Caregiver Burden in Substance Use Disorders Patients

Md. Jasim Uddin, Md. Sabiruzzaman Md. Sabiruzzaman, Rezwana Habiba, Basudeb Chandra Pal, R. K. S. Royle, Ahmed Riad Chowdhury, Muhammad Kabir Hasan Parvez, Md. Rofiqul Islam, Krishna Roy, Kazi Farah Firoz, S. M. Z. Islam
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Abstract

Background: Substance Use Disorders (SUDs) impose significant challenges not only on individuals grappling with addiction but also on the caregivers who provide support and care. The caregiving role is associated with multifaceted burdens that require understanding and targeted interventions. Recognizing the diverse dimensions of caregiver burden is crucial for offering effective support. Objective: The study aimed to find out the caregiver burden in substance use disorder patients, examining severity and socio-demographic correlations, contributing insights into effective support strategies. Methodology: The cross-sectional observational study took place at Sylhet MAG Osmani Medical College's Psychiatry Department and a private psychiatric and drug rehabilitation center in Sylhet from September 1, 2018, to August 31, 2020. The research focused on substance use disorder patients and their caregivers, involving 50 eligible patients selected through inclusion and exclusions criteria. Diagnoses followed DSM IV criteria. Socio-demographics were gathered via semi-structured questionnaires. Caregiver burden was assessed using the Bengali Zarit Burden Interview (ZBI) scale through approximately hour-long interviews, with 1-2 daily. Ethical procedures encompassed informed consent and confidentiality assurance. Result: The study included 50 male participants. Patients mean age was 31.92 (±8.21) and caregivers mean age was 41.68 (±12.89). Mainly, caregivers were mothers (40%) and wives (34%). Caregivers experiencing moderate to severe burden were 58%, mild to moderate burden were 26%, and severe burden were 16%. Mean ZBI score was 48.22±13.55. Higher burden correlated with illiteracy, low family income, excessive drug spending, prolonged substance use, and multiple drug usage. Alcohol users faced more burden than other substance users. Female caregivers, younger age, and housewives experienced heightened burden. No burden links were found with marital status, habitat, religion, family type, or drug administration method. Conclusion: This study concluded that Substance use heightens caregiver burden, notably among female, young, and housewife caregivers. Addressing these trends is vital for effective care of substance use
药物使用障碍患者的护理负担
背景:药物使用失调症(SUD)不仅给戒毒者带来了巨大的挑战,也给提供支持和护理的照顾者带来了巨大的挑战。照顾者的角色与多方面的负担有关,需要对其进行了解并采取有针对性的干预措施。认识到照顾者负担的不同层面对于提供有效的支持至关重要。研究目的本研究旨在了解药物使用障碍患者的照顾者负担,研究其严重程度与社会人口学的相关性,为有效的支持策略提供见解。研究方法这项横断面观察性研究于 2018 年 9 月 1 日至 2020 年 8 月 31 日在锡尔赫特 MAG Osmani 医学院精神病学系和锡尔赫特一家私人精神病学和戒毒康复中心进行。研究重点关注药物使用障碍患者及其护理人员,通过纳入和排除标准筛选出 50 名符合条件的患者。诊断遵循 DSM IV 标准。通过半结构式问卷收集社会人口统计数据。使用孟加拉语 Zarit 负担访谈(ZBI)量表对照顾者的负担进行评估,访谈时间约为一小时,每天 1-2 次。伦理程序包括知情同意和保密保证。研究结果研究包括 50 名男性参与者。患者平均年龄为 31.92 (±8.21)岁,护理人员平均年龄为 41.68 (±12.89)岁。照顾者主要是母亲(40%)和妻子(34%)。中度至重度负担的护理者占 58%,轻度至中度负担的护理者占 26%,重度负担的护理者占 16%。平均 ZBI 得分为 48.22±13.55。较高的负担与文盲、家庭收入低、药物支出过多、长期使用药物和使用多种药物有关。与其他药物使用者相比,酒精使用者面临的负担更重。女性照顾者、年轻女性和家庭主妇的负担更重。没有发现负担与婚姻状况、居住地、宗教信仰、家庭类型或给药方式有关。结论本研究得出结论:使用药物会加重护理人员的负担,尤其是女性、年轻护理人员和家庭主妇。应对这些趋势对于有效护理药物滥用者至关重要。
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