Impact of caregiver’s burden of peritoneal dialysis patients

Authors

  • Ricardo Ignacio Irianda-Gómez <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80, Servicio de Medicina Familiar. Morelia Michoac&aacute;n</p>
  • Citlalli Orizaga-de la Cruz <p>Instituto Mexicano del Seguro Social, Unidad M&eacute;dica de Atenci&oacute;n Ambulatoria No .254, Servicio de Nefrolog&iacute;a. Morelia Michoac&aacute;n</p>
  • Paula Chacón-Valladares <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80, Servicio de Medicina Familiar. Morelia Michoac&aacute;n</p>
  • Venice Chávez-Valencia <p>Instituto Mexicano del Seguro Social, Hospital General Regional No. 1, Servicio de Nefrolog&iacute;a. Morelia Michoac&aacute;n</p>

DOI:

https://doi.org/10.24875/RMIMSS.M20000010

Keywords:

Peritoneal Dialysis, Caregivers, Health Impact Assessment

Abstract

Background: Peritoneal dialysis (PD) requires the support of a main caregiver, who can be subjected to an intense workload, and is susceptible to physical, psychological and social alterations.

Objective: To determine the prevalence of burden in primary informal caregivers of PD patients, the associated factors and their impact on patients at 12 months.

Material and mehotds: 180 caregivers were included, with an average age of 42.8 ± 13.9 years, 73.3% were women. The Zarit survey was applied to assess the degree of caregiver overload.

Results: We identified that the majority of caregivers do not present overload; however, there is a greater burden in patients with continuous ambulatory PD (CAPD), with higher overall mortality in the group with severe burden (p < 0.05). Linear regression showed an association between hours of patient care, occupation, dialysis modality, and schooling with the presence of caregiver overload (p < 0.05).

Conclusions: The burden presented by the caregiver is similar to that reported in the literature. CAPD patients whose family member has severe burden show higher global mortality at 12 months.

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Published

2020-04-13 — Updated on 2025-06-13

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