Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure

Nienke Nakken, Martijn A. Spruit, Emiel F. M. Wouters, J.M.G.A. Schols, Daisy J. A. Janssen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background
Family caregivers already have a paramount role in daily care for patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), or chronic renal failure (CRF). To date, it remains unknown whether and to what extent the experience of caregiving changes over time.
Objectives
To examine changes in caregiver burden and positive aspects of caregiving during 1-year follow-up in patients with advanced COPD, CHF or CRF and to study determinants of changes in caregiver burden and positive aspects of caregiving.
Methods
In this longitudinal observational study, patients and their family caregivers who had complete data at baseline and 12 months (n = 104) and family caregivers of patients who died during 1-year follow-up (n = 15) were included. Caregiver burden and positive aspects of caregiving were assessed using the Family Appraisal of Caregiving Questionnaire for Palliative Care (FACQ-PC). Domain scores were classified into three categories, and baseline characteristics were compared between these categories.
Results
A majority of the individuals showed 1-year changes in FACQ-PC domain scores. These individual changes were not explained by demographic or clinical patient characteristics at baseline or changes in patient characteristics during 1-year follow-up. Furthermore, caregiver burden was higher for caregivers of patients who died during 1-year follow-up compared to caregivers whose relative completed 1-year follow-up.
Conclusion
This study showed that caregiver burden and positive aspects of caregiving can change over time, and these changes are highly individual. Therefore, healthcare providers should regularly pay attention to family caregivers, regardless the patients' characteristics.
Original languageEnglish
Pages (from-to)734-744
JournalScandinavian Journal of Caring Sciences
Volume29
Issue number4
DOIs
Publication statusPublished - 2015

Keywords

  • family caregiver
  • caregiver burden
  • chronic obstructive pulmonary disease
  • chronic heart failure
  • chronic renal failure

Cite this

Nakken, N., Spruit, M. A., Wouters, E. F. M., Schols, J. M. G. A., & Janssen, D. J. A. (2015). Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure. Scandinavian Journal of Caring Sciences, 29(4), 734-744. https://doi.org/10.1111/scs.12204
Nakken, Nienke ; Spruit, Martijn A. ; Wouters, Emiel F. M. ; Schols, J.M.G.A. ; Janssen, Daisy J. A. / Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure. In: Scandinavian Journal of Caring Sciences. 2015 ; Vol. 29, No. 4. pp. 734-744.
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abstract = "BackgroundFamily caregivers already have a paramount role in daily care for patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), or chronic renal failure (CRF). To date, it remains unknown whether and to what extent the experience of caregiving changes over time.ObjectivesTo examine changes in caregiver burden and positive aspects of caregiving during 1-year follow-up in patients with advanced COPD, CHF or CRF and to study determinants of changes in caregiver burden and positive aspects of caregiving.MethodsIn this longitudinal observational study, patients and their family caregivers who had complete data at baseline and 12 months (n = 104) and family caregivers of patients who died during 1-year follow-up (n = 15) were included. Caregiver burden and positive aspects of caregiving were assessed using the Family Appraisal of Caregiving Questionnaire for Palliative Care (FACQ-PC). Domain scores were classified into three categories, and baseline characteristics were compared between these categories.ResultsA majority of the individuals showed 1-year changes in FACQ-PC domain scores. These individual changes were not explained by demographic or clinical patient characteristics at baseline or changes in patient characteristics during 1-year follow-up. Furthermore, caregiver burden was higher for caregivers of patients who died during 1-year follow-up compared to caregivers whose relative completed 1-year follow-up.ConclusionThis study showed that caregiver burden and positive aspects of caregiving can change over time, and these changes are highly individual. Therefore, healthcare providers should regularly pay attention to family caregivers, regardless the patients' characteristics.",
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Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure. / Nakken, Nienke; Spruit, Martijn A.; Wouters, Emiel F. M.; Schols, J.M.G.A.; Janssen, Daisy J. A.

In: Scandinavian Journal of Caring Sciences, Vol. 29, No. 4, 2015, p. 734-744.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure

AU - Nakken, Nienke

AU - Spruit, Martijn A.

AU - Wouters, Emiel F. M.

AU - Schols, J.M.G.A.

AU - Janssen, Daisy J. A.

PY - 2015

Y1 - 2015

N2 - BackgroundFamily caregivers already have a paramount role in daily care for patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), or chronic renal failure (CRF). To date, it remains unknown whether and to what extent the experience of caregiving changes over time.ObjectivesTo examine changes in caregiver burden and positive aspects of caregiving during 1-year follow-up in patients with advanced COPD, CHF or CRF and to study determinants of changes in caregiver burden and positive aspects of caregiving.MethodsIn this longitudinal observational study, patients and their family caregivers who had complete data at baseline and 12 months (n = 104) and family caregivers of patients who died during 1-year follow-up (n = 15) were included. Caregiver burden and positive aspects of caregiving were assessed using the Family Appraisal of Caregiving Questionnaire for Palliative Care (FACQ-PC). Domain scores were classified into three categories, and baseline characteristics were compared between these categories.ResultsA majority of the individuals showed 1-year changes in FACQ-PC domain scores. These individual changes were not explained by demographic or clinical patient characteristics at baseline or changes in patient characteristics during 1-year follow-up. Furthermore, caregiver burden was higher for caregivers of patients who died during 1-year follow-up compared to caregivers whose relative completed 1-year follow-up.ConclusionThis study showed that caregiver burden and positive aspects of caregiving can change over time, and these changes are highly individual. Therefore, healthcare providers should regularly pay attention to family caregivers, regardless the patients' characteristics.

AB - BackgroundFamily caregivers already have a paramount role in daily care for patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), or chronic renal failure (CRF). To date, it remains unknown whether and to what extent the experience of caregiving changes over time.ObjectivesTo examine changes in caregiver burden and positive aspects of caregiving during 1-year follow-up in patients with advanced COPD, CHF or CRF and to study determinants of changes in caregiver burden and positive aspects of caregiving.MethodsIn this longitudinal observational study, patients and their family caregivers who had complete data at baseline and 12 months (n = 104) and family caregivers of patients who died during 1-year follow-up (n = 15) were included. Caregiver burden and positive aspects of caregiving were assessed using the Family Appraisal of Caregiving Questionnaire for Palliative Care (FACQ-PC). Domain scores were classified into three categories, and baseline characteristics were compared between these categories.ResultsA majority of the individuals showed 1-year changes in FACQ-PC domain scores. These individual changes were not explained by demographic or clinical patient characteristics at baseline or changes in patient characteristics during 1-year follow-up. Furthermore, caregiver burden was higher for caregivers of patients who died during 1-year follow-up compared to caregivers whose relative completed 1-year follow-up.ConclusionThis study showed that caregiver burden and positive aspects of caregiving can change over time, and these changes are highly individual. Therefore, healthcare providers should regularly pay attention to family caregivers, regardless the patients' characteristics.

KW - family caregiver

KW - caregiver burden

KW - chronic obstructive pulmonary disease

KW - chronic heart failure

KW - chronic renal failure

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M3 - Article

VL - 29

SP - 734

EP - 744

JO - Scandinavian Journal of Caring Sciences

JF - Scandinavian Journal of Caring Sciences

SN - 0283-9318

IS - 4

ER -