Older adults with chronic illness – Caregiver burden in the Asian context: A systematic review |
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| Institution: | 1. Associate Professor, Department of Population Sciences and Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, US;2. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada;3. Assistant Professor, Faculty of Applied Science, School of Nursing, University of British Columbia, Vancouver, BC, Canada;4. Nuffield Department of Population Health, Big Data Institute, University of Oxford, Oxford, UK;5. Advanced Practice Nurse Practitioner, Geriatric Oncology, Medical Oncology Department, University Hospital, Waterford, Ireland;6. Assistant Professor, College of Nursing, University of Saskatchewan, Saskatoon, Canada;7. Postdoctoral Associate, Faculty of Nursing, University of Calgary, Calgary, AB, Canada |
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| Abstract: | IntroductionUpsurge in life expectancy, filial responsibility of caring, and healthcare advances have increased the older adult population in Asia. The last decade has witnessed nuclear families' proliferation in Asia, leaving family caregivers with more accountability and responsibility. This review explores the pattern of caregiver burden among caregivers of older adults with chronic illness in Asia.MethodsPRISMA guidelines serves as the framework for this systematic review. Studies from selected databases assessed caregivers' physical state, psychological dysfunction, and or burden as an outcome measure. The Newcastle - Ottawa Quality Assessment Scale appraised the quality of the selected studies.ResultsThe review included 12 research articles. Caregivers consistently report mild to a moderate burden. Care recipient with functional dependency, comorbidities, memory, and sleep impairments, escalate caregiver burden. Caregiver variables intensifying burden were advancing age, male gender, spouse as a care recipient, longer care provision duration, and no assistance.ConclusionOptimal levels of emotional well-being, significant family/social support, and self-preparedness among caregivers are grounds for their empowerment.Practical ImplicationsA paradigm shift from 'caregiver burden' to 'caregiver resilience' is advocated. Routine screening, preventive measures (skill-building and psychosocial empowerment), and restorative services (respite care and problem-based home visiting) for caregivers are forecasted. |
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| Keywords: | Older Adults Chronic Illness Caregiver Burden Caregiver Burnout Asia |
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