Burn Out and Psychological Distress among Care Givers of Dementia Patients Attending the Out Patient Geriatric Clinics of Two Nigerian Tertiary Health Institutions

Friday E. Okwaraji, Godwin C. Onyebueke, Okwor Esther Nwakaego
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Abstract

Aim: This study investigated burnout and psychological distress among 460 caregivers of dementia patients attending the outpatient geriatric clinics of two Nigerian tertiary health institutions. Study Design: The study used the descriptive cross sectional study design. Place and Duration of the Study: The study was conducted at the outpatient geriatric clinics of two tertiary health institutions in Enugu, South East Nigeria between the months of July and August 2023. Methodology: A total of 460 care givers of dementia patients, aged 18- 65 years, attending the outpatient geriatric clinics of two tertiary health institutions in Enugu, who consented to participate in the study, were assessed for burnout and psychological distress using the Maslach Burnout Inventory (MBI), and the General Health Questionnaire (GHQ-12). Results: Result showed that 23.9% had emotional exhaustion, 14.6% had depersonalization and 18.5% had reduced personal accomplishment, while psychological distress was present in 39.6% of the respondents. Significant relationships were noticed between age and psychological distress, \(\chi\)2=57.36; p= 0.03; marital status and burnout \(\chi\)2=10.95; P= 0.01 as well as education and psychological distress \(\chi\)2=10.95; p= 0.05. Conclusion: High levels of burnout and psychological distress were present among the caregivers who participated in the study, in view of this there is need for government to ensure proper institutional care for dementia patients and provide some incentives for those who care for them. Policy formulation should also aim at establishing community caregiving centers were dementia patients can receive adequate attention from government agencies.
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尼日利亚两所三级医疗机构老年门诊痴呆患者护理人员的身心疲惫和心理困扰
目的:本研究调查了尼日利亚两所三级医疗机构老年门诊460名痴呆患者护理人员的倦怠和心理困扰。研究设计:本研究采用描述性横断面研究设计。研究地点和时间:研究于2023年7月至8月在尼日利亚东南部埃努古的两家三级卫生机构的老年门诊诊所进行。方法:共有460名年龄在18- 65岁之间、在埃努古两所三级医疗机构的老年门诊就诊的痴呆症患者护理人员同意参与研究,使用Maslach倦怠量表(MBI)和一般健康问卷(GHQ-12)对他们的倦怠和心理困扰进行评估。结果:结果显示23.9% had emotional exhaustion, 14.6% had depersonalization and 18.5% had reduced personal accomplishment, while psychological distress was present in 39.6% of the respondents. Significant relationships were noticed between age and psychological distress, \(\chi\)2=57.36; p= 0.03; marital status and burnout \(\chi\)2=10.95; P= 0.01 as well as education and psychological distress \(\chi\)2=10.95; p= 0.05. Conclusion: High levels of burnout and psychological distress were present among the caregivers who participated in the study, in view of this there is need for government to ensure proper institutional care for dementia patients and provide some incentives for those who care for them. Policy formulation should also aim at establishing community caregiving centers were dementia patients can receive adequate attention from government agencies.
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