Quality of Life and Associated Factors Among Primary Caregivers of People Living with Mental Illness in Ethiopia: A Cross-Sectional Study.

IF 2.5 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2025-09-24 eCollection Date: 2025-01-01 DOI:10.1177/11786329251374243
Abinet Zewudie, Gari Hunduma, Mandaras Tariku, Dawud Wedaje, Hamdi Fekredin Zakaria, Abdi Temesgen, Dawit Abdi, Hirko Assefa, Rudwan Yasin
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Abstract

Background: Mental illness is a widespread issue that affects millions of people worldwide. Its impact is not only limited to the individuals suffering from it but also extends to their families and communities. Caregivers suffer physically, psychologically, and socially twice than general population related to care giving process.

Methods: An institutional-based cross-sectional study design was employed from January 21 to February 21, 2024, at public hospitals in Harari Regional State and Dire Dawa City Administrative; 437 primary caregivers were selected via a systematic sampling technique. Data were collected using interview-administered questionnaires. Simple and multiple linear regression analysis were used to assess the contributing factors of quality of life domains among the participants, and the ꞵ-coefficient with a 95% confidence interval was used. Statistical significance was accepted at a P-value < .05.

Results: A total of 421 respondents participated, for a response rate of 96.3%. The results found that the mean quality of life scores of caregivers of people living with mental illness for each domain (mean ± SD) were 58.05 ± 18.81, 57.29 ± 16.28, 51.19 ± 23.12, and 53.04 ± 16.13, for physical, psychological, social and environmental factors, respectively. Multiple regression analysis revealed that the caregiver's educational status, depression, perceived stigma, perceived burden and patient's diagnosis were negatively associated with all domains of quality of life, whereas the caregiver's resilience and social support were strongly positively associated with all domains of quality of life.

Conclusion: Caregivers' quality of life found to be low across the four domains of quality of life, with the lowest score in the social domain. Resilience and social support found to plays a positive role in the quality of life of caregivers. Regular evaluation of risky caregivers, and psycho-support are crucial to address these challenges and improve caregivers' well-being.

生活质量和相关因素在埃塞俄比亚精神疾病患者的主要照顾者:一项横断面研究
背景:精神疾病是一个广泛存在的问题,影响着全世界数百万人。它的影响不仅限于受其折磨的个人,而且还延伸到他们的家庭和社区。照护者在身体、心理和社会上承受的痛苦是一般人群的两倍。方法:采用基于机构的横断面研究设计,于2024年1月21日至2月21日在哈拉里州和迪勒达瓦市政府的公立医院进行研究;通过系统抽样技术选择了437名初级护理人员。数据采用访谈式问卷收集。采用简单线性回归分析和多元线性回归分析评估各参与者生活质量域的影响因素,并采用ꞵ-系数,置信区间为95%。结果:共有421名受访者参与调查,回复率为96.3%。结果发现,精神疾病患者照护者在生理、心理、社会和环境方面的平均生活质量得分分别为58.05±18.81、57.29±16.28、51.19±23.12和53.04±16.13。多元回归分析显示,照顾者的受教育程度、抑郁程度、污名感、负担感和患者诊断与生活质量各领域呈负相关,而照顾者的复原力和社会支持与生活质量各领域呈显著正相关。结论:照顾者的生活质量在四个生活质量领域均较低,其中社交领域得分最低。心理弹性和社会支持对照顾者的生活质量起着积极的作用。对有风险的照护者进行定期评估和提供心理支持对于应对这些挑战和改善照护者的福祉至关重要。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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