Skip to main content

Advertisement

SpringerLink
Log in

Systematic review on factors associated with self-perceived burden among cancer patients

  • Review Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Introduction

Cancer is the leading cause of death in the world. There was a high prevalence of high self-perceived burden (SPB) among cancer patients and this could bring adverse consequences to the physical and mental health of cancer patients, which can lead to suicide if not treated well. This review aims to determine the prevalence of SPB among cancer patients and its risk factors.

Methods

Published journals before September 2021, from five databases (PubMed, ScienceDirect, Springer, Cochrane, and CNKI) were retrieved according to the keywords. The keywords used included cancer patients, terminally ill patients, cancer, SPB, self-perceived burden, self-burden, self-perceived, factor, predictor, associated factor, determinants, risk factor, prognostic factor, covariate, independent variable, and variable. The quality of the inclusion and exclusion criteria was independently reviewed by three researchers.

Results

Out of 12,712 articles, there are 22 studies met the eligibility criteria. The prevalence of SPB among cancer patients ranged from 73.2 to 100% in Malaysia, China, and Canada. Most of them had moderate SPB. Out of the reported factors, age, gender, marital status, ethnicity, residence, educational level, occupational status, family income, primary caregiver, payment methods, disease-related factors, psychological factors, and physical factors were mostly reported across the studies.

Conclusions

In conclusion, SPB prevalence is high in cancer patients. Therefore, hospitals, non-governmental organizations, relevant policymakers, and communities can provide special programs for high-risk groups to provide psychological guidance or design corresponding interventions to reduce the SPB level of patients and improve the quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data availability

The authors confirm that the data supporting the findings of this study are available within the article.

Code availability

Not applicable.

References

  1. Chen W, Zheng R, Baade, PD et al (2016) Cancer statistics in China, 2015. CA: A Cancer Journal for Clinicians 66: 115–132. https://doi.org/10.3322/caac.21338

  2. Erturhan TK, Yilmaz M (2018) The effect on quality of life and body image of mastectomy among breast cancer survivors. European Journal of Breast Health 14:205–210. https://doi.org/10.5152/ejbh.2018.3875

    Article  Google Scholar 

  3. Rao WW, Yang MJ, Cao BN et al (2019) Psychological distress in cancer patients in a large Chinese cross-sectional study. J Affect Disord 245:950–956. https://doi.org/10.1016/j.jad.2018.11.089

    Article  PubMed  Google Scholar 

  4. Liu YL (2016) Study on the correlation between self-perceived burden and depression and quality of life in female breast cancer patients. Dissertation, Hunan Normal University

  5. Kilic ST, Oz F (2019) Family caregivers’ involvement in caring with cancer and their quality of life. Asian Pacific Journal of Cancer Prevention 20: 1735–1741. https://doi.org/10.31557/APJCP.2019.20.6.1735

  6. Cousineau N, McDowell I, Hotz S et al (2003) Measuring chronic patients’ feelings of being a burden to their caregivers. Med Care 41:110–118. https://doi.org/10.1097/00005650-200301000-00013

    Article  PubMed  Google Scholar 

  7. McPherson CJ, Wilson KG, Murray MA (2007) Feeling like a burden: Exploring the perspectives of patients at the end of life. Soc Sci Med 64:417–427. https://doi.org/10.1016/j.socscimed.2006.09.013

    Article  PubMed  Google Scholar 

  8. Ren YY, Liu HX, Tian XL (2013) Screening of items of self-perceived burden scale for cancer patients and formation of test version. Journal of Nursing 28:25–27. https://doi.org/10.3870/hlxzz.2013.05.025

    Article  Google Scholar 

  9. Libert Y, Borghgraef C, Beguin Y et al (2017) Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study. Psychooncology 26:118–124. https://doi.org/10.1002/pon.4108

    Article  PubMed  Google Scholar 

  10. Wilson KG, Dalgleish TL, Chochinov HM et al (2016) Mental disorders and the desire for death in patients receiving palliative care for cancer. BMJ Support Palliat Care 6:170–177. https://doi.org/10.1136/bmjspcare-2013-000604

    Article  PubMed  Google Scholar 

  11. Anderson C, Park EM, Rosenstein DL et al (2018) Suicide rates among patients with cancers of the digestive system. Psychooncology 27:2274–2280. https://doi.org/10.1002/pon.4827

    Article  PubMed  PubMed Central  Google Scholar 

  12. Oberaigner W, Sperner-Unterweger B, Fiegl M et al (2014) Increased suicide risk in cancer patients in Tyrol/Austria. Gen Hosp Psychiatry 36:483–487. https://doi.org/10.1016/j.genhosppsych.2014.05.017

    Article  PubMed  Google Scholar 

  13. Hao JY, Liu SY (2018) Self-perceived burden and influencing factors of lung cancer patients. Today nurse 25: 88-91. doi: CNKI: SUN: DDHS.0.2018-02-042

  14. Wang WL, He YJ, Zhou HL et al (2017) The correlation between self-perceived burden and family closeness and adaptability in patients with advanced cancer. Chinese Journal of Practical Nursing 33: 2801-2806. doi: CNKI: SUN: SYHL.0.2017-36-001

  15. Wang DQ (2013) Self-perceived Burden in patients with breast cancer: scale development, cross sectional study and influencing factors analysis. Dissertation, China Medical University.

