title: Quality of life of family caregivers of elderly patients on hemodialysis and peritoneal dialysis.
abstract: BACKGROUND
  Despite the growing number of elderly patients with end-stage renal disease who need support, there are few studies about their caregivers. The objective of this study is to describe caregivers' characteristics and evaluate their burden and quality of life.
  
  
  METHODS
  We studied caregivers of elderly patients (>or=65 years) on hemodialysis (HD) therapy (n = 84), on peritoneal dialysis (PD) therapy (n = 40), and a group of caregivers (n = 77) of nonelderly HD patients. Their quality of life was evaluated by using the Medical Outcomes Study 36-Item Short-Form Health Survey questionnaire, Caregiver Burden scale, and Cognitive Index of Depression.
  
  
  RESULTS
  Most caregivers of the elderly were women (78%) aged 55 +/- 15 years and sons or daughters (41%) or wives or husbands (50%) of patients. Caregivers' Emotional Aspect, Vitality, and Mental Health were the most affected dimensions. The Mental Component Summary mean score, adjusted for patient race, educational level, primary diagnosis, hematocrit, comorbidities, and physical functional status, was worse for caregivers of PD than HD elderly patients (36.3 +/- 1.9 versus 44.8 +/- 1.5; P < 0.01). The most affected Caregiver Burden scale dimensions were General Strain and Environment. Thirty-two percent of caregivers showed signs of depression.
  
  
  CONCLUSIONS
  Caregivers of elderly dialysis patients, especially of those on PD therapy, experience a significant burden and adverse effects on their quality of life. Educational, social, and psychological support interventions should be considered to improve the quality of life of caregivers.
authors.affiliation: Nursing Department, Division of Nephrology, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Angelica
authors.initials: A
authors.lastname: Belasco
authors.forename: Dulce
authors.initials: D
authors.lastname: Barbosa
authors.forename: Ana R
authors.initials: AR
authors.lastname: Bettencourt
authors.forename: Solange
authors.initials: S
authors.lastname: Diccini
authors.forename: Ricardo
authors.initials: R
authors.lastname: Sesso
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D017028:Caregivers / Q000523:psychology; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010530:Peritoneal Dialysis; D011788:Quality of Life; D006435:Renal Dialysis