# Fatigue Among Caregivers of Hospitalized Patients

**Authors:** Eleni Maria Mitrou, Lamprini Avramopoulou, Dimitrios Alefragkis, Athanasia Tsami, Maria Polikandrioti

PMC · DOI: 10.3390/clinpract16010022 · Clinics and Practice · 2026-01-22

## TL;DR

This study explores fatigue in caregivers of hospitalized patients and finds it is linked to anxiety, insomnia, and various stressors.

## Contribution

The study identifies specific factors associated with caregiver fatigue in medical-surgical wards, emphasizing the need for caregiver support.

## Key findings

- Caregivers showed moderate fatigue, anxiety, and insomnia levels.
- Fatigue was strongly correlated with anxiety and insomnia.
- Gender, hospitalization length, stressors, and care unfamiliarity significantly influenced fatigue.

## Abstract

Introduction: Caregiving has been an emerging public health priority mainly due to the rapid pace of population aging, increase in chronic diseases and shortages of health professionals. In clinical settings, caregivers have a crucial role by providing support to patients. Consequently, they may experience physical and emotional burden mainly attributed to environmental, personal or family stressors. The aim of this study was to evaluate fatigue and the associated factors among caregivers of hospitalized patients in medical-surgical wards. Methods and Material: In the present study caregivers of hospitalized patients in medical and surgical wards were enrolled. Collection of data was performed with the following: a. Fatigue Assessment Scale (FAS), b. Zung Self-Rating Anxiety Scale (SAS) and c. Athens Insomnia Scale (AIS), which included patients’ characteristics. In this cross-sectional study, participants were selected using the method of convenience sampling. Results: Of the 142 participants, the majority were spouses (64.8%), female (64.8%) and over 60 years old (53.6%). The mean FAS score was 25.9 ± 9.3, the mean SAS was 38.1 ± 9.0, and the mean AIS score was 7.6 ± 4.7, indicating moderate, moderate to low and moderate levels of fatigue, anxiety and insomnia, respectively. Moreover, fatigue showed a positive linear correlation with both anxiety (Spearman’s rho = 0.713) and insomnia (Spearman’s rho = 0.671). The factors found to be statistically significantly associated with caregivers’ fatigue were the following: gender (p = 0.001), length of hospitalization (p = 0.013), experience of environmental stressors (p = 0.045), experience of financial stressors (p = 0.001), and unfamiliarity with the provision of care (p = 0.001). Conclusions: Provided that caregivers’ involvement in care not only enhances patient well-being but also supports clinical teams, it is widely comprehended that addressing their needs should be emphasized.

## Full-text entities

- **Diseases:** Fatigue (MESH:D005221), Anxiety (MESH:D001007), Insomnia (MESH:D007319), chronic diseases (MESH:D002908)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

37 references — full list in the complete paper: https://tomesphere.com/paper/PMC12839997/full.md

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Source: https://tomesphere.com/paper/PMC12839997