Relationship Between Caregiver Burden and Cognitive Impairment in Adult Patients with Type 2 Diabetes

Abstract

Introduction: Caregivers play a critical role in health management of patients with chronic diseases. Caregiving is associated with experiencing different emotional and psychological problems. Objective: This study aims to determine the relationship between caregiver burden and cognitive function in adult patients with Type 2 Diabetes (T2D). Materials and Methods: In this cross-sectional study, 215 family caregivers of adult patients with T2D were selected by a systematic random sampling method. A socio-demographic form, the Caregiver Burden Inventory (CBI), and the Mini-Mental State Examination (MMSE) were used for data collection. Data were analyzed using Kruskal-Wallis test, Spearman’s rho correlation test. The multinomial logistic regression model was used to examine the power of Cognitive Impairment (CI) in predicting the caregiver burden. P<0.05 was considered as the statistically significance level. Results: The mean age of caregivers and patients were 48±9 and 52±2 years, respectively. The mean score of CBI was 24.57±18.2, indicating a moderate level of caregiver burden. The mean score of MMSE was 25.25±3.6, indicating a mild CI in patients. Caregiver burden showed a significant correlation with cognitive function (r=-0.336, 95% CI; 0.53–0.89, P=0.001) such that the decreased CI was associated with an increase in total caregiver burden (r=-0.348, 95% CI; 0.43–0.87, P=0.001). The regression results showed that the CI levels were not predictors of caregiver burden severity. Conclusion: The CI of patients with T2D may affect their caregivers’ burden. Therefore, assessing the cognitive function of these patients can help healthcare providers conduct interventions to enhance the caregivers’ quality of life.

Competencia del cuidar y sobrecarga del cuidador de la persona con enfermedad crónica hospitalizada

“…Likewise, they describe a correlation between the knowledge dimension and overburden. It is important to recognize that the caregiver does his own functions in solitude with low knowledge of them and without a familiar or healthcare system support leading to a tension and a great emotional burden, putting them at risk of becoming sick (32)(33)(34). During this process caregivers go through three stages: the first is intense, when they prepare to become a caregiver; in the second, they learn the routine and adapt to changes; and in the third, they feel they are competent to perform their duties, finding a purpose for their work and self-care (28).…”

The Burden of Family Caregivers in the Care of Type 2 Diabetes Mellitus Patients: A Literature Review

“…The Relationship Between Caring Burden and Quality Of Life in Caregiver of Type 2 Diabetes Mellitus (Mirhosseini et al, 2020) To investigate the burden of care and its relationship to quality of life in caregivers of diabetic patients There was a significant inverse correlation between the average score of care burden and the quality of life of family caregiver (Javanmardifard et al, 2022).…”