Burnout Among Caretakers of Paediatric Patient with Chronic Kidney Disease

Main Article Content

Norsarwany Mohamad
Mohd Ikram Ilias
Siti Azrin Ab Hamid
Suria Emilia Suhana Othman Tan
Siti Nur Haidar Hazlan

Abstract

Introduction: Caring for children who have chronic kidney disease (CKD) is challenging. The goal of this study was to find out the prevalence of burnout and what factors contribute to it. We also want to know the correlation be- tween caretaker’s strain and burnout. Methods: This was a cross-sectional study that involved caretakers of children with CKD. They were recruited from a university hospital in Kelantan, Malaysia. Self-administered questionnaire in Malay language comprised of Demographic Information Form, Copenhagen Burnout Inventory (CBI-M) and Care- giver Strain Index (CSI-M) was used. Results: Eighty-eight caretakers were involved in this study. The mean age of caretakers was 42 years old, majority were female (72.4%), Malay (99.0%) and Muslim (99.0%). The mean age of children with CKD was 11 years old, most of them were on medication (69.3%) and mean duration of illness was


4.6 years. The prevalence of burnout in all domains (personal, work-related, client-related) among the caretakers was 5.7%. Eight caretakers had personal burnout (9.1%) while five (5.7%) had client-related and work-related burn- out respectively. Multiple linear regression showed positive association of duration since the initial diagnosis and total ward admission within six months with total burnout score. Pearson correlation revealed a positive and fair correlation between strain and burnout. Conclusion: Prevalence of burnout among caretakers was generally low, but personal burnout outnumbered other domains. Children with CKD with longer duration of illness and more frequent ward admission are the important factors leading to burnout among caretakers. A high number of caretakers having significant strain indicated that there were possibilities of developing burnout later on.

Downloads

Download data is not yet available.

Article Details

How to Cite
Norsarwany Mohamad, Mohd Ikram Ilias, Siti Azrin Ab Hamid, Suria Emilia Suhana Othman Tan, & Siti Nur Haidar Hazlan. (2024). Burnout Among Caretakers of Paediatric Patient with Chronic Kidney Disease. Malaysian Journal of Medicine and Health Sciences, 18(4), 89–95. https://doi.org/10.47836/mjmhs18.4.13
Section
Original Articles

References

Levin AS, Bilous RW, Coresh J. Chapter 1: Definition and classification of CKD. Kidney Int Suppl. 2013

Jan;3(1):19-62. doi:10.1038/kisup.2012.64

Kaspar CD, Bholah R, Bunchman TE. A review of pediatric chronic kidney disease. Blood purification. 2016;41(1-3):211-7. doi: 10.1159/000441737

Cerqueira DC, Soares CM, Silva VR, Magalhaes JO, Barcelos IP, Duarte MG, Pinheiro SV, Colosimo EA, e Silva AC, Oliveira EA. A predictive model of progression of CKD to ESRD in a predialysis pediatric interdisciplinary program. Clinical Journal of the American Society of Nephrology. 2014 Apr 7;9(4):728-35. doi: 10.2215/CJN.06630613

Wong CS, Pierce CB, Cole SR, Warady BA, Mak RH, Benador NM, Kaskel F, Furth SL, Schwartz GJ. Association of proteinuria with race, cause of chronic kidney disease, and glomerular filtration rate in the chronic kidney disease in children study. Clinical Journal of the American Society of Nephrology. 2009 Apr 1;4(4):812-9. doi: 10.2215/ CJN.01780408

Warady BA, Abraham AG, Schwartz GJ, Wong CS, Muñoz A, Betoko A, Mitsnefes M, Kaskel F, Greenbaum LA, Mak RH, Flynn J. Predictors of rapid progression of glomerular and nonglomerular kidney disease in children and adolescents: the chronic kidney disease in children (CKiD) cohort. American Journal of Kidney Diseases. 2015 Jun 1;65(6):878-88. doi: 10.1053/j.ajkd.2015.01.008.

Tsai TC, Liu SI, Tsai JD, Chou LH. Psychosocial effects on caregivers for children on chronic peritoneal dialysis. Kidney international. 2006 Dec 1;70(11):1983-7. doi: 10.1038/sj.ki.5001811.

Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Journal of Social Work Education. 2008 Sep 1;44(sup3):105-13. doi: 10.1097/01.NAJ.0000336406.45248.4c.

World Health Organization. International classification of diseases for mortality and morbidity statistics (11th Revision).

Lindström C, Åman J, Norberg AL. Increased prevalence of burnout symptoms in parents of chronically ill children. Acta paediatrica. 2010 Mar;99(3):427-32. doi: 10.1111/j.1651-

2009.01586.x.

Merriam-Webster.com. 2020. Retrieved February

, 2021, from https://www.merriam-webster.com/ words-at-play/word-of-the-year.

Chin RW, Chua YY, Chu MN, Mahadi NF, Wong MS, Yusoff MS, Lee YY. Investigating validity evidence of the Malay translation of the Copenhagen Burnout Inventory. Journal of Taibah University Medical Sciences. 2018 Feb 1;13(1):1-9. doi: 10.1016/j.jtumed.2017.06.003.

Othman Z, SiongTeck W. Validation of Malay caregiver strain Index. Eastern Journal of Medicine. 2014 Apr 1;19(2):102-4.

Household Income and Basic Amenities Survey Report 2019, Malaysia. p 74-75.

Rashid SM, Samat N. Kemiskinan keluarga dan pengaruhnya terhadap tahap pendidikan rendah masyarakat luar bandar: Kajian kes di jajahan

Bachok, Kelantan (Family poverty and its influence on rural community low education: Case study in Bachok District, Kelantan). e-Bangi. 2018 Aug 3;15(2).

Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress. 2005 Jul 1;19(3):192-207. doi:10.1080/02678370500297720

Stressor’s stress and strain basics 08 – Wigmorising. Retrieved April 17, 2021.https://www.wigmorising. ca/wp-content/uploads/2018/05/stressors-stress- and-strain-basics-08.pdf.

Rioux JP, Narayanan R, Chan CT. Caregiver burden among nocturnal home hemodialysis patients. Hemodialysis International. 2012 Apr;16(2):214-9. doi: 10.1111/j.1542-4758.2011.00657.x

Abdullah SA, Ab razak S, Yusoff MSB, Othman A, Yahaya NA, Mohamad N. Burnout and Stressor- Related Factors among Caretaker of Children with Chronic Neurological Illness. MJPCH [Internet]. 2021Aug.24 [cited 2021Nov.19];27(2):7-18.

doi:10.51407/mjpch.v27i2.140

Isa SN, Ishak I, Ab Rahman A, Saat NZ, Din NC, Lubis SH, Ismail MF. Perceived stress and coping styles among Malay caregivers of children with learning disabilities in Kelantan. The Malaysian journal of medical sciences: MJMS. 2017 Feb;24(1):81. doi: 10.21315/mjms2017.24.1.9

Beheshtipour N, Nasirpour P, Yektatalab S, Karimi M, Zare N. The effect of educational-spiritual intervention on the burnout of the parents of school age children with cancer: a randomized controlled clinical trial. International journal of community based nursing and midwifery. 2016 Jan;4(1):90.

Lin LP, Lin JD. Job burnout amongst the institutional caregivers working with individuals with intellectual and developmental disabilities: Utilization of the Chinese version of the Copenhagen Burnout Inventory survey. Research in Autism Spectrum Disorders. 2013 Jun 1;7(6):777-84. doi:10.1016/j. rasd.2013.03.004

Jacobs LM, Nawaz MK, Hood JL, Bae S. Burnout among workers in a pediatric health care system. Workplace health & safety. 2012 Aug;60(8):335-

doi: 10.1177/216507991206000803.

Shakya D, Tuladhar J, Poudel S. Burden and depression among caregivers of hemodialysis patients. Palliat Med Care. 2017 Apr 17;4(1):1-6. doi: 10.2174/1874434602115010029

Anees M, Hameed F, Mumtaz A, Ibrahim M, Saeed KM.Dialysis-related factors affecting quality of life in patients on hemodialysis Iran J Kidney Dis. 2011;5(1):9-14.

Gérain P, Zech E. Does informal caregiving lead to parental burnout? Comparing parents having (or not) children with mental and physical issues. Frontiers in Psychology. 2018 Jun 6;9:884. doi: 10.3389/fpsyg.2018.00884