Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Cancer Care Burden among Primary Family Caregivers of Iranian Hematologic Cancer Patients

  • Abbasnezhad, Masoomeh (Medical and Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Rahmani, Azad (Hematology and Oncology Research Center, Tabriz University of Medical Sciences) ;
  • Ghahramanian, Akram (Medical and Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Roshangar, Fariborz (Medical and Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Eivazi, Jamal (Hematology and Oncology Research Center, Tabriz University of Medical Sciences) ;
  • Azadi, Arman (Department of Nursing, Ilam University of Medical Sciences) ;
  • Berahmany, Golshan (Nursing office, Imam Reza Hospital, Tabriz University of Medical Sciences)
  • Published : 2015.08.03
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Abstract

Background: Providing care for hematologic cancer patients may lead to many negative complications in different aspects of life in their family caregivers. Based on a wide review of relevant literature, there are limited data about the burden of giving care for hematologic cancer patients on their primary family caregivers in Iran or other Middle Eastern countries. Therefore, the aim of this study was to investigate the cancer care burden on primary family caregivers of hematologic cancer patients, in terms of physical, psychological, social, spiritual, and financial aspects. Materials and Methods: In this descriptive study, 151 primary family caregivers of hematologic cancer patients referred to two cancer care centers in East Azerbaijan Province in northwest of Iran participated. The Financial Distress/Financial Well-being Scale, Hospital Anxiety and Depression Scale, Vaux Social Support Questionnaire, Spiritual Well-being Scale, and SF-36 were used for data collection. Data analysis was performed with SPSS software. Results: The findings of this study indicated that the primary family caregivers experience a high level of financial distress and a significant percentage of them suffered from anxiety and depression. In addition, the physical quality of life in these caregivers was moderate. On the other hand, spiritual health and social support of participants was at an acceptable level. Conclusions: Iranian primary family caregivers of hematologic cancer patients experience many problems in physical, psychological, and financial aspects of their life. Therefore, developing care plans for reducing these problems appears necessary.

