A Feasibility Study of Qualitative Methods Using the Zarit Burden Interview in Heart Failure Caregivers.

Autor: Oliver TL; University of Nebraska Medical Center, Omaha, NE, United States of America; Creighton University, Omaha, NE, United States of America. Electronic address: tamaraoliver@creighton.edu., Hetland B; University of Nebraska Medical Center, Omaha, NE, United States of America., Schmaderer M; University of Nebraska Medical Center, Lincoln, NE, United States of America., Zolty R; Univeristy of Nebraska Medical Center, Department of Cardiovascular, Omaha, NE, United States of America., Pozehl B; University of Nebraska Medical Center, Omaha, NE, United States of America.
Jazyk: angličtina
Zdroj: Applied nursing research : ANR [Appl Nurs Res] 2024 Oct; Vol. 79, pp. 151826. Date of Electronic Publication: 2024 Jul 14.
DOI: 10.1016/j.apnr.2024.151826
Abstrakt: Objectives: The primary goal of this study was to identify and understand the burden experienced by informal caregivers of patients with HF at the time of hospital discharge. The researchers aimed to guide future education interventions and promote informal caregiver burden screening.
Design: The researchers administered the Zarit Burden Interview (ZBI) as a quantitative tool to assess informal caregiver burden. The ZBI is a standardized questionnaire used to measure the extent of burden experienced by informal caregivers. After administering the ZBI, the researchers conducted semi-structured interviews with five informal caregivers of patients with HF. These interviews were guided by probing questions related to ZBI items that were rated with high levels of burden (3 "quite frequently" or 4 "nearly always").
Results: The quantitative data showed that the informal caregivers' burden scores on the ZBI ranged from 4 to 41. Male informal caregivers tended to report lower burden scores. The non-spouse informal caregiver had the highest burden score at 41. The qualitative analysis of the interviews revealed several themes related to informal caregiver burden, including fear, patient expectations, patient dependence on caregivers, social isolation, and stressors associated with medication changes after discharge. Despite the qualitative insights into specific burden-related issues, the quantitative analysis of the ZBI scores showed that, on average, informal caregivers reported little to no burden at the time of acute exacerbation of HF in the patient.
Conclusion: The study's findings suggest that while informal caregivers may not report prominent levels of overall burden, they do face specific challenges and stressors, such as social isolation and managing medication changes post-discharge. These findings can inform the development of targeted support and interventions for informal caregivers of patients with HF.
Competing Interests: Declaration of competing interest All authors confirm there is zero conflict of interest for this manuscript.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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