Korean J Adult Nurs.  2019 Aug;31(4):351-364. 10.7475/kjan.2019.31.4.351.

Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis

Affiliations
  • 1Researcher, Research Institute of Nursing Science, Keimyung University, Daegu, Korea.
  • 2Associate Professor, College of Nursing · Research Institute of Nursing Science, Keimyung University, Daegu, Korea. hopark@kmu.ac.kr

Abstract

PURPOSE
This study was a systematic review and meta-analysis designed to investigate the variables related to burden of caregivers of people with dementia living at home.
METHODS
In total, 24 studies were identified through a systematic review and 11 studies met the inclusion criteria for the meta-analysis. EMBASE, MEDLINE (Ovid-MEDLINE, Pubmed) and several Korean databases were searched until April 2018. "˜R 3.5.1' version was used to analyze the correlated effect sizes.
RESULTS
According to the results, variables related to caregivers' burden were categorized into factors related to patients and factors related to family caregivers. The effect sizes of correlations between factors associated with patients and caregivers' burden were as follows: problematic behavior & cognition (memory) (.42), problematic behavior (.37), cognition (memory) (.35), stage of dementia (.31), and ability to perform daily life functions (−.27). Factors associated with family caregivers correlated with caregiver burden as follows: health status (−.40), relation (.33), education (.25), time of caring (.24), income (−.21), age (.20), job (−.17), duration of caring (.15), and religion (.14).
CONCLUSION
Based on the findings, family caregiver needs to preferentialy try to manage problematic behavior & cognition (memory) of dementia and health professionals need to provide comprehensive nursing interventions to improve health for patients with dementia but also family caregivers.


MeSH Terms

Aged*
Caregivers*
Cognition
Dementia*
Education
Health Occupations
Humans
Nursing

Figure

  • Figure 1. Flowchart of study selection.


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Appendix 1. Studies Included in Systematic Review and Meta-analysis.

A1. Brodaty H, Woodward M, Boundy K, Ames D, Balshaw R. PRIME Study Group. Prevalence and predictors of burden in caregivers of people with dementia. The American Journal of Geriatric Psychiatry. 2014; 22(8):756–65. https://doi.org/10.1016/j.jagp.2013.05.004.
A2. Campbell P, Wright J, Oyebode J, Job D, Crome P, Bentham P, et al. Determinants of burden in those who care for some-one with dementia. International Journal of Geriatric Psychiatry. 2008; 23(10):1078–85. https://doi.org/10.1002/gps.2071.
Article
A3. Cheng S-T, Lam LCW, Kwok T. Neuropsychiatric symptom clusters of Alzheimer disease in Hong Kong Chinese: correlates with caregiver burden and depression. The American Journal of Geriatric Psychiatry. 2013; 21(10):1029–37. https://doi.org/10.1016/j.jagp.2013.01.041.
A4. Choi YO. A study on the care burden and service demand of the poverty families caring for the demented elderly. Journal of Korean Geriatric Psychiatry. 2005; 9(2):122–31.
A5. Cho E, Cho E, Kim S. Effects of family relationship on burden of family caregivers of older adult with dementia. Journal of the Korean Gerontological Society. 2010; 30(2):421–37.
A6. Han EJ, Na YK, Lee JS, Kwon J. Factors to influence the family caregivers' burden with the community-dwelling elderly under longterm care insurance system: comparison among sub-dimensions. Korea Social Policy Review. 2015; 22(2):61–96. https://doi.org/10.17000/kspr.22.2.201506.61.
A7. Han JW, Jeong H, Park JY, Kim TH, Lee DY, Lee DW, et al. Effects of social supports on burden in caregivers of people with dementia. International Psychogeriatrics. 2014; 26(10):1639–48. https://doi.org/10.1017/S1041610214001331.
Article
A8. Kong E-H, Cho E, Song M. The burden and caregiving satisfaction of primary family caregivers of older adults with dementia: cultural and non-cultural predictors. Journal of the Korean Gerontological Society. 2009; 29(2):701–16.
A9. Lee E-H. Impact of family function in the burden of caregiving elderly dementia patients. Korean Journal of Gerontological Social Welfare. 2003; 19:173–97.
A10. Lee H-J. Influencing factors and caregiving burden among primary caregiver for demented elderly. Korean Journal of Care Work. 2006a; 2(1):33–60.
A11. Lee H-J. The effect of caregiver's burden for the dementia elderly by the use of daycare center. Journal of the Korean Gerontological Society. 2006b; 26(2):329–46.
A12. Lee Y, Kim H, Cho I. Factors influencing care burdens of caregivers of elders with dementia who request dementia domi-ciliary welfare services. Journal of Korean Academy of Fundamentals of Nursing. 2008; 15(3):274–83.
A13. Liu S, Li C, Shi Z, Wang X, Zhou Y, Liu S, et al. Caregiver burden and prevalence of depression, anxiety and sleep disturbances in Alzheimer's disease caregivers in China. Journal of Clinical Nursing. 2017; 26(9-10):1291–300. https://doi.org/10.1111/jocn.13601.
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A14. Ma PS. A study on the people in charge of the demented- es-pecially people in the day care center or short stay service. [master's thesis]. Seoul: Ewha Womans University;1998. p. 1–93.
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Article
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A19. Shin H, Youn J, Kim JS, Lee J-Y, Cho JW. Caregiver burden in Parkinson disease with dementia compared to Alzheimer disease in Korea. Journal of Geriatric Psychiatry and Neurology. 2012; 25(4):222–6. https://doi.org/10.1177/0891988712464819.
Article
A20. Son YJ, Kang KS, Kim SJ. The home care need and the burden of a primary family care giver with senile dementia patients. Journal of Korean Academy of Community Health Nursing. 2000; 11(2):423–40.
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Article
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