Caregivers burden and needs in community neurorehabilitation.

Abstract

OBJECTIVE: The aim of this study was to analyse the burden on caregivers of chronic neurological patients taking part in community neurorehabilitation programmes, and to describe caregivers' socio-demographic features and needs. SUBJECTS: A total of 118 pairs of chronic neurological patients and their caregivers. METHODS: Caregivers completed the Caregiver Burden Inventory, the Beck Depression Inventory, and an ad hoc socio-demographic questionnaire. The EuroQol-5D was used to measure patients' quality of life. Patients' cognitive status and functional independence status were assessed using the Mini-Mental State Examination and Barthel Index, respectively. RESULTS: Data from 105 patient-caregiver pairs were analysed. The majority of caregivers (mean age 63.01 ± 12.3 years) were women (58%); 72% were spouses/partners. The burden of care was distributed across the 5 domains of the Caregiver Burden Inventory as follows: objective burden (34%), developmental burden (25%), physical burden (22%), social burden (10%), emotional burden (9%). Care burden correlated negatively with patient's functional independence (p = 0.008) and quality of life (p = 0.000) and positively with caregiver depression (p = 0.000). Of the caregivers, 65.7% requested interventions aimed at reducing their burden. CONCLUSION: There is a need to define structured interventions for assessing, preventing or managing problems related to stressful caregiving situations across the care continuum.