Abstract
Objective
To describe caregiver burden according to the caregivers’ general characteristics, especially with ageing, and type of care activities provided by caregivers of individuals with spinal cord injury.
Design
A cross-sectional study was conducted utilizing a structured questionnaire that included general characteristics, health conditions, and caregiver burden.
Setting
A single center study in Seoul, Korea.
Subjects
Participants were recruited from 87 individuals with spinal cord injuries and 87 caregivers.
Methods
The Caregiver Burden Inventory was used to assess caregiver burden.
Results
Caregiver burden was significantly different by age (p = 0.001), relationship (p = 0.025), sleep hours (p = <0.001), underlying disease (p = 0.018), pain (p = <0.001), and daily activities of individuals with spinal cord injury (p = 0.001). Caregiver’s age (B = 0.339, p = 0.049), sleep duration (B = −2.896, p = 0.012) and pain (B = 2.558, p < 0.001) predicted caregiver burden. Toileting assistance was the most challenging and time-consuming for caregivers, while patient transfer was associated with the greatest concerns for body injury.
Conclusion
Caregiver education should be targeted according to caregiver’s age and type of assistance. Social policies need to be developed to distribute devices and care-robots to reduce caregiver burden and thereby assist caregivers.
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Data availability
Additional data are available from the corresponding author on reasonable request.
References
Ko H-Y. Management and rehabilitation of spinal cord injuries. Singapore: Springer; 2019.
Singh A, Tetreault L, Kalsi-Ryan S, Nouri A. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014;6:309–31.
Priebe MM, Chiodo AE, Scelza WM, Kirshblum SC, Wuermser LA, Ho CH. Spinal cord injury medicine. 6. Economic and societal issues in spinal cord injury. Arch Phys Med Rehabil. 2007;88:S84–S88.
Lucke KT. Outcomes of nurse caring as perceived by individuals with spinal cord injury during rehabilitation. Rehabil Nurs. 1999;24:247–53.
Chan RCK, Lee PWH, Lieh-Mak F. Coping with spinal cord injury: personal and marital adjustment in the Hong Kong Chinese setting. Spinal Cord. 2000;38:687–96.
Scholten EWM, Tromp MEH, Hillebregt CF, de Groot S, Ketelaar M, Visser-Meily JMA, et al. Mental health and life satisfaction of individuals with spinal cord injury and their partners 5 years after discharge from first inpatient rehabilitation. Spinal Cord. 2018;56:598–606.
Ebrahimzadeh MH, Golhasani-Keshtan F, Shojaee BS. Correlation between health-related quality of life in veterans with chronic spinal cord injury and their caregiving spouses. Arch Trauma Res. 2014;3:e16720.
Choi-Kwon S, Kim HS, Kwon SU, Kim JS. Factors affecting the burden on caregivers of stroke survivors in South Korea. Arch Phys Med Rehabil. 2005;86:1043–8.
Chan RC. Stress and coping in spouses of persons with spinal cord injuries. Clin Rehabil. 2000;14:137–44.
Lee BB, Cripps RA, Fitzharris M, Wing PC. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord. 2014;52:110–6.
Lee BS, Kim O, Ham D. Epidemiologic changes in nontraumatic spinal cord injury for the last 30 years (1990-2019) in South Korea. Spinal Cord. 2022;60:268–73.
Majerovitz SD. Predictors of burden and depression among nursing home family caregivers. Aging Mental Health. 2007;11:323–9.
Scholten EWM, Kieftenbelt A, Hillebregt CF, de Groot S, Ketelaar M, Visser-Meily JMA, et al. Provided support, caregiver burden and well-being in partners of persons with spinal cord injury 5 years after discharge from first inpatient rehabilitation. Spinal Cord. 2018;56:436–46.
Mark Novak P, Carol Guest MA. Application of a multidimensional caregiver burden inventory. Gerontologist. 1989;29:798–803.
Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (Revised 2011). J Spinal Cord Med. 2011;34:535–46.
National Spinal Cord injury Statistical Center. Spinal cord injury facts and figures at a glance, 2021 SCI Data Sheet. 2021; https://www.nscisc.uab.edu/Public/Facts%20and%20Figures%20-%202021.pdf.
Shin JC, Kim DH, Yu SJ, Yang HE, Yoon SY. Epidemiologic change of patients with spinal cord injury. Ann Rehabil Med. 2013;37:50–6.
Gajraj-Singh P. Psychological impact and the burden of caregiving for persons with spinal cord injury (SCI) living in the community in Fiji. Spinal Cord. 2011;49:928–34.
Choi-Kwon S, Mitchell PH, Veith R, Teri L, Buzaitis A, Cain KC, et al. Comparing perceived burden for Korean and American informal caregivers of stroke survivors. Rehabil Nurs. 2009;34:141–50.
Khazaeipour Z, Rezaei-Motlagh F, Ahmadipour E, Azarnia-Ghavam M, Mirzababaei A, Salimi N, et al. Burden of care in primary caregivers of individuals with spinal cord injury in Iran: its association with sociodemographic factors. Spinal Cord. 2017;55:595–600.
Efi P, Fani K, Eleni T, Stylianos K, Vassilios K, Konstantinos B, et al. Quality of life and psychological distress of caregivers’ of stroke people. Acta Neurol Taiwan. 2017;26:154–66.
Blanes L, Carmagnani MI, Ferreira LM. Health-related quality of life of primary caregivers of persons with paraplegia. Spinal Cord. 2007;45:399–403.
Pinquart M, Sörensen S. Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007;62:P126–37.
Inskip JA, Lucci VM, McGrath MS, Willms R, Claydon VE. A community perspective on bowel management and quality of life after spinal cord injury: the influence of autonomic dysreflexia. J Neurotrauma. 2018;35:1091–105.
Farajzadeh A, Akbarfahimi M, Maroufizadeh S, Miri Lavasani N. Factors associated with quality of life among caregivers of people with spinal cord injury. Occup Ther Int. 2021;2021:9921710.
Funding
This work was funded by grants from Translational Research Program for Care Robots (HK19C0002), National Rehabilitation Center, Ministry of Health and Welfare, Republic of Korea.
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SHK was responsible for conducting the search, extracting and analyzing data, and creating tables and figures. OYK was responsible for designing the study, updating reference lists and screening potentially eligible studies. All authors (SHK, OYK, BSL, WKS, JEH, YHB and DIC) were responsible for writing the protocol and report, interpreting results, approving the final version of the manuscript.
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Kim, SH., Kim, O., Bae, YH. et al. Caregiver burden according to ageing and type of care activity in caregivers of individuals with spinal cord injury. Spinal Cord Ser Cases 9, 16 (2023). https://doi.org/10.1038/s41394-023-00570-w
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DOI: https://doi.org/10.1038/s41394-023-00570-w


