Quality of Life of Elderly Patients and Burnout Among Their Care Givers

Study Overview
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Brief Summary
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Older people with multimorbidity are frequent users of health care services, and there is a relationship between the number of chronic conditions and health care costs. In addition, multimorbidity increases the risk of mortality and functional decline, and this negatively impacts health-related quality of life . Furthermore, research tends to focus on individual organ systems, often ignoring the complexity of care for older people with multimorbidity. Moreover, patient QoL is a meaningful measure in the evaluation of health care services and patient-reported outcome Caregiving demands significantly reduce caregivers' opportunities to have a lifestyle in which leisure or time for themselves is available. According to different empirically supported theoretical frameworks that point to the importance for caregivers of experiencing pleasant events and receiving positive reinforcement in their daily lives in order to maintain a positive mood, not engaging in personally satisfying activities may result in more social withdrawal and depression, putting caregivers at risk of developing emotional disorders.

Detailed Description
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As the percentage of elderly cardiac population is growing and most of them have multimorbid conditions, we should find ways to improve their of life and to avoid their caregivers being burned out. Asses quality of life of cardiac elderly patients with multimorbidity and to investigate the prevalence of burnout among their caregivers This study of multimorbidity among elderly cardiac patients attending Sohag university cardiac outpatient clinic and burnout among their care givers aims to:- Study the effect of multimorbidity on health related quality of life of elderly cardiac patients. Study determinants of health related quality of life among elderly cardiac patients with multimorbidity. Study burnout prevalence among care givers

Official Title
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Quality of Life of Elderly Cardiac Patients With Multimorbidity and Prevalence of Burnout Among Their Caregivers in Sohag Governorate

Conditions
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Elderly Cardiac Patients With Multimorbidity and Burnout Among Their Caregivers

Intervention / Treatment
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* Other: Measurements of quality of life and burnout


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: elderly patients (60 years and over) [2] with multimorbid conditions and a cardiovascular disease is one of them . caregivers of elderly patients included in the study. Exclusion Criteria: patients and caregivers who will refuse to participate in this study and patients with disturbed conscious level and mentally disabled.

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Elderly cardiac patients with multimorbidity and their caregivers<br>elderly patients (60 years and over) [2] with multimorbid conditions and a cardiovascular disease is one of them . caregivers of elderly patients included in the study | Other: Measurements of quality of life and burnout<br>* WHOQOL-Bref questionnaire to assess the health related quality of life of the elderly cardiac patients. WHOQOL-Bref assesses Physical health (7 items), Psychological health (6 items), Social relationships (3 items) and the environment ( 8 items ), in addition to two items asking about overall perception of life and general health. Items are rated on a 5 point ordinal scale, domain scores are scaled in a positive direction (i.e. higher scores denote higher quality of life). Maslach Burnout Inventory questionnaire to measure burnout among caregivers, it includes 3 components: emotional exhaustion (9 items), depersonalization(5items) and personal accomplishment(8 items).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life of elderly patients | Measuring the quality of life of elderly patients with cardiovascular and other morbid conditions using WHOQOL-Bref questionnaire | 6 months | 
| Burnout among caregivers | Measuring the prevalence of burnout among caregivers using Maslach Burnout Inventory questionnaire | 6 months |