Objective: This study aimed to examine the care burden and stress levels of companions of elderly patients undergoing open heart surgery. Material and Methods: This descriptive and cross-sectional study was carried out in a university hospital with 44 companions giving care to elderly patients who underwent open heart surgery. Data were collected using a questionnaire which was prepared by the researchers and consists of four parts. The first part includes a patient introduction form and the second part includes a companion introduction form. The third and fourth parts consist of the Burden Interview and the Caregiver Strain Index. Research data were collected by face-to-face interview method. Descriptive statistics, independent sample t-test, one-way analysis of variance, and correlation analyses were used for data analysis. Results: The mean age of the companions included in the study was 51.50±13.2 (minimum: 28, maximum: 74). Of the companions, 77.3% were female; 84.1% were married; 40.9% were the spouses of the patients; 34.1% were literate, primary-secondary school graduates, and high school graduates; 45.5% were housewives. The mean Burden Interview score was 30.34±11.92 and the mean Caregiver Strain Index score was 5.65±3.62. There was a positive statistically significant correlation between the mean Burden Interview score and the mean Caregiver Strain Index scores (r=0.744, p=0.000). Conclusion: This study showed that an increase in care burden cause an increase in stress.
Keywords: Caregiver burden; cardiac surgery; stress; elderly
Amaç: Bu çalışmanın amacı, açık kalp cerrahisi geçiren yaşlı hastaların refakatçilerinin bakım yükü ve stres durumlarını incelemektir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipte olan bu çalışma bir üniversite hastanesinde açık kalp cerrahisi geçirmiş yaşlı hastalara bakım veren 44 refakatçi ile yürütüldü. Verilerin toplanmasında araştırmacılar tarafından hazırlanan 4 bölümden oluşan soru kâğıdı kullanıldı. Birinci bölümde hasta tanıtım formu, ikinci bölümde refakatçi tanıtım formu yer alırken üçüncü bölümde Bakım Verme Yükü Ölçeği ve dördüncü bölümde de Bakım Verenin Stres Ölçeği yer almakta idi. Araştırma verileri yüz yüze görüşme yöntemi ile toplandı. Verilerin analizinde tanımlayıcı istatistikler, bağımsız örneklem t-testi, tek yönlü varyans analizi ve korelasyon analizleri kullanıldı. Bulgular: Araştırma kapsamına alınan refakatçilerin yaş ortalaması 51,50±13,2'dir (minimum: 28, maksimum: 74). Refakatçilerin %77,3'ü kadın, %84,1'i evli, %40,9'u hastanın eşi, %34,1'i okuryazar-ilköğretim ve ortaöğretimlise mezunu ve %45,5'i ev hanımıdır. Bakım Verme Yükü Ölçeği puan ortalaması 30,34±11,92 iken Bakım Verenin Stres Ölçeği puan ortalaması 5,65±3,62'dir. Bununla birlikte Bakım Verme Yükü Ölçeği puan ortalaması ile Bakım Verenin Stres Ölçeği puan ortalaması arasında pozitif yönlü istatistiksel olarak anlamlı (r=0,744, p=0,000) bir ilişki bulundu. Sonuç: Bu çalışma, bakım yükünün artmasının stresi artırdığını gösterdi.
Anahtar Kelimeler: Bakıcı yükü; kardiyak cerrahisi; stres; yaşlı
- National Institute on Aging (NIA), World Health Organization (WHO). Global Health and Aging. (2011). Accessed: 20.01.2023 Available from: [Link]
- Türkiye İstatistik Kurumu [İnternet]. [Erişim tarihi: 19 Ocak 2021]. İstatistiklerle Yaşlılar, 2019. Erişim linki: [Link]
- Wiedemann D, Bernhard D, Laufer G, Kocher A. The elderly patient and cardiac surgery - a mini-review. Gerontology. 2010;56(3):241-9. [Crossref] [PubMed]
- Yaffee DW, Williams MR. Cardiovascular surgery in the elderly. Semin Thorac Cardiovasc Surg. 2016;28(4):741-7. [Crossref] [PubMed]
- Yazdanyar A, Newman AB. The burden of cardiovascular disease in the elderly: morbidity, mortality, and costs. Clin Geriatr Med. 2009;25(4):563-77, vii. [Crossref] [PubMed] [PMC]
- Speziale G, Nasso G, Barattoni MC, Esposito G, Popoff G, Argano V, et al. Short-term and long-term results of cardiac surgery in elderly and very elderly patients. J Thorac Cardiovasc Surg. 2011;141(3):725-31, 731.e1. [Crossref] [PubMed]
- Senst B, Basit H, Diaz RR. Cardiac surgery. StatPearls. 2018. Available from: [Link]
- Zoghi M. Yaşlılarda kardiyovasküler fonksiyonlar [Cardiovascular functions in the elderly]. Turk Geriatri Derg. 2010;13(2):1-4. [Link]
- Watters JM. Surgery in the elderly. Can J Surg. 2002;45(2):104-8. [PubMed] [PMC]
- Katlic MR. Principles of geriatric surgery. Cardiothoracic Surgery in the Elderly. 1st ed. New York: Springer; 2011. p.25-42. [Crossref]
- Bastawrous M. Caregiver burden--a critical discussion. Int J Nurs Stud. 2013;50(3):431-41. [Crossref] [PubMed]
- Janssen TL, Lodder P, de Vries J, van Hoof-de Lepper CCHA, Gobardhan PD, Ho GH, et al. Caregiver strain on informal caregivers when providing care for older patients undergoing major abdominal surgery: a longitudinal prospective cohort study. BMC Geriatr. 2020;20(1):178. [Crossref] [PubMed] [PMC]
- Bjørnnes AK, Moons P, Parry M, Halvorsen S, Tønnessen T, Lie I. Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies. BMJ Open. 2019;9(11):e032751. [Crossref] [PubMed] [PMC]
- Vellone E, Fida R, Cocchieri A, Sili A, Piras G, Alvaro R. Positive and negative impact of caregiving to older adults: a structural equation model. Prof Inferm. 2011;64(4):237-48. [PubMed]
- Ekwall AK, Hallberg IR. The association between caregiving satisfaction, difficulties and coping among older family caregivers. J Clin Nurs. 2007;16(5):832-44. [Crossref] [PubMed]
- Zarit SH. Assessment of family caregivers: a research perspective. Report from a National Consensus Development Conference: Caregiver Assessment: Voices and Views from the Field. Vol. 2. II. San Francisco: Family Caregiver Alliance; 2006. p.12-37.