  16. Xiao M, Yi YL, Wei BB (2020) The effect of self-management efficacy on self-perceived burden of lung cancer patients undergoing chemotherapy. Nursing Research 34: 835-841. doi: CNKI: SUN: SXHZ.0.2020-05-023

  17. Ye SC, Liu M (2018) Related factors survey the self-perceived burden of cancer patients and the effect of supportive psychotherapy. China Medical Journal 15: 176-180. doi: CNKI: SUN: YYCY.0.2018-31-044

  18. Qian H, Zhou YQ, Liu Y et al (2013) Investigation of self-perceived burden and its influencing factors among cancer patients. Chinese nursing management 13: 42-45. doi: CNKI: SUN: GLHL. 0.2013-04-016

  19. Chen J, Tao X (2016) Investigation and analysis of self-perceived burden of cancer patients. For all health 10:294–295. https://doi.org/10.3969/j.issn.1009-6019.2016.11.398

    Article  CAS  Google Scholar 

  20. Zhi XX, Meng AF, Mao CM et al (2015) Investigation of burden perception of cancer patients during in-hospital chemotherapy. Chinese Nursing Education 12: 220-223. doi: CNKI: SUN: ZHHU.0.2015-03-024

  21. Bai H, Lu LK (2017) Self-perceived burden of middle-aged cancer patients undergoing chemotherapy and its related influencing factors. Chinese medicine 12:1108–1111. https://doi.org/10.3760/cma.j.issn.1673-4777.2017.07.041

    Article  Google Scholar 

  22. Wang HZ, Ye WX, Chen LN (2016) Analysis of self-perceived burden and its influencing factors in inpatients with lung cancer. China’s health industry 13(64–66):111. https://doi.org/10.16659/j.cnki.1672-5654.2016.04.064

    Article  Google Scholar 

  23. Zhang C, Gao R, Tai J et al (2019) The relationship between self-perceived burden and posttraumatic growth among colorectal cancer patients: the mediating effects of resilience. Biomed Res Int 2019:6840743. https://doi.org/10.1155/2019/6840743

    Article  PubMed  PubMed Central  Google Scholar 

  24. Zhang CC, Feng Y, Sha J (2018) Current situation and influencing factors of self-perceived burden in elderly patients with cancer. Chinese Journal of Modern Nursing 24: 1419-1421. doi: CNKI: SUN: HLJH.0.2018-12-017

  25. Siedlecki KL, Salthouse TA, Oishi S et al (2014) The relationship between social support and subjective well-being across age. Soc Indic Res 117:561–576. https://doi.org/10.1007/s11205-013-0361-4

    Article  PubMed  Google Scholar 

  26. Zhang JL (2020) Investigation and analysis of self-perceived burden and influencing factors of hematological malignancies patients. Nursing practice and research 17: 25-27. doi: CNKI: SUN: HLSJ.0.2020-19-011

  27. Li HP, Wang DB, Yang YJ et al (2014) The correlation between self-perceived burden and social support and coping style in elderly cancer patients. Chinese Journal of Gerontology 34: 1345-1347. doi: CNKI: SUN: ZLXZ.0.2014-05-088

  28. Ting CY, Teh GC, Yu KL et al (2020) Self-perceived burden and its associations with health-related quality of life among urologic cancer patients. European Journal of Cancer Care 29. https://doi.org/10.1111/ecc.13248

  29. Wilson KG, Curran D, McPherson CJ (2005) A burden to others: a common source of distress for the terminally ill. Cogn Behav Ther 34:115–123. https://doi.org/10.1080/16506070510008461

    Article  PubMed  Google Scholar 

  30. Liu GX, Zhang H, Meng Y (2021) A negative effect of post-traumatic growth on self-perceived burden of patients with lung cancer during chemotherapy in China: A Cross-sectional Survey. Psychology and Behavioral. Sciences10: 1–9. http://www.sciencepublishinggroup.com/j/pbshttps://doi.org/10.11648/j.pbs.20211001.11

  31. Luo T, Xie RZ, Huang YX et al (2021) Self-perceived burden and influencing factors in patients with cervical cancer administered with radiotherapy. World journal of clinical cases 9: 4188–4198. https://doi.org/10.12998/wjcc.v9.i17.4188

  32. Yang YJ, Li HP, Su D et al (2014) Self-perceived burden and its correlations with social support and quality of life in cancer patients. Chinese General Practice 17:94–97. https://doi.org/10.3969/j.issn.1007-9572.2014.01.029

    Article  CAS  Google Scholar 

  33. Zuo Y, Niu ME, Yue LL (2021). The self-perceived burden of rural elderly cancer patients. Contemporary Nurses (Mid-day):128–133. https://doi.org/10.19792/j.cnki.1006-6411.2021.26.046.

