Evaluation of caregiver burden of cancer patients and impact of this burden on caregiver's quality of life
Abstract
Aim: To predict the caregiver burden based on the clinical characteristics of cancer patients and the social and economic circumstances of the caregiver, and to evaluate the influence of this burden on the caregiver's quality of life.
Material and Method: The effects of the clinical findings of 411 patients followed up and treated in our clinic between January 2020 and March 2021, and the social and economic circumstances of the caregiver on the Zarit caregiver burden questionnaire score filled by the caregivers were analyzed. In addition, the Zarit caregiver burden score obtained was researched how influenced the Short-form 36 quality of life questionnaire filled by the caregivers.
Results: In our study, a statistically significant correlation was found between Zarit score and ECOG PS, transportation, residence status, receiving chemotherapy, having a metastatic disease (p<0.05 for all) in linear regression analysis of Zarit score with pairwise and more than two groups analysis. A moderate reverse relationship was determined between the Zarit scores of caregivers and SF36 scores (p<0.05 for all).
Conclusion: The caregiver burden is affected by the patient's clinical characteristics and the social and economic circumstances of the caregiver. Increasing the caregiver burden has adverse effects on the caregiver's quality of life. These findings show the importance of considering the caregiver factor in the evaluation of treatment compliance and well-being of patients.
References
- Hyuna S, Jacques F,Rebecca L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca Cancer J Clın 2021; 0: 1–41.
- Christopher J L Murray. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390: 1151–210.
- Blum K, Sherman DW. Understanding the experience of caregivers: a focus on transitions. Semin Oncol Nurs 2010; 26: 243-58.
- NAC [Accessed 01/03/20]; Caregiving in the U.S. 2020 https://www.caregiving.org/ caregiving-in-the-us-2020/
- Lee S, Colditz GA, Berkman LF, Kawachi I. Caregiving and risk of coronary heart disease in U.S. women: A prospective study. Am J Prev Med 2003; 24: 113–9.
- Schulz R, Beach SR. Caregiving as a risk factor for mortality - The caregiver health effects study. Jama-J Am Med Assoc 1999; 282: 2215–9.
- Buyan N, Türkmen MA, Bilge I, et al. Quality of life in children with chronic kidney disease (with child and parent assessments). Pediatr Nephrol 2010; 25: 1487-96.
- Rahmani F, Ranjbar F, Hosseinzadeh M, et al. Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey. Int J Nurs Sci 2019; 6: 148-53.
- Mora-Castañeda B, Márquez-González M, Fernández-Liria A, et al. Clinical and demographic variables associated coping and the burden of caregivers of schizophrenia patients. Rev Colomb Psiquiatr 2016; 47: 13-20.
- Parekh NK, Shah S, McMaster K, et al. Effects of caregiver burden on quality of life and coping strategies utilized by caregivers of adult patients with inflammatory bowel disease. Ann Gastroenterol 2017; 30: 89-95.
- Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feeling of burden. Gerontologist 1980; 20: 649-55
- Özlü A, Yıldız M, Aker T. A reliability and validity study on the Zarit caregiver burden scale. Archives of Neuropsychiatry 2009; 46: 38–42.
- Ware JE, Sherbourne CD. “The MOS 36-item Short Form Healty Survey”, I. Conceptual Framework and item Selection, Med Care, 1992.
- Bowling A. “Measuring Health: A Review of Quality of Life Measurement Scales”, II. En. Open Univesity Press, Philadelphia, 1997.
- Koçyiğit H, Aydemir Ö, Fisek G, et al. "Reliability and Validity of the Turkish Version of Short Form-36", Journal of Medicine and Treatment, 1999.
- O’Hara RE, Hull JG, Lyons KD, et al. Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer. Palliat Support Care 2010; 8: 395-404.
- Harding R, Higginson IJ, Donaldson N. The relationship between patient characteristics and carer psychological status in home palliative cancer care. Support Care Cancer 2010; 11: 638-43.
- Wood R, Taylor-Stokes G, Smith F et al. The humanistic burden of advanced non-small cell lung cancer: What are the key drivers of caregiver burden? J Clin Oncol 2018; 36: 149-149.
- Semere W, D.Althouse A, Rosland A.M et al. Poor patient health is associated with higher caregiver burden for older adults with advanced cancer Poor patient health is associated with higher caregiver burden for older adults with advanced cancer. J Geriatr Oncol 2021.doi.org/10.1016/j. jgo.2021.01.002.
- Bayen E, Donadey FL, Prouté M, et al. The multidimensional burden of informal caregivers in primary malignant brain tumor. Supportive Care in Cancer 2017; 25: 245–53.
