiede Ogunmuyiwa Stella, Samuel Olowookere Anu
Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan/UCH, Ibadan, Nigeria.
Oral and Maxillofacial Surgery Unit, Federal Medical Centre Abeokuta, Abeokuta, Ogun State, Nigeria.
J Patient Exp. 2020 Dec;7(6):1602-1609. doi: 10.1177/2374373520948650. Epub 2020 Aug 14.
Different stages along the trajectory of cleft care may present with different and peculiar challenges that may negatively impact family caregivers, leading to considerable stress and burden. This study aims to evaluate the family caregiver burden and perceived stress of caring for patients with cleft deformities. Contributing factors to family caregivers' burden in the perioperative period of cleft repair was also identified. A cross-sectional design that included 90 adult caregiver-patient pairs was employed. Semi-structured questionnaire was used to collect necessary information. The level of caregiver's burden was assessed using the Zarit burden interview score. The results demonstrated the levels of caregiver burden as severe (4.4%), moderate to severe (21.1%), mild to moderate (40%), and little or none (34.5%). The only significant and independent predictor of caregiver burden was earning less than US$50/month (odds ratio = 2.30, 95% CI = 0.95-5.61, = .066). Coping strategy was mainly family support (98.9%), while the greatest need expressed was financial assistance (66.7%). Our findings suggests that efforts geared at reducing direct and indirect cost of cleft care may help in reducing caregivers' burden.
腭裂护理过程中的不同阶段可能会带来不同且独特的挑战,这些挑战可能会对家庭照顾者产生负面影响,导致相当大的压力和负担。本研究旨在评估照顾腭裂畸形患者的家庭照顾者的负担和感知压力。同时还确定了腭裂修复围手术期家庭照顾者负担的影响因素。采用横断面设计,纳入了90对成年照顾者-患者对。使用半结构化问卷收集必要信息。使用Zarit负担访谈评分评估照顾者的负担水平。结果显示,照顾者负担水平为重度(4.4%)、中度至重度(21.1%)、轻度至中度(40%)以及轻度或无负担(34.5%)。照顾者负担的唯一显著且独立预测因素是月收入低于50美元(比值比=2.30,95%置信区间=0.95-5.61,P=.066)。应对策略主要是家庭支持(98.9%),而表达的最大需求是经济援助(66.7%)。我们的研究结果表明,旨在降低腭裂护理直接和间接成本的努力可能有助于减轻照顾者的负担。