Male gender is associated with informal caregiver burden in patients with chronic intestinal failure treated with home parenteral nutrition.

Autor: Castinel, Jean, Pellet, Gauthier, Laharie, David, Zerbib, Frank, Silvain, Christine, Wilsius, Eva, Kerlogot, Laurianne, Rivière, Pauline, Poullenot, Florian
Zdroj: JPEN Journal of Parenteral & Enteral Nutrition; Sep2022, Vol. 46 Issue 7, p1593-1601, 9p
Abstrakt: Background: Home parenteral nutrition (HPN) is the recommended treatment in patients with chronic intestinal failure (CIF). HPN is associated with a worsening of patients' quality of life and has a dramatic impact on personal and familial daily life. Little is known about the informal caregiver burden of patients receiving HPN. Aim: To assess informal caregiver burden and the factors associated with moderate‐to‐severe caregiver burden in patients treated with HPN. Methods: Informal caregivers of consecutive patients treated with HPN in a French nutrition referral center were invited to participate in a survey between January 2021 and June 2021. They had to fill out an anonymous standardized self‐questionnaire evaluating burden by the Zarit Burden Interview (ZBI) and depression and anxiety symptoms by the Hospital Anxiety and Depression Scale (HADS) score since HPN introduction. Results: Among the 87 HPN patients having informal caregivers, 53 (61%) completed the questionnaire. Thirty (57%) informal caregivers were women. The caregiver's median age was 62 years (IQR, 21.0). Twelve (22%) expressed moderate to severe burden (ZBI score, 41–88). In a multivariate analysis, the caregiver's male gender (odds ratio [OR], 16.45; 95% CI, 2.30–238.75; P = 0.014) and the number of simultaneous infusions per day >1 (OR, 9.92; 95% CI, 1.35–121.60; P = 0.0038) were associated with a moderate to severe burden. Twenty caregivers reported anxious and depressive symptoms with an elevated HADS score. Conclusion: In this prospective survey, a minority of informal caregivers of patients with CIF being treated with HPN expressed moderate to severe burden. The caregiver's male gender was associated with a higher burden in patients with CIF. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index