ASSESSMENT OF THE CORRELATION BETWEEN FAMILY BURDEN IN PRIMARY CAREGIVERS AND DISABILITY IN PATIENTS WITH SCHIZOPHRENIA

Background: Schizophrenia is one of the most devastating, and a chronic, relapsing mental illness associated with increased morbidity, poor quality of life and low recovery rates. In India, families are the major providers of long-term care and they represent an important supportive, social network for patients with schizophrenia. Indian families experience significant degrees of burden in the care of their relatives with schizophrenia. Illness severity and patients' disability have a direct positive relationship with perceived family burden. Methods: This study is a cross-sectional study, done to assess the correlation between family burden in primary caregivers and disability in patients with schizophrenia. 60 patients with schizophrenia and their primary caregivers were recruited from the outpatient and inpatient units of Department of Psychiatry, Government Rajaji Hospital, Madurai. IDEAS (Indian Disability Evaluation Assessment Scale) scale was used to assess the disability of patients with schizophrenia and BAS (Burden Assessment Schedule) of SCARF (Schizophrenia Research Foundation) was used to assess the family burden in their primary caregivers. Results: Among the 60 primary caregivers, (48.3%) were having caregiver burden between 50 and 70%. (56.4%) of female caregivers had burden range 50- 70%. (56.5%) of caregivers delivering care for patients with illness between 15 and 20 years experienced burden >70%. Statistical analysis revealed that the correlation between caregiver burden and disability was statistically significant. Conclusions: The severity of caregiver burden increases with increasing grades of disability and indicates that caregiver burden affects the overall outcome of schizophrenia Keywords: Schizophrenia, Caregiver burden, Disability, Outcome

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A Cross-Sectional Study on the Impacts of Perceived Job Value, Job Maintenance, and Social Support on Burnout among Long-Term Care Staff in Hawaii

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020476 ◽

2021 ◽

Vol 18 (2) ◽

pp. 476

Author(s):

Bum Jung Kim ◽

Sun-young Lee

Keyword(s):

Social Support ◽

Long Term Care ◽

Cross Sectional Study ◽

Care Staff ◽

Hierarchical Regression ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

The Impact

Extensive research has demonstrated the factors that influence burnout among social service employees, yet few studies have explored burnout among long-term care staff in Hawaii. This study aimed to examine the impact of job value, job maintenance, and social support on burnout of staff in long-term care settings in Hawaii, USA. This cross-sectional study included 170 long-term care staff, aged 20 to 75 years, in Hawaii. Hierarchical regression was employed to explore the relationships between the key independent variables and burnout. The results indicate that staff with a higher level of perceived job value, those who expressed a willingness to continue working in the same job, and those with strong social support from supervisors or peers are less likely to experience burnout. Interventions aimed at decreasing the level of burnout among long-term care staff in Hawaii may be more effective through culturally tailored programs aimed to increase the levels of job value, job maintenance, and social support.

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Preferences in long-term care models and related factors among older adults: a cross-sectional study from Shandong Province, China

European Journal of Ageing ◽

10.1007/s10433-020-00595-2 ◽

2021 ◽

Author(s):

Hongjuan Liu ◽

Lingzhong Xu ◽

Hailing Yang ◽

Yan Zhao ◽

Xiaorong Luan

Keyword(s):

Older Adults ◽

Long Term Care ◽

Cross Sectional Study ◽

Shandong Province ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Term Care ◽

Care Models

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Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany

Journal of Public Health ◽

10.1093/pubmed/fdab081 ◽

2021 ◽

Author(s):

Timo-Kolja Pförtner ◽

Holger Pfaff ◽

Kira Isabel Hower

Keyword(s):

Online Survey ◽

Long Term Care ◽

Intention To Leave ◽

Cross Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Care Managers ◽

Care Facilities ◽

Inpatient Nursing

Abstract The Corona pandemic poses major demands for long-term care, which might have impacted the intention to quit the profession among managers of long-term care facilities. We used cross-sectional data of an online survey of long-term care managers from outpatient and inpatient nursing and palliative care facilities surveyed in April 2020 (survey cycle one; n = 532) and between December 2020 and January 2021 (survey cycle two; n = 301). The results show a significant association between the perceived pandemic-specific and general demands and the intention to leave the profession. This association was significantly stronger for general demands in survey cycle two compared with survey cycle one. The results highlight the pandemic’s immediate impact on long-term care. In view of the increasing number of people in need of care and the already existing scarcity of specialized nursing staff, the results highlight the need for initiatives to ensure the provision of long-term care, also and especially in such times of crisis.

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Correction: Technical-efficiency analysis of end-of-life care in long-term care facilities within Europe: A cross-sectional study of deceased residents in 6 EU countries (PACE)

PLoS ONE ◽

10.1371/journal.pone.0208199 ◽

2018 ◽

Vol 13 (11) ◽

pp. e0208199 ◽

Cited By ~ 1

Author(s):

Anne B. Wichmann ◽

Eddy M. M. Adang ◽

Kris C. P. Vissers ◽

Katarzyna Szczerbińska ◽

Marika Kylänen ◽

...

Keyword(s):

End Of Life Care ◽

Long Term Care ◽

Cross Sectional Study ◽

Efficiency Analysis ◽

Life Care ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Care Facilities

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Physician Visits and Recognition of Residents' Terminal Phase in Long-Term Care Facilities: Findings From the PACE Cross-Sectional Study in 6 EU Countries

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2018.08.015 ◽

2019 ◽

Vol 20 (6) ◽

pp. 696-702.e1 ◽

Cited By ~ 6

Author(s):

M.G. Oosterveld-Vlug ◽

H.R.W. Pasman ◽

M. ten Koppel ◽

H.P.J. van Hout ◽

J.T. van der Steen ◽

...

