Respiratory investigation · 2025
Caregiver burden among caregivers of patients receiving home oxygen therapy: Insights of the Japanese White Paper on Home Respiratory Care 2024.
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Hamada Satoshi, Ueki Jun, Hirai Toyohiro, Sano Emika, Hino Keiko, Ikeda Megumi, Sato Susumu, Oga Toru, Tsuboi Tomomasa, Kurosawa Hajime, Wada Hiroo, Japanese White Paper on Home Respiratory Care 2024 working group
Аннотация
BACKGROUND: The factors influencing caregiver burden in Japan remained understudied, particularly in nationwide surveys. Japan is among the countries experiencing the most rapid population aging and declining birth rates. Herein, we examined caregiver burden and the related factors in caregivers of patients receiving home oxygen therapy (HOT) based on data from the Japanese White Paper on Home Respiratory Care 2024.
METHODS: Patients receiving HOT who responded to the Short Form-8 (SF-8) questionnaire comprised two summary scores (physical [PCS] and mental component summaries [MCS]) and caregivers of these patients who responded to the SF-8 questionnaire and the Burden Index of Caregiver-11 (BIC-11) questionnaire were included in the analysis.
RESULTS: A total of 102 caregiver-patient pairs were included; the median age was 72 and 74 years, respectively. The BIC-11 total score in caregivers providing <3 h of daily care was significantly lower than that in those providing ≥3 h (p < 0.0001). Stepwise multiple linear regression analysis identified the following independent predictors of the BIC-11 total score: among caregivers, daily caregiving hours (β = 0.16, p = 0.043), PCS (β = -0.29, p = 0.0001), and MCS (β = -0.53, p < 0.0001); and among patients, male sex (β = 0.22, p = 0.020), a modified Medical Research Council score of 4 (β = 0.20, p = 0.048), and daily walking and exercising (β = -0.23, p = 0.027).
CONCLUSIONS: This study identified key factors associated with caregiver burden in HOT.
METHODS: Patients receiving HOT who responded to the Short Form-8 (SF-8) questionnaire comprised two summary scores (physical [PCS] and mental component summaries [MCS]) and caregivers of these patients who responded to the SF-8 questionnaire and the Burden Index of Caregiver-11 (BIC-11) questionnaire were included in the analysis.
RESULTS: A total of 102 caregiver-patient pairs were included; the median age was 72 and 74 years, respectively. The BIC-11 total score in caregivers providing <3 h of daily care was significantly lower than that in those providing ≥3 h (p < 0.0001). Stepwise multiple linear regression analysis identified the following independent predictors of the BIC-11 total score: among caregivers, daily caregiving hours (β = 0.16, p = 0.043), PCS (β = -0.29, p = 0.0001), and MCS (β = -0.53, p < 0.0001); and among patients, male sex (β = 0.22, p = 0.020), a modified Medical Research Council score of 4 (β = 0.20, p = 0.048), and daily walking and exercising (β = -0.23, p = 0.027).
CONCLUSIONS: This study identified key factors associated with caregiver burden in HOT.