Health-Related Quality of Life for Primary Caregivers of Mentally ILL Patients in Kenya

Authors

  • Yuniah Nyamwaro Kenyatta University
  • Lister Onsongo Kenyatta University
  • Grace Githemo Kenyatta University

DOI:

https://doi.org/10.53819/81018102t3033

Abstract

The mentally ill patients have been shifted from institutions to home based care involving the family and the community than the straight in-hospital treatment. Consequently, the prevalence of mental illness is rising which is proportional to increased burden the primary caregivers’ face that affect their HRQoL. The aim of this study was to determine the Health Related Quality of Life (HRQoL) and associated factors of primary caregivers of the mentally ill patients at the largest teaching and referral psychiatry hospital in Kenya. A correlational study was used. Systemic random sampling was used to recruit 310 caregivers of mentally ill patients in the outpatient clinic. The WHOQoL-BREF questionnaire was used to assess Caregivers HRQoL. Statistical package for social sciences version 25.0 was used for analysis. Pearson  was used to test relationships between variables and multivariate regression models were used to determine predictors of HRQoL. On quality rating 1-5, Majority (34.4%, mean 2.61 SD 1.05) of the participants reported poor HRQoL. Caregivers’ marital status ( .292, =0.000), relationship with the patient ( .166, =0.004) and patient gender (   .188, =0.001) significantly correlated with primary caregivers’ poor HRQoL. Patients’ review with compliance to treatment (61.5%), and health system support (  .420, P=0.000), were significantly associated with primary caregivers’ HRQoL. Specialized psychiatric and mental health professionals with policy designers to realize characteristics which impact the caregivers ’HRQoL so that intervention is done especially Psycho-education on patient care, encourage social support groups and improve health support system.

Keywords: Health Related Quality of Life, Primary caregivers, mentally ill Patients.

Author Biographies

Yuniah Nyamwaro, Kenyatta University

Department of Community & Reproductive Health Nursing, School of Nursing Sciences, Kenyatta University

Lister Onsongo, Kenyatta University

Department of Community & Reproductive Health Nursing, School of Nursing Sciences, Kenyatta University

Grace Githemo, Kenyatta University

Department of Community & Reproductive Health Nursing, School of Nursing Sciences, Kenyatta University

References

Basheer, S., Anurag, K., Garg, R., Kumar, R., &Vashisht, S. (2015). QoL of caregivers of mentally ill patients in a tertiary care hospital. Industrial psychiatry journal, 24(2), 144. https://doi.org/10.4103/0972-6748.181721

Caqueo, Urízar, A., Miranda Castillo, C., Lemos Giraldez, S., Lee Maturana, S. L., Ramirez Pérez, M., &Mascayano Tapia, F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26 (2).

Chadda R. K. (2014). Caring for the family caregivers of persons with mental illness. Indian journal of psychiatry, 56(3), 221–227. https://doi.org/10.4103/0019-5545.140616

Hasan, A. A., Callaghan, P., &Lymn, J. S. (2014). Evaluation of the impact of a psycho-educational intervention on knowledge levels and psychological outcomes for people diagnosed with Schizophrenia and their caregivers in Jordan: a randomized controlled trial. BMC psychiatry, 14(1), 17. https://doi.org/10.1186/1471-244X-14-17

Jeong, Y. G., Myong, J. P., & Koo, J. W. (2015). The modifying role of caregiver burden on predictors of quality of life of caregivers of hospitalized chronic stroke patients. Disability and health journal, 8(4), 619-625. https://doi.org/10.1016/j.dhjo.2015.05.005

Leng, A., Xu, C., Nicholas, S., Nicholas, J., &Wang, J. (2019).QoL in caregivers of a family member with serious mental illness: Evidence from China. Archives of psychiatric nursing, 33(1), 23-29.

Maruyama, N., & Galynker, I. (2010). Psychiatric symptoms in caregivers of patients with bipolar disorder: a review. Journal of affective disorders, 121(1-2), 10-21. https://doi.org/10.1016/j.jad.2009.04.020

Mbugua, M. N., Kuria, M. W., & Ndetei, D. M. (2011). The prevalence of depression among family caregivers of children with intellectual disability in a rural setting in Kenya. International journal of family medicine, 2011.

Ministry of Health (2021) Kenya Mental Health Action Plan 2021 – 2025 retrieved from https://mental.health.go.ke/download/kenya-mental-health-action-plan-2021-2025/

Ndetei, D. M., Khasakhala, L. I., Kuria, M. W., Mutiso, V. N., Ongecha-Owuor, F. A., & Kokonya, D. A. (2009). The prevalence of mental disorders in adults in different level general medical facilities in Kenya: a cross-sectional study. Annals of general psychiatry, 8(1), 1-8.

Noghani, F., Seyedfatemi, N., Karimirad, M. R., Akbarzadeh, A., & Hasanpour-Dehkordi, A. (2016). Health Related Quality of Life in Family Caregivers of Patients Suffering from Mental Disorders. Journal of clinical and diagnostic research: JCDR, 10(11), VC05–VC09. https://doi.org/10.7860/JCDR/2016/19671.8792

Ntsayagae, E. I., Myburgh, C., & Poggenpoel, M. (2019). Experiences of family caregivers of persons living with mental illness: A meta-synthesis. Curationis, 42(1), 1-9.

Saloni, D., Hannah, R., & Max, R. (2021) - "Mental Health". Published online at OurWorldInData.org. Retrieved from: 'https: //ourworldindata.org/mental-health' [Online Resource

Sintayehu, M., Mulat, H., Yohannis, Z., Adera, T., & Fekade, M. (2015). Prevalence of mental distress and associated factors among caregivers of patients with severe mental illness in the outpatient unit of Amanuel Hospital, Addis Ababa, Ethiopia, 2013: Cross-sectional study. Journal of molecular psychiatry, 3(1), 1-10.

Totsika, V., Hastings, R. P., & Vagenas, J.M. (2016). Physical and psychological health of family carers’ co‐residing with an adult relative with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 31, 191-202.

Van Wijngaarden, B., Papoila, A. L., Schene, A. H., & Caldas-de-Almeida, J. M. (2013). Impact of psychosis on Portuguese caregivers: a cross-cultural exploration of burden, distress, positive aspects and clinical-functional correlates. Social psychiatry and psychiatric epidemiology, 48(2), 325-335.

Wang, K., & Bishop, N. J. (2019). Social support and monetary resources as protective factors against food insecurity among older Americans: findings from a health and retirement study. Food Security, 11(4), 929-939.

Wong, D. F. K., Lam, A. Y. K., Chan, S. K., & Chan, S. F. (2012). QoL of caregivers with relatives suffering from mental illness in Hong Kong: roles of caregiver characteristics, caregiving burdens, and satisfaction with psychiatric services. Health and QoL 10(1), 15. https://doi.org/10.1186/1477-7525-10-15

Xie H, Cheng C, Tao Y, et al. Quality of life in Chinese family caregivers for elderly people with chronic diseases. Health Qual Life Outcomes. 2016; 14(1):99. https://doi.org/10.1186/s12955-016-0504-9

Downloads

Published

2022-02-28

How to Cite

Nyamwaro, Y., Onsongo, L., & Githemo, G. (2022). Health-Related Quality of Life for Primary Caregivers of Mentally ILL Patients in Kenya. Journal of Medicine, Nursing & Public Health, 5(1), 1–12. https://doi.org/10.53819/81018102t3033

Issue

Section

Articles