Caregiver Burden Among Patients Receiving Anti-VEGF Intravitreal Injections for AMD and DR: A Cross-Sectional Study in Guangzhou.

Clinical ophthalmology (Auckland, N.Z.) Pub Date : 2025-08-30 eCollection Date: 2025-01-01 DOI:10.2147/OPTH.S533237
Tingting Lin, Shuang Luo, Chufen Zhuang, Huiming Xiao, Xiaoyan Ding, Shuiling Li
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Abstract

Purpose: To evaluate the caregiver burden and its associated factors among patients receiving anti-VEGF intravitreal injections for age-related macular degeneration (AMD) and diabetic retinopathy (DR) in a tertiary hospital in Guangzhou, China.

Methods: This cross-sectional study recruited 88 patients who received intravitreal anti-VEGF injections and their primary caregivers. Patients completed the Activities of Daily Living (ADL) scale, while caregivers completed the Zarit Burden Interview (ZBI) and the Connor-Davidson Resilience Scale (CD-RISC). One-way ANOVA and Pearson correlation analysis were conducted to assess the associations between patient function, caregiver burden, and related sociodemographic factors.

Results: The mean ADL score of patients was 18.99 ± 8.34, while the mean caregiver burden score was 18.22 ± 18.04. A significant positive correlation was found between the patient's ADL score and caregiver burden (r = 0.405, p < 0.01). Caregivers who were employed part-time or not cohabiting with patients reported significantly higher burden scores (p = 0.034 and p = 0.03, respectively). Additionally, the caregiver burden among DR patients was higher than among AMD patients (p = 0.026).

Conclusion: Significant caregiver burden exists among those assisting patients receiving intravitreal injections, especially for DR patients and those with reduced ADL function. Caregiver availability and living arrangements should be considered in the design of follow-up schedules to improve treatment adherence and outcomes.

在广州接受抗vegf玻璃体内注射治疗AMD和DR患者的护理负担:一项横断面研究
目的:评估广州某三级医院年龄相关性黄斑变性(AMD)和糖尿病视网膜病变(DR)患者接受抗vegf玻璃体内注射的护理人员负担及其相关因素。方法:这项横断面研究招募了88名接受玻璃体内抗vegf注射的患者及其主要护理人员。患者完成日常生活活动(ADL)量表,护理人员完成Zarit负担访谈(ZBI)和Connor-Davidson弹性量表(CD-RISC)。采用单因素方差分析和Pearson相关分析来评估患者功能、照顾者负担和相关社会人口因素之间的关系。结果:患者平均ADL评分为18.99±8.34分,平均照顾者负担评分为18.22±18.04分。患者的ADL评分与照顾者负担呈显著正相关(r = 0.405, p < 0.01)。兼职或不与患者同居的护理人员报告了更高的负担评分(p = 0.034和p = 0.03分别)。此外,DR患者的照顾者负担高于AMD患者(p = 0.026)。结论:协助接受玻璃体内注射的患者存在明显的护理负担,尤其是DR患者和ADL功能降低的患者。在设计随访计划时应考虑护理人员的可用性和生活安排,以改善治疗依从性和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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