Determinants of Quality of Life in the Caregivers of Iranian War Survivors with Bilateral Lower-Limb Amputation after More than Two Decades

Zohreh Ganjparvar, Batool Mousavi, Mehdi Masumi, Mohammadreza Soroush, Ali Montazeri

Abstract


Background: Providing care to a disable relative at home exposes
the caregiver to a potentially higher risk of physical and mental
problems. We measured health-related quality of life (HRQOL) and
its determinants among the caregivers of the Iranian survivors of the
Iran-Iraq war (1980–1988) with bilateral lower-limb amputation.
Methods: Data were collected from 464 individuals comprising
war-related bilateral lower-limb amputees (n=232) and their
caregivers (n=232) in January 2015 in Shiraz, Iran. The 36-Item
Short-Form Health Survey (SF-36) questionnaire was used to
evaluate the caregivers’ QOL. Logistic regression analysis was
performed to determine the most significant contributing factors.
Results: The mean age of the caregivers and the amputees was
39.4±6.2 and 42.5±6.2 years, respectively. The mean duration
of disability was 22.8±3.9 years in the amputees. Most of the
caregivers were reported to be in their first marriage. The highest
and lowest mean scores of the SF-36 domains in the sample
population were observed for physical function (76.65±21.97)
and bodily pain (53.54±24.95). QOL in the caregivers was
significantly lower than that in a sample of the general Iranian
female population (P<0.05). History of hospitalization during
the preceding year of the study (OR: 2.23, 95% CI: 1.08 to 4.57,
P=0.02) and mental health problems (OR: 1.79, 95% CI: 1.02
to 3.15, P=0.04) in the amputees constituted the most important
predicting factors in the caregivers’ QOL.
Conclusion: The caregivers of the bilateral lower-limb amputees
in the current study suffered from a poor QOL. Hospitalization and
mental problems were the most significant contributing factors
vis-à-vis the caregivers’ HRQOL. Health care and services should,
therefore, be provided to both amputees and their caregivers.

 


Keywords


Amputation, Caregivers, War survivors, Iran

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