Academic Journal
Burden in Informal Caregivers of Palliative Care Patients With Pressure Injuries: Perceived Social Support and Influencing Factors Care Burden in Palliative Caregivers.
| Τίτλος: | Burden in Informal Caregivers of Palliative Care Patients With Pressure Injuries: Perceived Social Support and Influencing Factors Care Burden in Palliative Caregivers. |
|---|---|
| Συγγραφείς: | Barış Eren N; Department of Nursing, Faculty of Health Sciences, Tarsus University, Mersin, Türkiye., Ağaslan M; Department of Nursing, Faculty of Health Sciences, Tarsus University, Mersin, Türkiye. |
| Πηγή: | Journal of evaluation in clinical practice [J Eval Clin Pract] 2026 Aug; Vol. 32 (5), pp. e70514. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Oxford, England : Wiley-Blackwell, c1995- |
| Ιατρικοί όροι (MeSH): | Palliative Care*/psychology , Caregivers*/psychology , Pressure Ulcer*/therapy , Social Support* , Cost of Illness*, Humans ; Male ; Female ; Middle Aged ; Aged ; Adult ; Socioeconomic Factors ; Aged, 80 and over |
| Περίληψη: | Aims: This study was designed as a descriptive and correlational study to assess the burden experienced by caregivers of palliative care patients with pressure injuries, to identify the factors influencing this burden and to examine the role of perceived social support. Methods: Data were collected from 138 informal caregivers of palliative care patients with pressure injuries in a state hospital. The Burden Interview and the Multidimensional Perceived Social Support Scale were used to collect data. Descriptive statistics, correlation analyses and hierarchical regression were conducted to identify factors associated with caregiver burden. Results: Caregivers reported a high level of burden. Lower income status, difficulty experienced during caregiving and negative effects on family and social life were associated with greater burden. Higher perceived social support was associated with lower burden, indicating that social support plays a protective role for caregivers of patients with pressure injuries. Conclusion: Caregivers of palliative care patients with pressure injuries experience substantial burden influenced by socioeconomic and caregiving-related factors. Increased perceived social support contributes to reducing this burden and should be considered an essential component of caregiver-focused interventions. (© 2026 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.) |
| References: | “Pressure Ulcers/Injuries: Definition and Etiology,” International Guideline, European Pressure Ulcer Advisory Panel, 2025, https://internationalguideline.com/etiology. D. Anthony, D. Alosoumi, and R. Safari, “Prevalence of Pressure Ulcers in Long‐Term Care: A Global Review,” Journal of Wound Care 28, no. 11 (2019): 702–709, https://doi.org/10.12968/jowc.2019.28.11.702. H. E. Sayan, N. K. Girgin, and A. Asan, “Prevalence of Pressure Ulcers in Hospitalized Adult Patients in Bursa, Turkey: A Multicentre, Point Prevalence Study,” Journal of Evaluation in Clinical Practice 26, no. 6 (2020): 1669–1676, https://doi.org/10.1111/jep.13354. B. Eren, E. Özker, A. Güven, and D. G. Tükenmez, “Prevention and Treatment of Pressure Ulcers/injuries: Quick Reference Guide 2019 [in Turkish],” International Guideline, Acıbadem University, https://avesis.acibadem.edu.tr/yayin/df5a6142-0630-4741-8794-bf489db723d4/basinc-ulserlerinin-yaralarinin-onlenmesi-ve-tedavisi-hizli-basvuru-kilavuzu-2019. T. Bilgehan and B. İnkaya, “Care Burden of Individuals Providing Care to Palliative Patients and Influencing Factors [in Turkish],” Journal of Anatolia Nursing and Health Sciences 24, no. 1 (2021): 51–58, https://doi.org/10.17049/ataunihem.748923. S. K. Shefeek, T. M. Joy, J. J. Olickal, M. A. Nezrin, A. George, and K. R. Thankappan, “Caregiver Burden and Quality of Life in Palliative Care: Cross‐Sectional Study,” BMJ Supportive & Palliative Care (2024): 1–5, https://doi.org/10.1136/spcare-2024-005220. H. Zengin and İ. Taşçı, “Palyatif Bakım Kliniğine Kabulde Tespit Edilen Basınç Yarası Ile Norton Ve Braden Skalası Skorlarının Uyumu,” Turkish Journal of Intensive Care 21, no. 4 (2023): 