Factors that Affect the Quality of Life of Caregiving Nursing Technicians of Psychiatric Patients
-
Mihael Djacic
,
Snezana Radovanovic
,
Nebojsa Zdravkovic
,
Vladislava Stojic
,
Stefan Milojevic
,
Albert Darijan
,
Stefani Lazin
,
Ilija Glisic
,
Milos Stepovic
,
Tatjana Boskovic Matic
Abstract
Background: The importance of the role of nurse technicians lies in the fact that they are becoming the main providers of health care for psychiatric patients, in addition to providing them with appropriate care. We aimed to examine predictors of quality of life of nurse technicians caring for psychiatric patients.
Methods: The sample consisted of 260 nurse technicians caring for psychiatric patients at the Special Hospital for Psychiatric Diseases "Dr Slavoljub Bakalović" in Vršac and the Special Hospital for Psychiatric Diseases in Kovin, Serbia. The following instruments were used in the study: a questionnaire to collect sociodemographic characteristics, the World Health Organization Quality of Life Self-Assessment Questionnaire – Short Version, the Depression Anxiety Stress Scales, the Brief Resilience Scale, and the Fatigue Assessment Scale – FAS Serbian and the Zarit Stress Interview.
Results: On the physical and mental aspects of the quality of life of medical technicians, the greatest negative impact is the physical aspect of fatigue (P=0.036) and anxiety (P=0.017), and the positive impact is the number of household members (P=0.001). On the environmental aspect of the quality of life, the greatest negative impact is the burden of caregivers (P=0.000).
Conclusion: Due to unique working environment of care-giving medical nurses, the quality of life has become very considering aspect. Fatigue, stress, anxiety can have a cumulative effect of those individuals, and lead to the burnout syndrome.
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14. Towle RM, Tan CG, Saptu K, et al (2019). What do caregivers value and is there agreement in perception of met needs between nurses and caregivers? Singapore Med J, 60(11):575-582.
15. Тhe WHOQOL Group (1998). Develop-ment of the World Health Organization WHOQOL-BREF quality of life assess-ment. The WHOQOL Group. Psychol Med, 28(3):551-8.
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17. Novakov I (2021). Fatigue in breast cancer patients - examining the role of demo-graphic and clinical factors, psychologi-cal factors and social support. TIMS. Ac-ta,15(1):23-36.
18. Smith B, Dalen J, Wiggins K, Tooley E, et al (2008). The Brief Resilience Scale: As-sessing the Ability to Bounce Back. Int J Behav Med, 2008; 15(3): 194–200.
19. Zarit SH, Reever KE, Bach-Peterson J (1980). Relatives of the impaired elderly: correlates of feelings of burden. Geron-tologist, 20(6):649-55.
20. Nenadovic A, Radovanovic S, Joksimovic S, et al (2023). Burnout syndrome among medical nurse-technicians in intensive care units in cardiovascular surgery. Front Public Health, 11:1287756.
21. Niu A, Li P, Duan P, et al (2022). Profes-sional quality of life in nurses on the frontline against COVID-19. J Nurs Manag, 30(5):1115-1124.
22. Ruiz-Fernández MD, Pérez-García E, Or-tega-Galán ÁM (2020). Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Envi-ron Res Public Health, 17(4):1253.
23. Tuna R, Eskin Bacaksiz F, Kahraman B (2022). The Relationship Between Mus-culoskeletal Discomfort and Profes-sional Quality of Life Among Nurses. Pain Manag Nurs, 23(1):62-67.
24. Kgakge K, Hlongwa M, Ginindza T (2021). The distribution of work-related muscu-loskeletal disorders among nurses in sub-Saharan Africa: a scoping review protocol. Syst Rev, 10(1):229.
25. Alameri RA, Almulla HA, Al Swyan AH, et al (2024). Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: a cross-sectional study. BMC Nurs, 23(1):51.
26. Kim WJ, Jeong BY (2024). Effects of Oc-cupational Hazards, Musculoskeletal Pain, and Work on the Overall Fatigue, Anxiety, and Depression of Female Nurses. Applied Sciences, 14(9):3869.
27. Elbejjani M, Abed Al Ahad M, Simon M, et al (2020). Work environment-related fac-tors and nurses' health outcomes: a cross-sectional study in Lebanese hospi-tals. BMC Nurs, 19:95.
28. Li LZ, Yang P, Singer SJ, et al (2024). Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Re-view and Meta-Analysis. JAMA Netw Open, 7(11):e2443059.
29. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A (2022). Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nurs, 21(1):75.
30. Woo T, Ho R, Tang A, Tam W (2020). Global prevalence of burnout symp-toms among nurses: A systematic review and meta-analysis. J Psychiatr Res, 123:9-20.
