Caregiver Burden and Quality of Life of Elderly Patients Attending a Family Medicine Geriatric Clinic at a Teaching Hospital, Osun State, South-West Nigeria
DOI:
https://doi.org/10.71637/tnhj.v25i2.1066Keywords:
caregiver , quality of life, Patients, Geriatric ClinicAbstract
Background: Caregiver burden significantly impacts the quality of life (QoL) of elderly patients and their caregivers, particularly in resource-limited settings. This study examined this relationship among patients attending a geriatric clinic in Osogbo, Nigeria.
Method: A cross-sectional study was conducted among 316 caregivers using structured questionnaires. Data were analyzed using chi-square tests, t-tests, and logistic regression.
Result: Of the 316 respondents, 53.5% were female, 60.4% married, and 59.2% held graduate degrees. The mean age was 32.91 ± 11.36 years, with an average monthly income of ₦68,322.78 ± ₦72,177.63. Caregivers spent 6.28 ± 7.28 hours daily on caregiving. Caregiver burden was reported by 47.8%, with 64.2% of patients being independent. Significant associations were found between burden and religion (p=0.017), marital status (p=0.002), education level (p=0.001), and patient dependence (p=0.001). Muslims (56.7%) and single caregivers (60.5%) experienced higher burden. Caregivers of dependent patients (66.4%) and postgraduate degree holders (90.9%) reported greater burden. Caregivers with burden were younger (31.31 ± 12.02 years) and spent more hours daily (7.42 ± 8.02 hours) compared to those without burden (34.36 ± 10.54 years; 5.23 ± 6.37 hours). Burden was significantly associated with poorer QoL in physiological (p=0.004) and environmental domains (p=0.001). Financial constraints (61.7%) and daily caregiving challenges (71.2%) were major stressors.
Conclusion: Caregiver burden is prevalent and influenced by socio-demographic factors, negatively impacting QoL. Interventions such as financial aid, mental health support, and community-based programs are urgently needed to alleviate burden and improve well-being.
Downloads
References
1.Harper S. Economic and social implications of aging societies. Science. 2014 Oct 31;346(6209):587-91.
2.Diener E, Pressman SD, Hunter J, Delgadillo‐Chase D. If, why, and when subjective well‐being influences health, and future needed research. Applied Psychology: Health and Well‐Being. 2017 Jul;9(2):133-67.
3.Falola T, Aderinto S. Nigeria, nationalism, and writing history. University Rochester Press; 2010.
4.Sun KC. Reconfigured reciprocity: How aging Taiwanese immigrants transform cultural logics of elder care. Journal of Marriage and Family. 2014 Aug;76(4):875-89.
5.Aref A, Fallentine A, Zahran S. The State of Urbanization, Demographic Changes, and Family Dynamics in Africa. Journal of Comparative Family Studies. 2024 Mar 1;54(3):283-97.
6.Young GT. Understanding the experiences of caregivers for patients with Chronic Traumatic Encephalopathy.
7.Ezulike JC, Lu S, Chiu MY. Aging and caring: exploring older adults’ motivation for informal caregiving to other aging individuals in Nigeria. Innovation in Aging. 2024 Apr 1;8(4):igad140.
8.National Academies of Sciences, Medicine, Division of Behavioral, Social Sciences, Medicine Division, Board on Behavioral, Sensory Sciences, Board on Health Sciences Policy, Committee on the Health, Medical Dimensions of Social Isolation, Loneliness in Older Adults. Social isolation and loneliness in older adults: Opportunities for the health care system. National Academies Press; 2020 Jun 14.
9.Rajabi-Mashhadi MT, Mashhadinejad H, Ebrahimzadeh MH, Golhasani-Keshtan F, Ebrahimi H, Zarei Z. The Zarit Caregiver Burden Interview Short Form (ZBI-12) in spouses of veterans with chronic spinal cord injury, validity and reliability of the Persian version. Archives of bone and joint surgery. 2015 Jan 15;3(1):56.
10.Hartigan I. A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International journal of older people nursing. 2007 Sep;2(3):204-12.
11.Vahedi S. World Health Organization Quality-of-Life Scale (WHOQOL-BREF): analyses of their item response theory properties based on the graded responses model. Iranian journal of psychiatry. 2010;5(4):140.
12.Fernández MB, Miranda-Castillo C, Rosell J, Herrera MS. Consequences of caring for the physical health, mental health and subjective well-being of Chilean older adults. International Journal of Care and Caring. 2024 Nov 8;8(4):638-55.
13.Dunkle RE, Feld S, Lehning AJ, Kim H, Shen HW, Kim MH. Does becoming an ADL spousal caregiver increase the caregiver’s depressive symptoms? Research on Aging. 2014 Nov;36(6):655-82.
14.Lambert SD, Duncan LR, Kapellas S, Bruson AM, Myrand M, Santa Mina D, Culos-Reed N, Lambrou A. A descriptive systematic review of physical activity interventions for caregivers: effects on caregivers’ and care recipients’ psychosocial outcomes, physical activity levels, and physical health. Annals of Behavioral Medicine. 2016 Dec 1;50(6):907-19.