306–312, https://doi.org/10.4274/tybd.galenos.2023.10437. A. Ferris, A. Price, and K. Harding, “Pressure Ulcers in Patients Receiving Palliative Care: A Systematic Review,” Palliative Medicine 33, no. 7 (2019): 770–782, https://doi.org/10.1177/0269216319846023. S. R. Jeon and W. H. Jun, “Impact of Carer Burden, Social Support, and Gratitude on Quality of Life in Families of Older Adults With Dementia,” Archives of Psychiatric Nursing 53 (2024): 122–129, https://doi.org/10.1016/j.apnu.2024.10.005. L. I. Pearlin, J. T. Mullan, S. J. Semple, and M. M. Skaff, “Caregiving and the Stress Process: An Overview of Concepts and Their Measures,” Gerontologist 30, no. 5 (1990): 583–594, https://doi.org/10.1093/geront/30.5.583. S. Cohen and T. A. Wills, “Stress, Social Support, and the Buffering Hypothesis,” Psychological Bulletin 98, no. 2 (1985): 310–357, https://doi.org/10.1037/0033-2909.98.2.310. T. K. Fertelli, “The Relationship Between Successful Aging and Social Support Perceptions of Elderly Individuals With Chronic Illness [in Turkish],” Journal of Inonu University Vocational School of Health Services 12, no. 3 (2024): 3, https://doi.org/10.33715/inonusaglik.1446179. F. Özkan Tuncay, M. Mollaoğlu, T. Kars Fertelli, and G. Arslan, “The Relationship Between Caregiving Burden and Social Support Level Among Caregivers of Individuals With Chronic Illness [in Turkish],” 15th National Internal Medicine Congress, Türkiye, 2015. X.‐M. Zhang, S. Cao, M. Gao, S. Xiao, X. Xie, and X. Wu, “The Prevalence of Social Frailty Among Older Adults: A Systematic Review and Meta‐Analysis,” Journal of the American Medical Directors Association 24, no. 1 (2023): 29–37.e9, https://doi.org/10.1016/j.jamda.2022.10.007. S. Choi and J. Seo, “Analysis of Caregiver Burden in Palliative Care: An Integrated Review,” Nursing Forum 54, no. 2 (2019): 280–290, https://doi.org/10.1111/nuf.12328. F. Ersin, D. Çadırcı, and G. K. Dedeoğlu, “Investigation of Mental Well‐Being and Social Support Levels of Individuals Providing Care to Patients Hospitalized in a Palliative Care Clinic [in Turkish],” Ege Journal of Medicine 61, no. 3 (2022): 379–386, https://doi.org/10.19161/etd.1168082. J. Perpiñá‐Galvañ, N. Orts‐Beneito, M. Fernández‐Alcántara, S. García‐Sanjuán, M. P. García‐Caro, and M. J. Cabañero‐Martínez, “Level of Burden and Health‐Related Quality of Life in Caregivers of Palliative Care Patients,” International Journal of Environmental Research and Public Health 16, no. 23 (2019): 4806, https://doi.org/10.3390/ijerph16234806. Q. Yan, C. Zhu, L. Li, Y. Li, Y. Chen, and X. Hu, “The Effect of Targeted Palliative Care Interventions on Depression, Quality of Life and Caregiver Burden in Informal Caregivers of Advanced Cancer Patients: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials,” International Journal of Nursing Studies 160 (2024): 104895, https://doi.org/10.1016/j.ijnurstu.2024.104895. J. Cohen, Statistical Power Analysis for the Behavioral Sciences, 2nd ed. (Routledge, 2013), https://doi.org/10.4324/9780203771587. S. H. Zarit, K. E. Reever, and J. Bach‐Peterson, “Relatives of the Impaired Elderly: Correlates of Feelings of Burden,” Gerontologist 20, no. 6 (1980): 649–655, https://doi.org/10.1093/geront/20.6.649. F. İnci and M. Erdem, “The Caregiver Burden Scale: Turkish Adaptation, Validity, and Reliability [in Turkish],” Journal of Anatolia Nursing and Health Sciences 11, no. 4 (2008): 85–95. G. D. Zimet, N. W. Dahlem, S. G. Zimet, and G. K. Farley, “The Multidimensional Scale of Perceived Social Support,” Journal of Personality Assessment 52, no. 1 (1988): 30–41, https://doi.org/10.1207/s15327752jpa5201_2. D. Eker and H. Arkar, “Perceived Social Support: Psychometric Properties of the MSPSS in Normal and Pathological Groups in a Developing Country,” Social Psychiatry and Psychiatric Epidemiology 30, no. 3 (1995): 121–126, https://doi.org/10.1007/BF00802040. D. Eker, H. Arkar, and H. Yaldız, “Factorial Structure, Validity, and Reliability of Revised Form of the Multidimensional Scale of Perceived Social Support [in Turkish],” Turkish Journal of Psychiatry 12, no. 1 (2001): 17–25. A. M. Rodrigues, P. L. Ferreira, and C. Ferré‐Grau, “Providing Informal Home Care for