31. Al-Qadi MM (2021). Workplace violence in nursing: A concept analysis. J Occup Health, 63(1):e12226.
32. Yan J, Wu C, He C, et al (2022). The social support, psychological resilience and quality of life of nurses in infectious disease departments in China: A medi-ated model. J Nurs Manag, 30(8):4503-4513.
33. Sun N, Lv DM, Man J, et al (2017). The cor-relation between quality of life and so-cial support in female nurses. J Clin Nurs, 26(7-8):1005-1010.
34. Woon LS, Mansor NS, Mohamad MA, et al (2021). Quality of Life and Its Predictive Factors Among Healthcare Workers Af-ter the End of a Movement Lockdown: The Salient Roles of COVID-19 Stress-ors, Psychological Experience, and So-cial Support. Front Psychol, 12:652326.
35. Cui P, Yang M, Hu H, et al (2024). The im-pact of caregiver burden on quality of life in family caregivers of patients with advanced cancer: a moderated media-tion analysis of the role of psychologi-cal distress and family resilience. BMC Public Health, 24(1):817.
36. Akter J, Konlan KD, Nesa M, Ispriantari A (2023). Factors influencing cancer pa-tients' caregivers' burden and quality of life: An integrative review. Heliyon, 9(11):e21243.
2. Mosley PE, Moodie R, Dissanayaka N (2017). Caregiver Burden in Parkinson Disease: A Critical Review of Recent Literature. J Geriatr Psychiatry Neurol, 30(5):235-252.
3. Perpiñá-Galvañ J, Orts-Beneito N, Fernán-dez-Alcántara M, et al (2019). Level of Burden and Health-Related Quality of Life in Caregivers of Palliative Care Pa-tients. Int J Environ Res Public Health, 16(23):4806.
4. Chan LML, Yan OY, Lee JJJ, et al (2023). Effects of Palliative Care for Progres-sive Neurologic Diseases: A Systematic Review and Meta-Analysis. J Am Med Dir Assoc, 24(2):171-184.
5. Llop-Medina L, Ródenas-Rigla F, Gallego-Valadés A, et al (2024). Factorial struc-ture of quality of life, satisfaction with caregiving and caregiver burden in pal-liative care: A systematic review. Nurs Open, 11(1):e2067.
6. Chen Z, Ding Z, Chen C, et al (2021). Ef-fectiveness of comprehensive geriatric assessment intervention on quality of life, caregiver burden and length of hospital stay: a systematic review and meta-analysis of randomised controlled trials. BMC Geriatr, 21(1):377.
7. Harding R, Gao W, Jackson D, et al (2015). Comparative Analysis of Informal Caregiver Burden in Advanced Cancer, Dementia, and Acquired Brain Injury. J Pain Symptom Manage, 50(4):445-52.
8. Phongtankuel V, Reid MC, Czaja SJ, et al (2020). Adelman RD. Caregiver-Reported Quality Measures and Their Correlates in Home Hospice Care. Palli-at Med Rep, 1(1):111-118.
9. Higginson IJ, Gao W, Jackson D, et al (2010). Short-form Zarit Caregiver Bur-den Interviews were valid in advanced conditions. J Clin Epidemiol, 63(5):535-42.
10. Liew TM, Yap P (2019). A 3-Item Screening Scale for Caregiver Burden in Dementia Caregiving: Scale Development and Score Mapping to the 22-Item Zarit Burden Interview. J Am Med Dir Assoc, 20(5):629-633.e12.
11. Loo YX, Yan S, Low LL (2022). Caregiver burden and its prevalence, measurement scales, predictive factors and impact: a review with an Asian perspective. Singa-pore Med J, (10):593-603.
12. Bajwah S, Oluyase AO, Yi D, et al (2020). The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers. Cochrane Database Syst Rev, 9(9):CD012780.
13. Rajovic T, Todorovic N, Vracevic M, et al (2021). From Burden to Depressive Symptoms in Informal Caregivers dur-ing the COVID-19 Pandemic: A Path Analysis. Int J Environ Res Public Health,18(18):9577.
14. Towle RM, Tan CG, Saptu K, et al (2019). What do caregivers value and is there agreement in perception of met needs between nurses and caregivers? Singapore Med J, 60(11):575-582.
15. Тhe WHOQOL Group (1998). Develop-ment of the World Health Organization WHOQOL-BREF quality of life assess-ment. The WHOQOL Group. Psychol Med, 28(3):551-8.