15.Gérain P, Zech E. Informal caregiver burnout? Development of a theoretical framework to understand the impact of caregiving. Frontiers in psychology. 2019 Jul 31; 10:466359.
16.Bom J, Bakx P, Schut F, Van Doorslaer E. The impact of informal caregiving for older adults on the health of various types of caregivers: a systematic review. The Gerontologist. 2019 Sep 17;59(5):e629-42.
17.World Health Organization. Decade of healthy ageing: baseline report. World Health Organization; 2021 Jan 14.
18.Shrestha P. National Family Caregivers Month:“Caregiving Around the Clock”. Journal of Gerontological Nursing. 2021 Nov 1;47(11):3-5.
19.OLUTOKI M, EDET B, YAKASAI B, NGIM F, DEMBEN R, ESUABANGA A, UKPONG I, BASSEY N, OKOI A, OROK U. Qualitative Assessment of a Ward in a Federal Mental Health Institution in Sub-Saharan Africa.
20.Uwakwe R, Modebe I, Njelita I, Ezeama N, Agomoh A. Rates of Physical Illness in Patients with Mental Disorders seen at Nnewi, Nigeria. Orient Journal of Medicine. 2013 Sep 10;25(1-2):24-31.
21.Aliyu KT, Kamara AY, Huising EJ, Jibrin JM, Shehu BM, Rurinda J, Adam AM, Mohammed IB, Vanlauwe B. Maize nutrient yield response and requirement in the maize belt of Nigeria. Environmental Research Letters. 2022 May 26;17(6):064025.
22.Srivastava G, Tripathi RK, Tiwari SC, Singh B, Tripathi SM. Caregiver burden and quality of life of key caregivers of patients with dementia. Indian journal of psychological medicine. 2016 Mar;38(2):133-6.
23.Rha SY, Park Y, Song SK, Lee CE, Lee J. Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. European Journal of Oncology Nursing. 2015 Aug 1;19(4):376-82.
24.Tough H, Brinkhof MW, Fekete C. Untangling the role of social relationships in the association between caregiver burden and caregiver health: an observational study exploring three coping models of the stress process paradigm. BMC public health. 2022 Sep 13;22(1):1737.
25.Adebiyi BO, Goldschmidt T, Benjamin F, Sonn IK, Rich E, Roman NV. Enablers and barriers to effective parenting within the first 1000 days: an exploratory study of South African parents and primary caregivers in low socio-economic communities. BMC public health. 2022 Apr 20;22(1):793.
26.Olugbenga-Bello AI, Adebimpe WO, Osundina FF, Abdulsalam ST. Perception on prevention of mother-to-child-transmission (PMTCT) of HIV among women of reproductive age group in Osogbo, Southwestern Nigeria. International Journal of Women's Health. 2013 Jul 11:399-405.
27.Chukwu N, Agwu P, Ajibo H, Aronu N. Challenges faced by informal caregivers of patients in a Nigerian hospital and implications for social work. Journal of Social Work. 2022 Sep;22(5):1189-206.
28.Ofovwe CE, Osasona SO. Burden of caregiving among caregivers of patients with severe mental illnesses in Benin City, Nigeria. African Health Sciences. 2022 Aug 1;22(2):657-67.
29.Ojifinni OO, Uchendu OC. Experience of burden of care among adult caregivers of elderly persons in Oyo State, Nigeria: a cross-sectional study. Pan African Medical Journal. 2022;42(1).
30.Chukwu N, Agwu P, Ajibo H, Aronu N. Challenges faced by informal caregivers of patients in a Nigerian hospital and implications for social work. Journal of Social Work. 2022 Sep;22(5):1189-206.
31.Faronbi JO, Olaogun AA. The influence of caregivers’ burden on the quality of life for caregivers of older adults with chronic illness in Nigeria. International psychogeriatrics. 2017 Jul;29(7):1085-93.
32.Ariyo MA, Oluwasanu MM, John-Akinola YO. Financial and Emotional Burden of Caregiving on Informal Caregivers of Geriatric Patients at a Tertiary Healthcare Facility in Ibadan, Nigeria. Ageing International. 2025 Mar;50(1):12.
33.Abayomi O, Akinhanmi AO, Adelufosi AO. Psychiatric morbidity and subjective burden among carers of outpatients of a psychogeriatric clinic in southwestern Nigeria. Journal of cross-cultural gerontology. 2015 Dec; 30:439-50.
34.Diameta E, Adandom I, Jumbo SU, Nwankwo HC, Obi PC, Kalu ME. The burden experience of formal and informal caregivers of older adults with hip fracture in Nigeria. SAGE Open Nursing. 2018 Jun; 4:2377960818785155.

Published
Issue
Section
License
Copyright (c) 2025 Ayodeji Ogungbemi, Babatunde Adeola Afolabi, Atilola Atilade Adeleke, Akinade Amos Ajayi, Sunday Ademola Lagbenro, Ibukunoluwa Victoria Falope, Samuel Babatunde Oderinde, Adedayo Oladipupo Fayanju, Akinwunmi Ayodele Akinnuoye, Joshua Falade

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.