Pressure Ulcer Patients: How It Affects Carers' Quality of Life and Burden,” Journal of Clinical Nursing 25, no. 19–20 (2016): 3026–3035, https://doi.org/10.1111/jocn.13356. Z. S. Ahmad Zubaidi, F. Ariffin, C. T. C. Oun, and D. Katiman, “Caregiver Burden Among Informal Caregivers in the Largest Specialized Palliative Care Unit in Malaysia: A Cross Sectional Study,” BMC Palliative Care 19, no. 1 (2020): 186, https://doi.org/10.1186/s12904-020-00691-1. P. Ramos, C. Borges, I. Azevedo, et al., “Burden of Informal Caregivers of Patients With Pressure Ulcers in a Primary Care Setting,” Journal of Wound Care 31, no. 10 (2022): 864–871, https://doi.org/10.12968/jowc.2022.31.10.864. A. Bekdemir and N. Ilhan, “Predictors of Caregiver Burden in Caregivers of Bedridden Patients,” Journal of Nursing Research 27, no. 3 (2019): e24, https://doi.org/10.1097/jnr.0000000000000297. L. X. Tay, S. C. Ong, H. M. Ong, et al., “Caregiver Burden of Alzheimer's Disease Among Informal Caregivers: A Cross‐Sectional Study in Malaysia,” Scientific Reports 15, no. 1 (2025): 10067, https://doi.org/10.1038/s41598-025-95210-8. Z. Çelenk and H. Kumcağız, “Examination of the Relationship Between the Care Burden and Anxiety Levels of Caregivers of Elderly Patients [in Turkish],” Istanbul Gelisim University Journal of Social Sciences 9, no. 2 (2022): 628–645, https://doi.org/10.17336/igusbd.745662. Ü. Dikililer and E. Öksüz, “Care Burden and Psychological Symptoms in Caregivers of Alzheimer's Patients [in Turkish],” Journal of Health Academics 10, no. 3 (2023): 392–402, https://doi.org/10.52880/sagakaderg.1262529. X. Lan, Q. Wu, X. Chen, S. Jin, and B. Yi, “Caregiver Burden Among Informal Caregivers of Hospitalized Patients With Frailty: A Cross‐Sectional Survey,” Geriatric Nursing 42, no. 4 (2021): 948–954, https://doi.org/10.1016/j.gerinurse.2021.05.004. Ö. İ. Öner and E. Y. Karabulutlu, “Examination of Caregiving Burden and Perceived Social Support of Caregivers of Oncology Patients [in Turkish],” Perspectives in Palliative & Home Care 2, no. 2[3] (2024): 116–126, https://doi.org/10.29228/pphcjournal.73627. M. Parvizi and S. Ay, “The Assessment of Care Burden and Influencing Factors on Family Caregivers for Cancer Patients,” Journal of Clinical Nursing 33, no. 10 (2024): 3923–3932, https://doi.org/10.1111/jocn.17408. F. Kahriman and A. Zaybak, “Caregiver Burden and Perceived Social Support Among Caregivers of Patients With Cancer,” Asian Pacific Journal of Cancer Prevention 16, no. 8 (2015): 3313–3317, https://doi.org/10.7314/apjcp.2015.16.8.3313. D. Y. P. Leung, H. Y. L. Chan, P. K. C. Chiu, R. S. K. Lo, and L. L. Y. Lee, “Source of Social Support and Caregiving Self‐Efficacy on Caregiver Burden and Patient's Quality of Life: A Path Analysis on Patients With Palliative Care Needs and Their Caregivers,” International Journal of Environmental Research and Public Health 17, no. 15 (2020): 5457, https://doi.org/10.3390/ijerph17155457. M. Nemcikova, Z. Katreniakova, and I. Nagyova, “Social Support, Positive Caregiving Experience, and Caregiver Burden in Informal Caregivers of Older Adults With Dementia,” Frontiers in Public Health 11 (2023): 1104250, https://doi.org/10.3389/fpubh.2023.1104250. H. L. Ong, J. A. Vaingankar, E. Abdin, et al., “Resilience and Burden in Caregivers of Older Adults: Moderating and Mediating Effects of Perceived Social Support,” BMC Psychiatry 18, no. 1 (2018): 27, https://doi.org/10.1186/s12888-018-1616-z. Y. Zhang, J. Li, Y. Zhang, et al., “Mediating Effect of Social Support Between Caregiver Burden and Quality of Life Among Family Caregivers of Cancer Patients in Palliative Care Units,” European Journal of Oncology Nursing 68 (2024): 102509, https://doi.org/10.1016/j.ejon.2024.102509. |
| Contributed Indexing: | Keywords: caregiver burden; caregivers; family caregivers; palliative care; pressure ulcer; social support; wounds and injuries |
| Entry Date(s): | Date Created: 20260630 Date Completed: 20260701 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13318363 |
| DOI: | 10.1111/jep.70514 |
| PMID: | 42378645 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1365-2753 |
|---|---|
| DOI: | 10.1111/jep.70514 |