Factores asociados a la ansiedad de los cuidadores de pacientes con enfermedad pulmonar obstructiva crónica (EPOC) durante su hospitalización

• García-Guillamón, Gloria ^[1]
  1. [1] Universidad de Murcia

     Universidad de Murcia

     Murcia, España

     
• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 22, Nº. 2, 2017, págs. 117-125
• Idioma: español
• DOI: 10.5944/rppc.vol.22.num.2.2017.17784
• Títulos paralelos:
  • Factors associated with anxiety in caregivers of patients with chronic obstructive pulmonary disease (COPD) during their hospitalization
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• Dialnet Métricas: 3 Citas
• Resumen
  • español

    Se conoce poco acerca del impacto que tiene la hospitalización de los pacientes con exacerbación aguda de la enfermedad pulmonar obstructiva crónica (EPOC) en la salud mental de sus cuidadores. El objetivo de este estudio de tipo descriptivo transversal fue determinar las tasas y factores asociados a síntomas de ansiedad en los cuidadores de pacientes hospitalizados por exacerbación aguda de EPOC (EAEPOC). Se midieron síntomas de ansiedad relacionados con cuatro dominios (contexto del cuidado, demandas del cuidado, recursos del cuidador y características del paciente) en 87 cuidadores de pacientes hospitalizados por EAEPOC. Se utilizaron regresiones logísticas múltiples univariadas y multivariadas para determinar los factores protectores de la ansiedad durante la hospitalización. De los 87 participantes, 50 cuidadores presentaron síntomas de ansiedad durante la hospitalización. La sobrecarga del cuidador, la fragilidad y el grado de limitación del flujo aéreo fueron los factores independientes más fuertes asociados a la ansiedad del cuidador durante la hospitalización.

  • English

    Factors associated with anxiety in caregivers of patients with chronic obstructive pulmonary disease (COPD) during their hospitalization. Little is known about the impact that hospitalization of patients suffering from chronic obstructive pulmonary disease (COPD) has on the mental health of their caregivers. The purpose of this cross-sectional descriptive study was to determine rates and factors associated with symptoms of anxiety in caregivers of patients hospitalized for acute exacerbation of COPD (AECOPD). Anxiety symptoms related to four domains (context of care, caregiving demands, caregiver resources, and patient characteristics) were measured in 87 caregivers of patients hospitalized for AECOPD. We used univariate and multivariate multiple logistic regressions to determine protective factors of anxiety during the hospitalization time. Of the 87 participants, 50 caregivers reported symptoms of anxiety during hospitalization. Caregiver burden, frailty, and degree of airflow limitation were the strongest independent factors associated to caregiver’s anxiety at the time of hospitalization.