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References

  1. Abdollahzadeh F, Pakpour V, Rahmani A, et al (2014). Un-met supportive care needs of Iranian breast cancer patients. Asian Pac J Cancer Prev, 15, 3933-8. https://doi.org/10.7314/APJCP.2014.15.9.3933
  2. Abdollahzadeh F, Rahmani A, Asvadi-Kermani I (2012). Quality of life in cancer patients and its related factors. J Caring Sci, 1, 109-14.
  3. AbdullahZadeh F, Asvadi-Kermani I, Rahmani A (2011). Hope in Iranian cancer patients. Iran J NursMidwifery Res, 16, 288-91.
  4. Afrooz R, Rahmani A, Zamanzadeh V, et al (2014).The nature of hope among Iranian cancer patients. Asian Pac J Cancer Prev, 15, 9307-12. https://doi.org/10.7314/APJCP.2014.15.21.9307
  5. Agha barari M, Mohammadi F, Hagizadeh E, Varvarani A (2007). Physical, emotional and social dimension of quality of life among breast cancer women under chemotherapy. IJNR, 1, 55-65.
  6. Aghdam AM, Rahmani A, Nejad ZK, et al (2014). Fear of cancer recurrence and its predictive factors among Iranian cancer patients. Indian J Palliat Care, 20, 128-33. https://doi.org/10.4103/0973-1075.132632
  7. Fakhri A, Pakseresht S, Haghdoost M,Talaiezadeh A, Rashidizad D (2012). Evaluation of the Relationship between Social Support and Depression in the Patients with Breast Cancer in Ahvaz Educational Hospitals. Jundishapur Scientific Med J, 11, 223-9.
  8. Bakhshi-Biniaz R, Mortazavi Y, Taherkhani R, et al (2013). The experts' views on challenges and needs for diagnosis and treatment process of blood cancer in iran. J Zanjan Univ Med Sci, 22, 61-72.
  9. Barzanjeh Atri S, Rahmani A, Sheikhnejhad L (2014). Access family functioning and related factors from the viewpoints of male cancer patients. J Caring Sci, 103, 113-9.
  10. Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002). The validity of the hospital anxiety and depression scale. an updated literature review. J Psychosom Res, 52, 69-77. https://doi.org/10.1016/S0022-3999(01)00296-3
  11. Cotrim H, Pereira G (2008). Impact of colorectal cancer on patient and family: implications for care. Euro J Oncol Nurs, 12, 217-26. https://doi.org/10.1016/j.ejon.2007.11.005
  12. Faghani S, Rahmani A, Parizad N, et al (2014). Social support and its predictors among Iranian cancer survivors. Asian Pac J Cancer Prev, 15, 9767-71. https://doi.org/10.7314/APJCP.2014.15.22.9767
  13. Fathollahzade A, Rahmani A, Dadashzadeh A, et al (2015). Financial distress and its predicting factors among iranian cancer patients. Asian Pac J Cancer Prev, 16, 1621-25. https://doi.org/10.7314/APJCP.2015.16.4.1621
  14. Fotokian Z, Alikhani N, Salman-Yazdi N, Jamshidi R (2005). Quality of life of primary relatives providing care for their cancer patients based on some personal and social variables. Holist Nurs Midwifer, 15, 59-64.
  15. Francis LE, Worthington J, Kypriotakis G, Rose H (2010). Relationship quality and burden among caregivers for latestage cancer patients. Support Care Cancer, 18, 1429-36. https://doi.org/10.1007/s00520-009-0765-5
  16. Girgis A, Lambert S, Johnson C, Waller A, Currow D (2013). Physical, psychosocial, relationship, and economic burden of caring for people with cancer: a review. J Oncol Prac, 9, 197-202. https://doi.org/10.1200/JOP.2012.000690
  17. Given BA, Given CW, Kozachik S (2001). Family support in advanced cancer. CA Cancer J Clin, 51, 213-31. https://doi.org/10.3322/canjclin.51.4.213
  18. Grov EK, Dahl AA, Moum T, Fossa SD (2005). Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Ann Oncol, 16, 1185-91. https://doi.org/10.1093/annonc/mdi210
  19. Grunfeld E, Coyle D, Whelan T, et al (2004). Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ, 170, 1795-801. https://doi.org/10.1503/cmaj.1031205
  20. Guadalupe R, Mendoza R, Karen O, et al (2010). Caregiver symptom burden: The risk of caring for an underserved patient with advanced cancer. NIH Public Access, 117, 1070-9.
  21. Haley WE, LaMonde LA, Han B, Narramor S, Schonwetter R (2001). Family caregiving in hospice: effects on psychological and health functioning among spousal caregivers of hospice patients with lung cancer or dementia. Hosp J, 15, 1-18. https://doi.org/10.1300/J011v15n04_01
  22. Hanratty B, Holland P, Jacoby A, Whitehead M (2007). Financial stress and strain associated with terminal cancer--a review of the evidence. Palliat Med, 21, 595-607. https://doi.org/10.1177/0269216307082476
  23. Hodges LJ, Humphris GM, Macfarlane G (2005). A metaanalytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med, 60, 1-12. https://doi.org/10.1016/j.socscimed.2004.04.018
  24. Hoseini-Yazdi S, Ahi GH, Ahi M (2012). Economic Stress, Hhappiness and Quality of Life Among Cancer Patients aged 20-30. Toloo-e-behdasht, 12, 22-7.
  25. Kearney N, Giulio P (2012). Nursing cancer practice: a textbook for the specialist nurse. Elsevier Harcourt Brace.
