The relationship between care burden and coping strategies in caregivers of hemodialysis patients in Kermanshah, Iran

Abstract

Objective: The purpose of this study was to investigate the relationship between care burden and coping strategies in caregivers of hemodialysis patients. Methods: This cross-sectional survey was conducted from September to December 2018 in Kermanshah, Iran. A total of 130 caregivers of patients admitted to the hemodialysis wards of Imam Reza and Imam Khomeini hospitals of Kermanshah, Iran were selected via convenience sampling. Data-collection tools included a demographic information form, caregiver-burden inventory, and coping inventory for stressful situations. Data were analyzed using descriptive and analytical tests. Results: The mean age of the caregivers was 35.8±13.7 years, and 71 (54.6%) were patients’ children. The mean caregiver-burden score was 58.5±20.5 out of 96. Mean scores of timedependent, evolutionary, physical, social, and emotion-dependent care burdens were 17.5 ±5.3, 12.2±6.3, 9.1±4.7, 8.2±4.0, and 11.4±5.1, respectively. Mean scores of problemfocused, emotion-focused, and avoidance-oriented coping strategies were 46.0±80.8, 43.1 ±9.0, and 48.9±9.5, respectively. Among the strategies, only the avoidance-oriented one had a significant positive relationship with total care burden and all its subscales. Conclusion: Caregivers of hemodialysis patients experienced a relatively high care burden. However, they did not use appropriate coping strategies; therefore, they should be trained to select an effective coping strategy.