16. Jovanović, V, Gavrilov, JV, Žuljević, D, et al (2014). Psychometric evaluation of the depression, anxiety and stress Scale-21 (DASS-21) on a sample of students in Serbia. Psihologija, 47:93–112.
17. Novakov I (2021). Fatigue in breast cancer patients - examining the role of demo-graphic and clinical factors, psychologi-cal factors and social support. TIMS. Ac-ta,15(1):23-36.
18. Smith B, Dalen J, Wiggins K, Tooley E, et al (2008). The Brief Resilience Scale: As-sessing the Ability to Bounce Back. Int J Behav Med, 2008; 15(3): 194–200.
19. Zarit SH, Reever KE, Bach-Peterson J (1980). Relatives of the impaired elderly: correlates of feelings of burden. Geron-tologist, 20(6):649-55.
20. Nenadovic A, Radovanovic S, Joksimovic S, et al (2023). Burnout syndrome among medical nurse-technicians in intensive care units in cardiovascular surgery. Front Public Health, 11:1287756.
21. Niu A, Li P, Duan P, et al (2022). Profes-sional quality of life in nurses on the frontline against COVID-19. J Nurs Manag, 30(5):1115-1124.
22. Ruiz-Fernández MD, Pérez-García E, Or-tega-Galán ÁM (2020). Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Envi-ron Res Public Health, 17(4):1253.
23. Tuna R, Eskin Bacaksiz F, Kahraman B (2022). The Relationship Between Mus-culoskeletal Discomfort and Profes-sional Quality of Life Among Nurses. Pain Manag Nurs, 23(1):62-67.
24. Kgakge K, Hlongwa M, Ginindza T (2021). The distribution of work-related muscu-loskeletal disorders among nurses in sub-Saharan Africa: a scoping review protocol. Syst Rev, 10(1):229.
25. Alameri RA, Almulla HA, Al Swyan AH, et al (2024). Sleep quality and fatigue among nurses working in high-acuity clinical settings in Saudi Arabia: a cross-sectional study. BMC Nurs, 23(1):51.
26. Kim WJ, Jeong BY (2024). Effects of Oc-cupational Hazards, Musculoskeletal Pain, and Work on the Overall Fatigue, Anxiety, and Depression of Female Nurses. Applied Sciences, 14(9):3869.
27. Elbejjani M, Abed Al Ahad M, Simon M, et al (2020). Work environment-related fac-tors and nurses' health outcomes: a cross-sectional study in Lebanese hospi-tals. BMC Nurs, 19:95.
28. Li LZ, Yang P, Singer SJ, et al (2024). Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Re-view and Meta-Analysis. JAMA Netw Open, 7(11):e2443059.
29. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A (2022). Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nurs, 21(1):75.
30. Woo T, Ho R, Tang A, Tam W (2020). Global prevalence of burnout symp-toms among nurses: A systematic review and meta-analysis. J Psychiatr Res, 123:9-20.
31. Al-Qadi MM (2021). Workplace violence in nursing: A concept analysis. J Occup Health, 63(1):e12226.
32. Yan J, Wu C, He C, et al (2022). The social support, psychological resilience and quality of life of nurses in infectious disease departments in China: A medi-ated model. J Nurs Manag, 30(8):4503-4513.
33. Sun N, Lv DM, Man J, et al (2017). The cor-relation between quality of life and so-cial support in female nurses. J Clin Nurs, 26(7-8):1005-1010.
34. Woon LS, Mansor NS, Mohamad MA, et al (2021). Quality of Life and Its Predictive Factors Among Healthcare Workers Af-ter the End of a Movement Lockdown: The Salient Roles of COVID-19 Stress-ors, Psychological Experience, and So-cial Support. Front Psychol, 12:652326.
35. Cui P, Yang M, Hu H, et al (2024). The im-pact of caregiver burden on quality of life in family caregivers of patients with advanced cancer: a moderated media-tion analysis of the role of psychologi-cal distress and family resilience. BMC Public Health, 24(1):817.
36. Akter J, Konlan KD, Nesa M, Ispriantari A (2023). Factors influencing cancer pa-tients' caregivers' burden and quality of life: An integrative review. Heliyon, 9(11):e21243.
| Files | ||
| Issue | Vol 54 No 9 (2025) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v54i9.19863 | |
| Keywords | ||
| Nurses-technicians Brief resilience scale Quality of life | ||
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How to Cite
1.
Djacic M, Radovanovic S, Zdravkovic N, Stojic V, Milojevic S, Darijan A, Lazin S, Glisic I, Stepovic M, Boskovic Matic T. Factors that Affect the Quality of Life of Caregiving Nursing Technicians of Psychiatric Patients. Iran J Public Health. 2025;54(9):1965-1974.