  26. Kim Y, Carver CS, Spillers RL,Crammer C, Zhou ES (2011). Individual and dyadic relations between spiritual well-being and quality of life among cancer survivors and their spousal caregivers. Psychooncol, 20, 762-70. https://doi.org/10.1002/pon.1778
  27. Kim Y,Given BA (2008). Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer, 112, 2556-68. https://doi.org/10.1002/cncr.23449
  28. Longo CJ, Fitch M, Deber RB, Williams AP (2006). Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer, 14, 1077-85. https://doi.org/10.1007/s00520-006-0088-8
  29. Massie MJ (2004). Prevalence of depression in patients with cancer. J Natl Cancer InstMonogr, 32, 57-71.
  30. Max W, Rice DP, Sung HY, et al (2003). The economic burden of gynecologic cancers in California, 1998. Gynecol Oncol, 88, 96-103. https://doi.org/10.1016/S0090-8258(02)00101-4
  31. Montazeri A, Gashtasbi A, Vahdani MS (2006). translation, determine reliablity and validity of Persion as a standard tool sf-36. Payesh J, 5, 49-56.
  32. Nijboer C, Tempelaar R, Triemstra M, van den Bos GA, Sanderman R (2001). The role of social and psychologic resources in caregiving of cancer patients. Cancer, 91, 1029-39. https://doi.org/10.1002/1097-0142(20010301)91:5<1029::AID-CNCR1094>3.0.CO;2-1
  33. Nijboer C, Triemstra M, Tempelaar R, Mulder M, Sanderman R, van den Bos GA (2000). Patterns of caregiver experiences among partners of cancer patients. Gerontologist, 40, 738-46. https://doi.org/10.1093/geront/40.6.738
  34. Northouse LL, Mood D, Emplin T, Mellon S, George T (2000). Couples' patterns of adjustment to colon cancer. Soc Sci Med, 50, 271-84. https://doi.org/10.1016/S0277-9536(99)00281-6
  35. Ownsworth T, Henderson L, Chambers SK (2010). Social support buffers the impact of functional impairments on caregiver psychological well-being in the context of brain tumor and other cancers. Psychooncol, 19, 1116-22.
  36. Paloutzian RF, Park CL (2005). Handbook of Psychology of Religion and Spirituality. New York.
  37. Papastavrou E, Charalambous A, Tsangari H (2009). Exploring the other side of cancer care: the informal caregiver. Eur J Oncol Nur, 13, 128-36. https://doi.org/10.1016/j.ejon.2009.02.003
  38. Pitceathly C, Maguire P (2003). The psychological impact of cancer on patients' partners and other key relatives: a review. Eur J Cancer, 39, 1517-24. https://doi.org/10.1016/S0959-8049(03)00309-5
  39. Prawitz AD, Garman ET, Sorhaindo B,er al (2006). InCharge financial distress/financial well-being scale: Development, administration, and score interpretation. Finan Couns Plann, 17, 34-50.
  40. Rahmani A, Ferguson C, Jabarzadeh C, et al (2014). Supportive care needs of Iranian cancer patients. Indian J Palliat Care, 20, 224-8. https://doi.org/10.4103/0973-1075.138400
  41. Rahnama M, Falahi khoshknab M, Seyde bagher madah S, Ahmadi F (2012). Iranian cancer patient's perception of spiritual care: a qualitative content analysis study. BMC Nursing, 11, 15. https://doi.org/10.1186/1472-6955-11-15
  42. Rhee YS, Yun YH, Park S, Shin DO, Lee KM, Yoo HJ, et al (2008). Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. J Clin Oncol, 26, 5890-5. https://doi.org/10.1200/JCO.2007.15.3957
  43. Sadat-Aghahosseini S, Rahmani A, Abdollahzadeh F, Asvadi Kermani I (2012). The Relation between Awareness of Cancer Diagnosis and Spiritual Health among Cancer Patients. J Caring Sci, 1, 67-72.
  44. Seyedrasooli A, Rahmani A, Howard F, et al (2014). Iranian cancer patient perceptions of prognosis and the relationship to hope. Asian Pac J Cancer Prev, 15, 6205-10. https://doi.org/10.7314/APJCP.2014.15.15.6205
  45. Seyedrasooly A, Rahmani A, Zamanzadeh V, et al (2014). Association between Perception of Prognosis and Spiritual Well-being among Cancer Patients. J Caring Sci, 3, 47-55.
  46. Shieh SC, Tung HS, Liang SY (2012). Social support as influencing primary family caregiver burden in Taiwanese patients with colorectal cancer. J Nurs Scholarsh, 44, 223-31. https://doi.org/10.1111/j.1547-5069.2012.01453.x
  47. Taylor EJ (2006). Prevalence and associated factors of spiritual needs among patients with cancer and family caregivers. Oncol Nurs Forum, 33, 729-35. https://doi.org/10.1188/06.ONF.729-735
  48. Vanderwerker LC, Laff RE, Kadan-Lottick NS, McColl S, Prigerson HG (2005). Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol, 23, 6899-907. https://doi.org/10.1200/JCO.2005.01.370
  49. Ware JR, Sherbourne CD (1992). the mos 36-item short-form health survey (sf-36). Med care, 30, 473-83. https://doi.org/10.1097/00005650-199206000-00002
  50. Weitzner MA, Mc-Millan SC, Jacobsen PB (1999). Family caregiver quality of life: differences between curative and palliative cancer treatment settings. J Pain Symptom Manage, 17, 418-28. https://doi.org/10.1016/S0885-3924(99)00014-7

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