Abstract
Purpose
Cancer is associated with social, economic, and emotional consequences. Cancer caregivers would face high caring burden predisposing them to stress, depression, and decreased quality of life. This study aimed to determine the relationship between the quality of life and caring burden among cancer patients’ caregivers in Iran.
Methods
This cross-sectional study was performed on 154 caregivers for cancer patients referred to Imam Hossein Hospital of Shahroud city. Accessible sampling method was used to recruit the participants in this study. Data collection tools included a form for recording demographic characteristics, the SF-36 quality of life questionnaire, and the Novak & Guest caring burden inventory. The data was collected by self-reporting and was then analyzed using descriptive and inferential statistics (multivariate linear regression analysis and Pearson correlation coefficient).
Results
The mean age of the caregivers was 41.30 ± 13.12 years old. The participants’ average scores of caring burden and quality of life were 55.85 ± 20.33 (range between 24 and 120, moderate score of 48 to 71) and 59.79 ± 19.65, respectively. There was a significant reduction in the caregivers’ quality of life with increasing of the care burden. Moreover, married caregivers have better quality of life and along with increasing of their income, their quality of life decreases.
Conclusion
Cancer patients’ caregivers are prone to burden of care which affects their quality of life. Therefore, it is recommended to reduce the caring burden and improve the quality of life of the caregivers by providing appropriate mental, psychological, and social supports.
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References
Organization WH (2008) Are the number of cancer cases increasing or decreasing in the world? World Health Organ:125–140
Fitzmaurice C, Akinyemiju TF, Al Lami FH, Alam T, Alizadeh-Navaei R, Allen C, Alsharif U, Alvis-Guzman N, Amini E, Anderson BO (2018) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2016: a systematic analysis for the global burden of disease study. JAMA Oncol 4(11):1553–1568
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A (2015) Global cancer statistics, 2012. CA Cancer J Clin 65(2):87–108
Ferlay J, Shin H, Bray F (2013) Cancer incidence and mortality worldwide: IARC CancerBase No. Int J Cancer
Beiranvand S, Zarea K, Ghanbari S, Tuvesson H, Keikhaei B (2018) Ten years incidence of cancer in Iran; a systematic review and meta-analysis. Clin Epidemiol Glob Health 6(2):94–102
Mohebbi E, Nahvijou A, Hadji M, Rashidian H, Seyyedsalehi MS, Nemati S, Rouhollahi MR, Zendehdel K (2017) Iran Cancer Statistics in 2012 and projection of cancer incidence by 2035. Basic Clin Cancer Res 9(3):3–22
IAfRo C (2014) World cancer report 2014. WHO Geneva, City
Mollaoglu M, Tuncay F, Fertelli T (2011) Care burden of care givers of stroke patients and related factors. Dokuz Eylul Univ Sch Nurs Electron J 4(3):125–130
Given BA, Given CW, Sherwood PR (2012) Family and caregiver needs over the course of the cancer trajectory. J Support Oncol 10(2):57–64
Higginson IJ, Gao W (2008) Caregiver assessment of patients with advanced cancer: concordance with patients, effect of burden and positivity. Health Qual Life Outcomes 6(1):42
Roepke SK, Chattillion EA, von Känel R, Allison M, Ziegler MG, Dimsdale JE, Mills PJ, Patterson TL, Ancoli-Israel S, Calleran S (2011) Carotid plaque in Alzheimer caregivers and the role of sympatho-adrenal arousal. Psychosom Med 73(2):206–213
Bevans M, Sternberg EM (2012) Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. Jama 307(4):398–403
Capistrant BD, Moon JR, Glymour MM (2012) Spousal caregiving and incident hypertension. Am J Hypertens 25(4):437–443
Nayak MG, George A, Vidyasagar M, Kamath A (2014) Quality of life of family caregivers of patients with advanced cancer. J Nurs Health Sci 3(2):70–75
Clark MM, Rummans TA, Atherton PJ, Cheville AL, Johnson ME, Frost MH, Miller JJ, Sloan JA, Graszer KM, Haas JG (2013) Randomized controlled trial of maintaining quality of life during radiotherapy for advanced cancer. Cancer 119(4):880–887
Durmaz H, Okanlı A (2014) Investigation of the effect of self-efficacy levels of caregiver family members of the individuals with schizophrenia on burden of care. Arch Psychiatr Nurs 28(4):290–294
Hanly P, Maguire R, Hyland P, Sharp L (2015) Examining the role of subjective and objective burden in carer health-related quality of life: the case of colorectal cancer. Support Care Cancer 23(7):1941–1949
Mollaei F, Borhani F, Abbaszadeh A, Khabazkhoob M (2019) Correlation between spiritual well-being and burden of care in family caregivers of cancer patients. J Hayat:296–309
Tan JY, Molassiotis A, Lloyd-Williams M, Yorke J (2018) Burden, emotional distress and quality of life among informal caregivers of lung cancer patients: an exploratory study. Eur J Cancer Care 27(1):e12691
Danacı E, Koç Z (2018) Caregiving burden and life satisfaction among caregivers of cancer patients admitted to the emergency department. Clin Nurs Res 27(7):800–825
Rha SY, Park Y, Song SK, Lee CE, Lee J (2015) Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs 19(4):376–382
Given B, Wyatt G, Given C, Gift A, Sherwood P, DeVoss D, Rahbar M (2004) Burden and depression among caregivers of patients with cancer at the end-of-life. Oncology nursing forum; NIH Public Access, City, pp. 1105
Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hosseini S, Talebi M (2013) The relationship between caregiver burden with coping strategies in family caregivers of cancer patients. Iran Nurs Sci Assoc 1(3):62–71
Milbury K, Badr H, Fossella F, Pisters KM, Carmack CL (2013) Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Support Care Cancer 21(9):2371–2379
(2004) National consensus project for quality palliative care: clinical practice guidelines for quality palliative care, executive summary. J Palliat Med 7:611–627
Van Puymbroeck M, Rittman MR (2005) Quality-of-life predictors for caregivers at 1 and 6 months poststroke: results of path analyses. J Rehabil Res Dev 42(6)
Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care:473–483
Montazeri A, Goshtasb A, Vhdany M (2005) Reliability and validity of such set Farsi questionnaire SF-36. Payesh J 5(1):49–56
Asghari Moghaddam M, Faghihi S (2003) Validity and reliability of the health survey questionnaire (36 item short form) in two Iranian samples. J Daneshvar Rafter 10(1):1–10
McCleery A, Addington J, Addington D (2007) Family assessment in early psychosis. Psychiatry Res 152(2–3):95–102
Selçuk Tosun A, Doğan S, Tekinsoy Kartın P, Zincir H (2015) Care burden and quality of life of caregivers of cancer patients receiving radiotherapy. J Anatolia Nurs Health Sci 18(1):9–16
Tanriverdi O, Yavuzsen T, Turhal S, Kilic D, Yalcin S, Ozkan A, Uzunoglu S, Uysal-Sonmez O, Akman T, Aktas B (2016) Depression and socio-economical burden are more common in primary caregivers of patients who are not aware of their cancer: TURQUOISE Study by the Palliative Care Working Committee of the Turkish Oncology Group (TOG). Eur J Cancer Care 25(3):502–515
Yildiz E, Karakaş SA, Güngörmüş Z, Cengiz M (2017) Levels of care burden and self-efficacy for informal caregiver of patients with cancer. Holist Nurs Pract 31(1):7–15
Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S (2018) Care burden and its related factors in parents of children with cancer. Iran J Nurs 31(111):40–51
Palacio C, Krikorian A, Limonero JT (2018) The influence of psychological factors on the burden of caregivers of patients with advanced cancer: resiliency and caregiver burden. Palliat Support Care 16(3):269–277
Salmani N, Ashketorab T, Hasanvand S (2014) The burden of caregiver and related factors of oncology. Adv Nurs Midwifery 24(84):11–18
Seo YJ, Park H (2019) Factors influencing caregiver burden in families of hospitalised patients with lung cancer. J Clin Nurs 28(9–10):1979–1989
Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW (2010) Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin 60(5):317–339
Fujinami R, Sun V, Zachariah F, Uman G, Grant M, Ferrell B (2015) Family caregivers’ distress levels related to quality of life, burden, and preparedness. Psycho-Oncology 24(1):54–62
Grant M, Sun V, Fujinami R, Sidhu R, Otis-Green S, Juarez G, Klein L, Ferrell B (2013) Family caregiver burden, skills preparedness, and quality of life in non-small-cell lung cancer. Oncology nursing forum; NIH Public Access
Bartolo M, De Luca D, Serrao M, Sinforiani E, Zucchella C, Sandrini G (2010) Caregiver burden and needs in community neurorehabilitation. J Rehabil Med 42(9):818–822
Lee C-Y, Lee Y, Wang L-J, Chien C-Y, Fang F-M, Lin P-Y (2017) Depression, anxiety, quality of life, and predictors of depressive disorders in caregivers of patients with head and neck cancer: a six-month follow-up study. J Psychosom Res 100:29–34
Cormio C, Romito F, Viscanti G, Turaccio M, Lorusso V, Mattioli V (2014) Psychological well-being and posttraumatic growth in caregivers of cancer patients. Front Psychol 5:1342
Prue G, Santin O, Porter S (2015) Assessing the needs of informal caregivers to cancer survivors: a review of the instruments. Psycho-Oncology 24(2):121–129
Chang H-Y, Chiou C-J, Chen N-S (2010) Impact of mental health and caregiver burden on family caregivers’ physical health. Arch Gerontol Geriatr 50(3):267–271
Kehoe LA, Xu H, Duberstein P, Loh KP, Culakova E, Canin B, Hurria A, Dale W, Wells M, Gilmore N (2019) Quality of life of caregivers of older patients with advanced cancer. J Am Geriatr Soc 67(5):969–977
Cubukcu M (2018) Evaluation of quality of life in caregivers who are providing home care to cancer patients. Support Care Cancer 26(5):1457–1463
Lee HJ, Park E-C, Seung Ju K, Lee SG (2015) Quality of life of family members living with cancer patients
Wong JD, Shobo Y (2017) Types of family caregiving and daily experiences in midlife and late adulthood: the moderating influences of marital status and age. Res Aging 39(6):719–740
Acknowledgments
The present study was a result of a research project approved by the research deputy of Shahroud University of Medical Sciences under the code of 96105. We thank the participants, the deputy of Research and Technology and the Student Research Committee of Shahroud University of Medical Sciences, the authorities of the Imam Hossein hospital, and the staffs of chemotherapy unit of the hospital due to their kind contributions to the study.
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Abbasi, A., Mirhosseini, S., Basirinezhad, M.H. et al. Relationship between caring burden and quality of life in caregivers of cancer patients in Iran. Support Care Cancer 28, 4123–4129 (2020). https://doi.org/10.1007/s00520-019-05240-y
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DOI: https://doi.org/10.1007/s00520-019-05240-y