• Referencias bibliográficas
  • Altemus, M. (2006). Sex differences in depression and anxiety disorders: potential biological determinants. Hormones and Behavior, 50, 534-538.
  • Belló n, J. A., Delgado, A., Luna, J., y Lardelli, P. (1996). Validez y fi abilidad del cuestionario de apoyo social funcional DukeUNC-11....
  • Bergs D. (2002). `The Hidden Client´women caring for husband with COPD: their experience of quality of life. Journal of Clinical Nursing,...
  • Blumenthal, J. A., Kefee, F. J., Babyaka, M. A., Fenwicka, C. V., Johnsona, J. M., Stotta, K.,…Emerye, C. F. (2009). Caregiver-assisted coping...
  • Broadhead, W. E., Gehlbach, S. H., Degruy, F. V., & Kaplan, B. H. (1988). The Duke-UNK functional social support questionnaire: measurement...
  • Cain, J. C. & Wicks, M. N. (2000). Caregivers attributes as correlates of burden in family caregivers coping with chronic obstructive...
  • Caress, A. L., Luker, K. A., Chalmers, K. I., & Salmon, M. P. (2009). A review of the information and support needs of family carers of...
  • Carson, S. S., Bach, P. B., Brzozowski, L., & Leff, A. (1999). Outcomes after long-term acute care. American Journal of Respiratory and...
  • Centers for Disease Control and Prevention (CDC). (2012). Chronic obstructive pulmonary disease among adults – United States, 2011. MMWR Morbidity...
  • Cossete, S., & Levesque, L. (1993). Caregiving tasks predictors of mental health of wife caregivers of men with chronic obstructive pulmonary...
  • Costa-Requena, G., Ballester-Arnal, R., & Gil, F. (2015). The infl uence of demographic and clinical variables on perceived social support...
  • Covinsky, K. E., Newcomer, R., Fox, P., Wood, J., Sands, L., Dane, K., & Yaffe, K. (2003). Patient and caregiver characteristics associated...
  • Cruz, J., Marques, A., & Figueiredo, D. (2017). Impacts of COPD on family carers and supportive interventions: a narrative review. Health...
  • Ekwall, A. K., & Halberg, I. R. (2007). The association between caregiving satisfaction, difficulties and coping among older family caregivers....
  • Figueiredo, D., Gabriel, R., Jácome, C., Cruz, J., & Marques, A. (2014). Caring for relatives with chronic obstructive pulmonary disease:...
  • Fraser, D. D., Kee, C. C., & Minick, P. (2006). Living with chronic obstructive pulmonary disease: insiders’ perspectives. Journal of...
  • Garlo, K., O’Leary, J. R., Van Ness, P. H., & Fried, T. R. (2010). Burden in caregivers of older adults with advanced illness. Journal...
  • Goldberg, D., Bridges, K., Duncan-Jones, P., & Grayson D. (1988). Detecting anxiety and depression in general medical settings. British...
  • Grant, M., Cavanagh, A., & Yorke, J. (2012). The impact of caring for those with chronic obstructive pulmonary disease (COPD) on carers’...
  • Gulick, E. E. (1995). Coping among spouses or signifi cant others of persons with Multiple Sclerosis. Nursing Research, 44, 220-225.
  • Hilmer, S. N., Perera, V., Mitchell, S., Murnion, B. P., Dent, J., Bajorek, B.,…Rolfson, D. B. (2009). The assessment of frailty in older...
  • Hosmer, D. W. & Lemeshow, S. (1989). Applied logistic regression. John Wiley Inc, New York.
  • Hwang, S. S., Chang, V. T., Alejandro, Y., Osenenko, J., Davis, C., Cogswell, J.,…Kasimis, B. (2003). Caregiver unmet needs, burden, and satisfaction...
  • Jacome, C., Figuereido, D., Gabriel, R., Cruz, J., & Marques A. (2014). Predicting anxiety and depression among family carers of people...
  • Kara, M., & Mirici, A. (2004). Loneliness, depression and social support of Turkish patients with chronic obstructive pulmonary disease...
  • Keele-Card, G., Foxall, M.J., & Barron, C.R. (1993). Loneliness, depression and social support of patients with COPD and their spouses....
  • Lenz, E. H., & Perkins, S. (2000). Coronary artery bypass graft surgery patients and their family member caregivers: Outcomes of a family-focused...
  • Maninno, D. M., & Buist, A. S. (2007). Global burden of COPD: risk factors, prevalence, and future trends. Lancet, 370(9589), 765-773.
  • Mansfi eld, E., Bryant, J., Regan, T., Waller, A., Boyes, A., Sanson-Fisher, R. (2016). Burden and unmet needs of caregivers of Chronic Obstructive...
  • Martínez-Martin, P., Forjaz, M. J., Frades-Payo, B., BayésRusiñol, A., Fernández-García, J. M., Benito-León, J., … Catalán, M. J. (2007)....
  • Miravitlles, M., Peña-Longobardo, L. M., Oliva-Moreno, J., & Hidalgo-Vega, Á. (2015). Caregivers´ burden in patients with COPD. International...
  • Montón, C., Pérez-Echevarría, M. J., Campos, R., García-Campayo, J., & Lobo A. (1993). Anxiety scales and Goldberg’s depression: an efficient...
  • Nakken, N., Janssen, D. J., van den Bogaart, E. H., Wouters, E. F., Fraseen, F. M., Vercoulen, J. H., & Spruit, M. A. (2015). Informal...
  • Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: an overview of concepts and their...
  • Peña-Longobardo, L. M., Oliva-Moreno, J., Hidalgo-Vega, Á., & Miravitlles, M. (2015). Economic valuation and determinants of informal...
  • Ponce-González, J. M. (2006). Los cuidadores al fi nal de la vida. Enfermería comunitaria,2(1), 38-42.
  • Ray, R. A., & Street, A. F. (2007). Non-fi nite loss and emotional labour: family caregivers` experiences of living with motor neuron...
  • Sánchez, B., Barrera, L., y Pinto, N. (2006). Programa «Cuidando a los cuidadores»: Un programa de apoyo a familiares de personas con enfermedad...
  • Seamark, D. A., Blake, S. D., Seamark, C. J., & Halpin, D. M. (2004). Living with severe chronic obstructive pulmonary disease (COPD):...
  • Skalla, K. A., Smith, E. M., Li, Z., & Gates, C. (2013) Multidimensional needs of caregivers for patients with cancer. Clinical Journal...
  • Tabachnick, B. G., & Fidell, L. S. (2013). Using Multivariate Statistics. Pearson Education, Boston.
  • Vázquez, F. L., Blanco, V., Hermida, E., Otero, P., Torres, A., y Díaz-Fernández, O. (2015). Efi cacia de las intervenciones psicológicas...
  • Yeung, S., How-Lin, Lui M., Ross, F., & Murrells, T. (2007). Family carers in stroke care: examining the relationship between problem-solving,...
  • Zarit, S. H., Todd, P. A., & Zarit, J. M. (1986). Subjective Burden of Husbands and Wives as Caregivers: A longitudinal Study. The Gerontologist,...