- Stommel M, Given CW, Given BA. The cost of cancer home care to families Cancer 1993; 71: 1867-74.
- Given BA, Given CW, Stommel M. Family and out-of-pocket costs for women with breast cancer. Cancer Pract 1994; 2: 187–93.
- Van Houtven CH, Ramsey SD, Hornbrook MC, et al. Economic burden for ınformal caregivers of lung and colorectal cancer patients. The Oncologist 2010; 15: 883– 93.
- Longo CJ, Fitch M, Deber RB, Williams AP. Financial and family burden associated with cancer treatment in Ontario, Canada. Supportive Care in Cancer 2006; 14: 1077-85.
- Almohammadi A, Alqarni A, Alraddadi R, et al. Assessment of patients' knowledge in managing side effects of chemotherapy: case of King Abdul-Aziz University Hospital. J Cancer Educ 2020; 35: 334–8.
- Traa MJ, Braeken J, De Vries J, Roukema JA, Orsini RG, Den Oudsten BL. Evaluating quality of life and response shift from a couple-based perspective: a study among patients with colorectal cancer and their partners. Qual Life Res 2015; 24: 1431–41.
- Northouse LL, Katapodi MC, Schafenacker AM, Weiss D. The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nurs 2012; 28: 236–45.
- Palacio C, Krikorian A, Limonero JT. The influence of psychological factors on the burden of caregivers of patients with advanced cancer: resiliency and caregiver burden. Palliat Support Care 2018; 16: 269–77.
- Given BA, Given CW, Kozachik S, et al. Family support in advanced cancer. J Cancer Clinicians 2001; 51: 4.
- Ellis J. The impact of lung cancer on patients and carers. Chron Respir Dis 2012; 9: 39–47.
- Burridge LH, Barnett AG, Clavarino AM. The impact of perceived stage of cancer on carers' anxiety and depression during the patients' final year of life. Psychooncology 2009; 18: 615–23.
- Morse SR, Fife B. Coping with a partner’scancer: adjustment at four stages of the illness tra-jectory. Oncol Nurs Forum 1998; 25: 751-60.
- Grov EK, Dahl AA, Moum T, Foss SD. Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase Ann Oncol 2005; 16: 1185–91.
- Wagner CD, Bigatti SM, Storniolo AM. Quality of life of husbands of women with breast cancer. Psychooncology 2006; 15: 109–20.
- Grov EK, Dahl AA, Moum T, Fosså SD. Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Ann Oncol 2005; 16: 1185–91.
- Gereklioğlu Ç, Korur A, Asma S, et al. Assessment of quality of life in caregivers of the patients with hematologic neoplasms. Turk J Fam Med Primary Care 2019; 13: 3.
Abstract
References
- Hyuna S, Jacques F,Rebecca L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca Cancer J Clın 2021; 0: 1–41.
- Christopher J L Murray. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390: 1151–210.
- Blum K, Sherman DW. Understanding the experience of caregivers: a focus on transitions. Semin Oncol Nurs 2010; 26: 243-58.
- NAC [Accessed 01/03/20]; Caregiving in the U.S. 2020 https://www.caregiving.org/ caregiving-in-the-us-2020/
- Lee S, Colditz GA, Berkman LF, Kawachi I. Caregiving and risk of coronary heart disease in U.S. women: A prospective study. Am J Prev Med 2003; 24: 113–9.
- Schulz R, Beach SR. Caregiving as a risk factor for mortality - The caregiver health effects study. Jama-J Am Med Assoc 1999; 282: 2215–9.
- Buyan N, Türkmen MA, Bilge I, et al. Quality of life in children with chronic kidney disease (with child and parent assessments). Pediatr Nephrol 2010; 25: 1487-96.
- Rahmani F, Ranjbar F, Hosseinzadeh M, et al. Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey. Int J Nurs Sci 2019; 6: 148-53.
- Mora-Castañeda B, Márquez-González M, Fernández-Liria A, et al. Clinical and demographic variables associated coping and the burden of caregivers of schizophrenia patients. Rev Colomb Psiquiatr 2016; 47: 13-20.
- Parekh NK, Shah S, McMaster K, et al. Effects of caregiver burden on quality of life and coping strategies utilized by caregivers of adult patients with inflammatory bowel disease. Ann Gastroenterol 2017; 30: 89-95.
- Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feeling of burden. Gerontologist 1980; 20: 649-55
- Özlü A, Yıldız M, Aker T. A reliability and validity study on the Zarit caregiver burden scale. Archives of Neuropsychiatry 2009; 46: 38–42.
