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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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 Three hundred forty-seven caregivers of sABI patients were asked to fill in an unpublished self-report questionnaire to explore their possible lifestyles changes.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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