Keyword(s):

Long Term Care ◽

Cross Sectional Study ◽

Terminal Phase ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Physician Visits ◽

Eu Countries ◽

Care Facilities

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Oral health status among long-term hospitalized adults: A cross sectional study.

10.7287/peerj.preprints.178 ◽

2013 ◽

Author(s):

Leon Bilder ◽

Nirit Yavnai ◽

Avi Zini

Keyword(s):

Health Status ◽

Oral Health ◽

Cross Sectional Study ◽

Oral Health Status ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Plaque Score ◽

Dental Professional

Background: Many Long-Term Care (LTC) patients suffer from dental neglect due to difficulties in achieving appropriate dental professional care; although oral health has important influence on the quality of life among them. Dental care of the long term institutionalized adults is often limited to emergency and first aid care and there is insufficient data regarding oral health status in this population.Objectives: To describe the oral health status of the long-term hospitalized adults. Materials and methods: A cross-sectional study including clinical oral examinations was carried out among institutionalized LTC patients aged 18 and older in a geriatric - psychiatric Hospital in Israel. Main outcome measures were: edentulousness, presence of dentures, mucosal findings, number of teeth, number of functional teeth, level of dental hygiene and, dental caries. Results: Subjects’ mean age was 65 years; 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Only 17.2% were caries free. Females had significantly higher number of caries cavitation than men (p=0.044). The number of caries cavitation was higher among patients with higher plaque scores (p<0.001) and when taking Clonex (p=0.018). Number of residual teeth in mouth was higher in the low plaque score group (p<0.001). Carious teeth percentage was higher among the high plaque score group (p<0.001)

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Depression and empathy in health professionals who work in the long-term care institutions for older adults

Dementia & Neuropsychologia ◽

10.1590/1980-57642021dn15-030011 ◽

2021 ◽

Vol 15 (3) ◽

pp. 381-386

Author(s):

Marina Miranda Borges ◽

Ana Julia de Lima Bomfim ◽

Marcos Hortes Nisihara Chagas

Keyword(s):

Older Adults ◽

Health Professionals ◽

Long Term Care ◽

Cross Sectional Study ◽

Reactivity Index ◽

Cross Sectional ◽

Term Care ◽

Patient Health ◽

The Relationship

ABSTRACT Empathy is an important factor to guarantee the quality of care provided in the long-term care institutions (LTCIs) for older adults, and depression is a factor that affects the health of the professional and, consequently, the care. Thus, it is important that studies are conducted on the relationship of these variables in this context. Objective: The aim of this study is to verify the relationship between empathy and depressive symptoms among health professionals working in the LTCIs. Methods: A cross-sectional study was carried out at LTCIs in the state of São Paulo, Brazil. The final sample was constituted by 101 health professionals (i.e., caregivers and nursing technicians) with direct participation in the care of institutionalized older adults. The instruments were used as follows: the Interpersonal Reactivity Index (IRI) to assess empathy and the Patient Health Questionnaire-9 (PHQ-9) for the diagnosis of depression. For the analyses, the patients were divided into groups with and without depression, according to the score of the PHQ-9. Results: The prevalence of depression among health professionals was 19.8%. Significant statistical differences were found between the groups for the total score of the IRI (p=0.029), for the emotional domain (p=0.023), and for the personal distress (p=0.009). Conclusions: The findings indicate that the presence of depression among health professionals at LTCIs is related to the higher levels of empathy, especially in the emotional domain. Thus, future studies that contribute to understanding how care must be provided with empathy, but without harming the health of the professional, should be carried out.

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Household hygiene advice for patients with Clostridium difficile: Summary of hospital practice in Ontario, Canada

Canadian Journal of Infection Control ◽

10.36584/cjic.2019.009 ◽

2019 ◽

pp. 85-92

Author(s):

Catherine Egan ◽

Andria Jones-Bitton ◽

Jan Sargeant ◽

J Scott Weese

Keyword(s):

Clostridium Difficile ◽

Online Survey ◽

Recurrent Infection ◽

Cross Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Healthcare Settings ◽

Hospital Patients ◽

Household Environment

Background: While Clostridium difficile infection is a significant concern in healthcare settings, there is increasing evidence that transmission does not solely occur in hospitals and long-term care homes. Hospital patients are regularly discharged home following or during treatment, and it is likely that many excrete spores into their household environment, posing risks of reinfection to themselves and transmission of spores to others. Hence, recommendations on household hygiene might be important for control of C. difficile. The objective of this study was to investigate the information provided by Ontario hospitals to patients who have laboratory-confirmed symptomatic C. difficile infection with respect to household hygiene advice once they are discharged from hospital. Methods: This cross-sectional study was conducted between January and August 2018 and included an anonymous online survey, a website scan of Ontario hospitals, and a content analysis of information provided to patients on discharge. The survey was distributed to practicing infection control professionals in Ontario hospitals through the IPAC Canada listserv. One response per hospital corporation was accepted. Results: Responses were obtained from 46/145 (32%) Ontario hospital corporations. The majority (30/46; 65%) of respondents indicated they personally believed the household environment was important or very important in the transmission of C. difficile. Almost half (22/46; 48%) of respondents reported that their hospital had a policy to provide household hygiene advice to patients when discharged home. However, analysis of 31 hospital information sheets from the website scan identified that 27/31 (88%) contained a statement that suggested there is little risk of transmission in households, and only 2/31 (6.5%) provided the specific dilution of bleach that is known to be sporicidal. Conclusion: The household hygiene advice provided by Ontario hospitals downplayed the likelihood of transmission of C. difficile spores in household environments and described a level of hygiene that is likely inadequate to prevent transmission of C. difficile spores in the home. This may contribute to recurrent infection and colonization of household contacts.

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