Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation

Introduction. Severe acquired brain injury (sABI) is considered the most common cause of death and disability worldwide. sABI patients are supported by their caregivers who often exhibit high rates of psychological distress, mood disorders, and changes in relationship dynamics and family roles. Obje...

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Main Authors: M. D’Ippolito, M. Aloisi, E. Azicnuda, D. Silvestro, M. Giustini, F. Verni, R. Formisano, U. Bivona
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:BioMed Research International
Online Access:http://dx.doi.org/10.1155/2018/2824081
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spelling doaj-f91740e0221b47eea7e977497c82c9f12020-11-24T21:23:49ZengHindawi LimitedBioMed Research International2314-61332314-61412018-01-01201810.1155/2018/28240812824081Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary InvestigationM. D’Ippolito0M. Aloisi1E. Azicnuda2D. Silvestro3M. Giustini4F. Verni5R. Formisano6U. Bivona7Post-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyPost-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyPost-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyPost-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyEnvironmental and Social Epidemiology Unit, National Institute of Health, Rome, ItalyNeuropsychological Rehabilitation Service, IRCCS Fondazione Santa Lucia, Rome, ItalyPost-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyPost-Coma Unit, IRCCS Fondazione Santa Lucia, Rome, ItalyIntroduction. Severe acquired brain injury (sABI) is considered the most common cause of death and disability worldwide. sABI patients are supported by their caregivers who often exhibit high rates of psychological distress, mood disorders, and changes in relationship dynamics and family roles. Objectives. To explore lifestyle changes of caregivers of sABI patients during the postacute rehabilitation, by investigating possible differences between primary and secondary caregivers. Primary caregivers spend most of the time with the patient, providing daily care and taking most responsibility for the day-to-day decisions, while secondary caregivers are those who provide additional support. Methods. Three hundred forty-seven caregivers of sABI patients were asked to fill in an unpublished self-report questionnaire to explore their possible lifestyles changes. Results. A statistically significant difference was found between primary and secondary caregivers in time spent in informal caregiving (p<0.001). The primary caregivers reduced all leisure activities compared to secondary carers (p<0.05). Conclusions. By comparing the percentage of leisure activities performed by caregivers before and after the patient’s sABI onset, all caregivers showed high percentages of changes in lifestyle and habits, even though primary caregivers reported more negative lifestyle changes than secondary caregivers. Further studies are needed to investigate needs and burden experienced by caregivers of sABI patients during the postacute rehabilitation phase, also in relation to the patients’ outcome, to address support interventions for them and improve their quality of life.http://dx.doi.org/10.1155/2018/2824081
collection DOAJ
language English
format Article
sources DOAJ
author M. D’Ippolito
M. Aloisi
E. Azicnuda
D. Silvestro
M. Giustini
F. Verni
R. Formisano
U. Bivona
spellingShingle M. D’Ippolito
M. Aloisi
E. Azicnuda
D. Silvestro
M. Giustini
F. Verni
R. Formisano
U. Bivona
Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
BioMed Research International
author_facet M. D’Ippolito
M. Aloisi
E. Azicnuda
D. Silvestro
M. Giustini
F. Verni
R. Formisano
U. Bivona
author_sort M. D’Ippolito
title Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
title_short Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
title_full Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
title_fullStr Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
title_full_unstemmed Changes in Caregivers Lifestyle after Severe Acquired Brain Injury: A Preliminary Investigation
title_sort changes in caregivers lifestyle after severe acquired brain injury: a preliminary investigation
publisher Hindawi Limited
series BioMed Research International
issn 2314-6133
2314-6141
publishDate 2018-01-01
description Introduction. Severe acquired brain injury (sABI) is considered the most common cause of death and disability worldwide. sABI patients are supported by their caregivers who often exhibit high rates of psychological distress, mood disorders, and changes in relationship dynamics and family roles. Objectives. To explore lifestyle changes of caregivers of sABI patients during the postacute rehabilitation, by investigating possible differences between primary and secondary caregivers. Primary caregivers spend most of the time with the patient, providing daily care and taking most responsibility for the day-to-day decisions, while secondary caregivers are those who provide additional support. Methods. Three hundred forty-seven caregivers of sABI patients were asked to fill in an unpublished self-report questionnaire to explore their possible lifestyles changes. Results. A statistically significant difference was found between primary and secondary caregivers in time spent in informal caregiving (p<0.001). The primary caregivers reduced all leisure activities compared to secondary carers (p<0.05). Conclusions. By comparing the percentage of leisure activities performed by caregivers before and after the patient’s sABI onset, all caregivers showed high percentages of changes in lifestyle and habits, even though primary caregivers reported more negative lifestyle changes than secondary caregivers. Further studies are needed to investigate needs and burden experienced by caregivers of sABI patients during the postacute rehabilitation phase, also in relation to the patients’ outcome, to address support interventions for them and improve their quality of life.
url http://dx.doi.org/10.1155/2018/2824081
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