- Ware JE, Sherbourne CD. “The MOS 36-item Short Form Healty Survey”, I. Conceptual Framework and item Selection, Med Care, 1992.
- Bowling A. “Measuring Health: A Review of Quality of Life Measurement Scales”, II. En. Open Univesity Press, Philadelphia, 1997.
- Koçyiğit H, Aydemir Ö, Fisek G, et al. "Reliability and Validity of the Turkish Version of Short Form-36", Journal of Medicine and Treatment, 1999.
- O’Hara RE, Hull JG, Lyons KD, et al. Impact on caregiver burden of a patient-focused palliative care intervention for patients with advanced cancer. Palliat Support Care 2010; 8: 395-404.
- Harding R, Higginson IJ, Donaldson N. The relationship between patient characteristics and carer psychological status in home palliative cancer care. Support Care Cancer 2010; 11: 638-43.
- Wood R, Taylor-Stokes G, Smith F et al. The humanistic burden of advanced non-small cell lung cancer: What are the key drivers of caregiver burden? J Clin Oncol 2018; 36: 149-149.
- Semere W, D.Althouse A, Rosland A.M et al. Poor patient health is associated with higher caregiver burden for older adults with advanced cancer Poor patient health is associated with higher caregiver burden for older adults with advanced cancer. J Geriatr Oncol 2021.doi.org/10.1016/j. jgo.2021.01.002.
- Bayen E, Donadey FL, Prouté M, et al. The multidimensional burden of informal caregivers in primary malignant brain tumor. Supportive Care in Cancer 2017; 25: 245–53.
- Stommel M, Given CW, Given BA. The cost of cancer home care to families Cancer 1993; 71: 1867-74.
- Given BA, Given CW, Stommel M. Family and out-of-pocket costs for women with breast cancer. Cancer Pract 1994; 2: 187–93.
- Van Houtven CH, Ramsey SD, Hornbrook MC, et al. Economic burden for ınformal caregivers of lung and colorectal cancer patients. The Oncologist 2010; 15: 883– 93.
- Longo CJ, Fitch M, Deber RB, Williams AP. Financial and family burden associated with cancer treatment in Ontario, Canada. Supportive Care in Cancer 2006; 14: 1077-85.
- Almohammadi A, Alqarni A, Alraddadi R, et al. Assessment of patients' knowledge in managing side effects of chemotherapy: case of King Abdul-Aziz University Hospital. J Cancer Educ 2020; 35: 334–8.
- Traa MJ, Braeken J, De Vries J, Roukema JA, Orsini RG, Den Oudsten BL. Evaluating quality of life and response shift from a couple-based perspective: a study among patients with colorectal cancer and their partners. Qual Life Res 2015; 24: 1431–41.
- Northouse LL, Katapodi MC, Schafenacker AM, Weiss D. The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nurs 2012; 28: 236–45.
- Palacio C, Krikorian A, Limonero JT. The influence of psychological factors on the burden of caregivers of patients with advanced cancer: resiliency and caregiver burden. Palliat Support Care 2018; 16: 269–77.
- Given BA, Given CW, Kozachik S, et al. Family support in advanced cancer. J Cancer Clinicians 2001; 51: 4.
- Ellis J. The impact of lung cancer on patients and carers. Chron Respir Dis 2012; 9: 39–47.
- Burridge LH, Barnett AG, Clavarino AM. The impact of perceived stage of cancer on carers' anxiety and depression during the patients' final year of life. Psychooncology 2009; 18: 615–23.
- Morse SR, Fife B. Coping with a partner’scancer: adjustment at four stages of the illness tra-jectory. Oncol Nurs Forum 1998; 25: 751-60.
- Grov EK, Dahl AA, Moum T, Foss SD. Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase Ann Oncol 2005; 16: 1185–91.
- Wagner CD, Bigatti SM, Storniolo AM. Quality of life of husbands of women with breast cancer. Psychooncology 2006; 15: 109–20.
- Grov EK, Dahl AA, Moum T, Fosså SD. Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Ann Oncol 2005; 16: 1185–91.
- Gereklioğlu Ç, Korur A, Asma S, et al. Assessment of quality of life in caregivers of the patients with hematologic neoplasms. Turk J Fam Med Primary Care 2019; 13: 3.
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| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | January 17, 2022 |
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Cited By
Caregiver Burden and Quality of Life among Caregivers of Cancer Patients in Ahvaz, 2021 - 2022: A Cross-Sectional Study
Jundishapur Journal of Chronic Disease Care
https://doi.org/10.5812/jjcdc-138098
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