10.30699/jambs.29.135.206 Background & Objective: The family caregivers of patients with chronic obstructive pulmonary disease (COPD) experience heavy caregiver burden (CB). This study investigated the effects of a multidisciplinary supportive program on CB in the family caregivers of patients with advanced COPD. Materials & Methods: This randomized field trial was conducted in the pulmonary subspecialty clinic of Birjand University of Medical Sciences, in 2019. In the present study, 92 eligible family caregivers of COPD patients were randomly allocated into intervention and control groups. The study intervention included eight sessions. Three educational sessions on COPD were held by a pulmonary disease specialist and an experienced nurse in COPD care, two educational sessions were held on coping strategies by a psychiatric nurse and three peer support sessions. CB was assessed before, immediately after and two months after the study intervention. SPSS (v. 21.0) was used for data analysis. Results: CB significantly decreased in the intervention group (P=0.01). It did not change significantly in the control group (P=0.63). Between-group differences, with respect to the mean score of CB at the baseline (P=0.66) and the first posttest (P=0.72) were not significant. The mean score of CB in the second posttest was significantly lower in the intervention group, compared to the control group (P=0.007). Conclusion: Multidisciplinary supportive program is effective in reducing CB among the family caregivers of patients with advanced COPD.
The quality of family caregiver–patient interaction plays a crucial role in the context of chronic conditions. This study investigated the effects of a caregiver educational program on interactions between family caregivers and patients with advanced chronic obstructive pulmonary disease (COPD). In this trial, 92 pairs of family caregivers and patients in a subspecialty lung care clinic located in Birjand, Iran were allocated into intervention and control groups (n = 46 per group). The intervention consisted of eight sessions, including three educational sessions on COPD, two educational sessions on coping strategies, as well as three peer support sessions. The Dyadic Relationship Scale was completed at baseline, posttest, and follow-up (2 months after intervention). For caregivers in the intervention group, positive dyadic interaction improved significantly from baseline to follow-up and from posttest to follow-up in comparison with the control group (p < 0.05). Also, for these caregivers, negative dyadic strain enhanced significantly from baseline to posttest and from baseline to follow-up as compared with those in the control group (p < 0.05). Finally, in patients of the intervention group, negative dyadic strain from baseline to follow-up and from posttest to follow-up significantly improved when compared with that of control patients (p < 0.05).
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