Background/Objectives: Multiple chronic conditions (MCCs) pose global health and social challenges, with caregiving often relying on family members, especially in low- and middle-income countries (LMICs). However, limited evidence exists regarding the factors influencing caregiver contribution (CC) to patient self-care among older adults with MCCs in these settings. Aim: The aim of this study was to examine the associations between caregivers’ and patients’ socio-demographic characteristics and patients’ clinical variables and the CC to patient self-care behaviors in adults with MCCs in an LMIC context. Methods: This multicenter, cross-sectional study included patient–caregiver dyads recruited from outpatient and community settings across Albania, between August 2020 and April 2021. CC was assessed using the Caregiver Contribution to Self-Care of Chronic Illness Inventory scale (CC-SCCII). Three multivariable linear regression models were used to explore associations with the three dimensions of CC to self-care maintenance, monitoring, and management. Results: Caregivers were mostly female, children, or spouses with a high level of education and employed. Patients were primarily female and had low education. Hypertension and diabetes were the most prevalent. Older and employed caregivers contributed less to CC to self-care maintenance, while higher education and caregiving experience increased it. Living with the patient and being a spouse reduced CC to self-care monitoring, whereas more caregiving hours and experience improved it. CC to self-care management was negatively influenced by cohabitation, presence of a second caregiver, and being a spouse, but improved with more caregiving hours. Conclusions: Socio-demographic and caregiving factors differently influence CC to self-care dimensions in older adults with MCCs in an LMIC. Tailored caregiver support programs are essential to enhance caregiver involvement and improve MCC patient outcomes in LMICs.
2 February 2024 in Multidisciplinary Science Journal
According to the United Nations most recent figures (2020), the percentage of the people over the age of 65 accounts for 9.31% of the total global population in 2020. This phenomena is expected to have a direct impact on health care services, raising demand and influencing health care workers' attitudes and services for elderly individuals. The purpose of this study is to analyze nurses' attitudes toward senior care and to identify the associated factors that influence their opinions. The study is of the transverse (cross-sectional) type. Between January and March 2022, 299 nurses were surveyed at four public institutions: the University Clinical Centre, the General Hospital "Dr. Sami Haxhibeqiri" in Mitrovica, the Main Centre of Family Medicine "Dr. Hafir Shala" in Drenas, and the Family Medicine Centre in Komoran. The sample was chosen at random. The majority of the nurses in the survey (86.3%) agree with the statement that they have favorable attitudes toward aged care and that health services are provided qualitatively in the health institutions where the research was performed (76% of respondents). The amount of education of nurses had the greatest impact on the emergence of compliance with positive attitudes, with results showing that nurses with a higher level of education tend to have compliance with more favorable attitudes toward care for elderly individuals. The majority of the nurses who took part in the study believe that they have generally positive views toward aged care and that the provision of nursing care services in their healthcare institutions is of high quality.