Factors Influencing Malaria Infection in Rwanda 2010: A Cross-Sectional Survey Study Using Generalized Structural Equation Modeling

Abstract

Background: Chronic diseases are one of the main causes of dependency and disability, which will cause the patient to require a caregiver at some point, consequently the prevalence of caregiver syndrome will increase. Caregiver syndrome is defined as the multidimensional response of negative appraisal and perceived stress as a result of caring for an individual with a medical condition. Objective: To determine the factors associated with caregiver syndrome in patients with chronic kidney disease on peritoneal dialysis. Methods: Cross-sectional analytical study. The variables collected were: sex, age, marital status, relationship, socioeconomic level, and hours of care per day, months of patient care, occupation, caregiver syndrome and anxiety. To know the caregiver syndrome, the questionnaire "Zarit Caregiver Scale" was applied. To establish symptoms of anxiety, the "Beck Anxiety Inventory" was used. In the bivariate analysis, odds ratio and Chi-Square with a confidence interval of 95% was implemented, a p <0.05 was considered significant. Results: Of the 69 patients in the population, 44 suffered caregiver syndrome. The grade of caregiver syndrome was: intense overload 42% and light overload 21%. Caregiver profile: 49 (71%) women with a mean age of 44 years, married. 33 (47%) caregivers are sons/daughter of the patient, 34 (49%) were working, 44 (63%) were work active, 42 (60%) caregivers spent more than 10 hours with the patient, 28 (40%) had between 1 and 6 months in this activity. 42 (60%) presented symptoms of anxiety. A significant association (p<0.05) was found between caregiver syndrome and the variables marital status, socioeconomic level, kinship, occupation, anxiety and time in care. Conclusions: The prevalence of caregiver syndrome is higher in the state of Sonora compared to the Northeast and Southeast of Mexico. The profile of the caregiver has not changed much despite the evolution over time, but the prevalence of caregiver syndrome is increasing.