- Parks SM, Novielli KD. A practical guide to caring for caregivers. Am Fam Physician. 2000;62(12):2613-22. [PubMed]
- Lidell E. Family support--a burden to patient and caregiver. Eur J Cardiovasc Nurs. 2002;1(2):149-52. [Crossref] [PubMed]
- Lin PC, Lu CM. Hip fracture: family caregivers' burden and related factors for older people in Taiwan. J Clin Nurs. 2005;14(6):719-26. [Crossref] [PubMed]
- Lai DW. From burden to depressive symptoms: the case of Chinese-Canadian family caregivers for the elderly. Soc Work Health Care. 2009;48(4):432-49. [Crossref] [PubMed]
- Pearlin LI. The sociological study of stress. J Health Soc Behav. 1989;30(3):241-56. [Crossref] [PubMed]
- Honea NJ, Brintnall R, Given B, Sherwood P, Colao DB, Somers SC, et al. Putting Evidence into Practice: nursing assessment and interventions to reduce family caregiver strain and burden. Clin J Oncol Nurs. 2008;12(3):507-16. [Crossref] [PubMed]
- Kneeshaw MF, Considine RM, Jennings J. Mutuality and preparedness of family caregivers for elderly women after bypass surgery. Appl Nurs Res. 1999;12(3):128-35. [Crossref] [PubMed]
- Ariza-Vega P, Ortiz-Pi-a M, Kristensen MT, Castellote-Caballero Y, Jiménez-Moleón JJ. High perceived caregiver burden for relatives of patients following hip fracture surgery. Disabil Rehabil. 2019;41(3):311-8. [Crossref] [PubMed]
- Halm MA, Treat-Jacobson D, Lindquist R, Savik K. Correlates of caregiver burden after coronary artery bypass surgery. Nurs Res. 2006;55(6):426-36. [Crossref] [PubMed]
- Robley L, Ballard N, Holtzman D, Cooper W. The experience of stress for open heart surgery patients and their caregivers. West J Nurs Res. 2010;32(6):794-813. [Crossref] [PubMed]
- Zarit SH, Zarit JM. The Memory and Behavior Problems Checklist and the Burden Interview. University Park, PA: Pennsylvania State University Gerontology Center; 1990.
- İnci FH, Erdem M. Bakım Verme Yükü Ölçeği'nin Türkçe'ye uyarlanması geçerlilik ve güvenilirliği [Validity and reliability of the Burden Interview and its Adaptation to Turkish]. Journal of Anatolia Nursing and Health Science. 2006;11(4):85-95. [Link]
- Robinson BC. Validation of a Caregiver Strain Index. J Gerontol. 1983;38(3):344-8. [Crossref] [PubMed]
- Uğur O. Onkoloji hastasına evde bakım verenlerin bakım yükünün incelenmesi [Doktora tezi]. İzmir: Ege Üniversitesi; 2006. Accessed: 20.01.2023 Available from: [Link]
- Fuhrmann AC, Becker Kottwitz Bierhals CC, dos Santos NO, Paskulin LM. Associação entre a capacidade functional de idosos dependents e a sobrecarga do cuidador familiar [Association between the functional capacity of dependent elderly people and the burden of family caregivers]. Rev Gaucha Enferm. 2015;36(1):14-20. Portuguese. [Crossref] [PubMed]
- Xiao P, Zhou Y. Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study. J Orthop Surg Res. 2020;15(1):234. [Crossref] [PubMed] [PMC]
- Luo J, Zhou Y, Liu H, Hu J. Factors related to the burden of family caregivers of elderly patients with spinal Tumours in Northwest China. BMC Neurol. 2020;20(1):69. [Crossref] [PubMed] [PMC]
- Desbiens NA, Mueller-Rizner N, Virnig B, Lynn J. Stress in caregivers of hospitalized oldest-old patients. J Gerontol A Biol Sci Med Sci. 2001;56(4):M231-5. [Crossref] [PubMed]
- Santos-García D, de la Fuente-Fernández R. Factors contributing to caregivers' stress and burden in Parkinson's disease. Acta Neurol Scand. 2015;131(4):203-10. [Crossref] [PubMed]
- Shanmugam RS, Vanaja R, Rajathi S. The relationship between strain and burden among caregivers of cancer survivors. IJAR. 2016;2(5):20-3. [Link]
.: Process List