  34. Xu XW, Zhai YP, Zhang F et al (2021) Effects of physical activity on self-perceived burden among patients with colorectal cancer under chemotherapy. Chinese General Practice 19:312–315. https://doi.org/10.16766/j.cnki.issn.1674-4152.001797

    Article  Google Scholar 

  35. Zhang H, Liu GX (2021) Relationship between self-perceived burden and disease perception, optimism tendency and post-traumatic growth in patients with lung cancer during chemotherapy. Guangdong medical 41:169–173. https://doi.org/10.13820/j.cnki.gdyx.20191680

    Article  CAS  Google Scholar 

  36. Wu WY (2019) Correlation between self-perception Burden, social support and quality of life in postoperative chemotherapy patients with breast cancer. Chinese and foreign medical 38(154–156):191. https://doi.org/10.16662/j.cnki.1674-0742.2019.26.154

    Article  Google Scholar 

  37. Yin L, Liang HX, Chen SM et al (2016) The level and influencing factors of self-perceived burden in patients with nasopharyngeal carcinoma undergoing radiotherapy. Chin J Nurs 51:792–797. https://doi.org/10.3761/j.issn.0254-1769.2016.07.004

    Article  Google Scholar 

  38. Lu F, Wang Y, Zhang HQ (2018) Self-perceived burden and its influencing factors in patients with bladder cancer. Chinese Journal of Western Medicine: 1383-1386. https://doi.org/10.3969/j.issn.1672-3511.2018.09.029

  39. Simmons LA (2007) Self-perceived burden in cancer patients: validation of the self-perceived burden scale. Cancer Nurs 30:405–411. https://doi.org/10.1097/01.NCC.0000290816.37442.af

    Article  PubMed  Google Scholar 

  40. Wu YY, Jiang YF (2010). Investigation and analysis of self-perceived burden of cancer patients. Journal of Nursing Management 10: 405-407. doi: CNKI: SUN: HLGL.0.2010-06-015

  41. Hu GY, Mao AY, Dong P et al (2015) Analysis of diagnosis, treatment and economic burden of six cancer patients in Beijing. Cancer prevention and treatment: 171-176. https://doi.org/10.3971/j.issn.1000-8578.2015.02.016

  42. Yang H, Wu QW, Yin JH (2012) Investigation and analysis of influencing factors of the self-perceived burden of maintenance hemodialysis patients. Chinese nursing management 12: 69-72. doi: CNKI: SUN: GLHL.0.2012-10-030

  43. Jiao YC (2012) Analysis of self-perceived burden and its influencing factors in middle and advanced cancer patients. Dissertation, Taishan Medical College

  44. van den Beuken-van Everdingen MH, Hochstenbach LM, Joosten EA et al (2016) Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manage 51:1070-1090.e9. https://doi.org/10.1016/j.jpainsymman.2015.12.340

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Nursing, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia

    Bingyang Liu, Khuan Lee & Di Wu

  2. Department of Hepatobiliary Surgery, The Fourth Hospital of Hebei Medical University, 12 Jiankang Road, Shijiazhuang, Hebei Province, China

    Chao Sun

  3. Department of Community Health, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, 43400 UPM, Serdang, Selangor, Malaysia

    Poh Ying Lim

Authors
  1. Bingyang Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Khuan Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chao Sun
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Di Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Poh Ying Lim
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Conceptualization: Bingyang Liu, Poh Ying Lim, Khuan Lee.

Formal analysis: Bingyang Liu, Poh Ying Lim, Chao Sun, Di Wu.

Methodology: Bingyang Liu, Poh Ying Lim, Di Wu.

Project administration: Poh Ying Lim.

Supervision: Bingyang Liu, Khuan Lee, Chao Sun.

Writing—original draft: Bingyang Liu.

Writing—review and editing: Bingyang Liu, Poh Ying Lim.

Corresponding author

Correspondence to Poh Ying Lim.

Ethics declarations

Ethics approval

Not applicable.

Consent to participate

Not applicable.

Consent for publication

Not applicable.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, B., Lee, K., Sun, C. et al. Systematic review on factors associated with self-perceived burden among cancer patients. Support Care Cancer 30, 8417–8428 (2022). https://doi.org/10.1007/s00520-022-07129-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-022-07129-9

Keywords

Search

Navigation