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http://dx.doi.org/10.7314/APJCP.2014.15.4.1643

Burdens among Caregivers of Older Adults with Advanced Cancer and Risk Factors  

Chindaprasirt, Jarin (Division of Oncology, Khon Kaen University)
Limpawattana, Panita (Division of Geriatric Medicine, Khon Kaen University)
Pakkaratho, Pornvaree (Department of Medicine, Faculty of Medicine, Khon Kaen University)
Wirasorn, Kosin (Division of Oncology, Khon Kaen University)
Sookprasert, Aumkhae (Division of Oncology, Khon Kaen University)
Kongbunkiat, Kannikar (Department of Medicine, Faculty of Medicine, Khon Kaen University)
Sawanyawisuth, Kittisak (Department of Medicine, Faculty of Medicine, Khon Kaen University)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.4, 2014 , pp. 1643-1648 More about this Journal
Abstract
Family caregivers of older cancer patients face many challenges in managing illness. The burden impacts physical, emotional, spiritual, and social health. The objective of this study was to identify burden among caregivers of older patients with advanced cancer, and associated factors. Materials and Methods: Caregivers of older cancer patients were randomly interviewed from March-September 2012. Information on baseline characteristics and caregiver burden using the Zarit Burden Inventory (ZBI) was collected. Descriptive statistics were used to analyze baseline data, with univariate and multiple linear regression to analyze factors associated with higher burden. Results: One hundred and fifty participants were assessed. The mean ZBI was $19.2{\pm}12.9$ (95%CI, 17.1, 21.2). Two-thirds of caregivers reported no burden (63%) and the main impact variable on ZBI was guilt. High burdens were associated with single caregiver, relationship with the patient as siblings, presence of migraines, and cancer types of the patients. Conclusions: Caregiver burden of Thai cancer patients is low. This unexpected small number could be the result of the socio-cultural viewpoint. Assessment of caregivers and focusing on related factors should be incorporated into treatment plans.
Keywords
Caregiving; neoplasms; older adult; social support; Thai caregivers;
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1 Turkoglu N, Kilic D (2012). Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pac J Cancer Prev, 13, 4141-5.   DOI   ScienceOn
2 Northouse L L, Katapodi M C, Schafenacker A M, Weiss D (2012). The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nurs, 28, 236-45.   DOI   ScienceOn
3 Palos G R, Mendoza T R, Liao K P, et al (2011). Caregiver symptom burden: the risk of caring for an underserved patient with advanced cancer. Cancer, 117, 1070-9.   DOI   ScienceOn
4 Sharpe L, Butow P, Smith C, McConnell D, Clarke S (2005). The relationship between available support, unmet needs and caregiver burden in patients with advanced cancer and their carers. Psychooncology, 14, 102-14.   DOI   ScienceOn
5 Toonsiri C, Sunsern R, Lawang W (2011). Development of the burden interview for caregivers of patients with chronic illness. J Nurs Educ, 4, 62-75.
6 Van Durme T, Macq J, Jeanmart C, Gobert M. (2012). Tools for measuring the impact of informal caregiving of the elderly: A literature review. Int J Nurs Stud, 49, 490-504.   DOI   ScienceOn
7 van Ryn M, Sanders S, Kahn K, et al (2011). Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue?. Psychooncology, 20, 44-52.   DOI   ScienceOn
8 Vitaliano P P, Scanlan J M, Zhang J, et al (2002). A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosom Med, 64, 418-35.   DOI
9 Yusuf A J, Adamu A,Nuhu F T (2011). Caregiver burden among poor caregivers of patients with cancer in an urban African setting. Psychooncology, 20, 902-5.   DOI   ScienceOn
10 Kiecolt-Glaser J K, Preacher K J, MacCallum R C, et al (2003). Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proc Natl Acad Sci USA, 100, 9090-5.   DOI   ScienceOn
11 Higginson I J, Gao W (2008). Caregiver assessment of patients with advanced cancer: concordance with patients, effect of burden and positivity. Health Qual Life Outcomes, 6, 42.   DOI   ScienceOn
12 Lamas D, Rosenbaum L (2012). Painful inequities-palliative care in developing countries. N Engl J Med, 366, 199-201.   DOI   ScienceOn
13 Hodges L J, Humphris G M, 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.   DOI   ScienceOn
14 Katz MH (1999). Multivariable Analysis: a Practical Guide for Clinicians (2nd ed.). Cambridge: Cambridge University Press.
15 Kim Y, Given B A (2008). Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer, 112, 2556-68.   DOI   ScienceOn
16 Limpanichkul Y, Magilvy K (2004). Managing caregiving at home: Thai caregivers living in the United States. J Cult Divers, 11, 18-24.
17 Limpawattana P, Theeranut A, Chindaprasirt J, Sawanyawisuth K, Pimporm J (2013). Caregivers burden of older adults with chronic illnesses in the community: a cross-sectional study. J Community Health, 38, 40-5.   DOI   ScienceOn
18 Martin M Y, Sanders S, Griffin J M, et al (2012). Racial variation in the cancer caregiving experience: a multisite study of colorectal and lung cancer caregivers. Cancer Nurs, 35, 249-56.   DOI
19 Mor V, Allen S, Malin M (1994). The psychosocial impact of cancer on older versus younger patients and their families. Cancer, 74, 2118-27.   DOI
20 Casado B, Sacco P (2011). Correlates of caregiver burden among family caregivers of older Korean Americans. J Gerontol B Psychol Sci Soc Sci, 67, 331-6.
21 Chang Y-J, Kwon YC, Lee WJ, et al (2013). Burdens, needs and satisfaction of terminal cancer patients and their caregivers. Asian Pac J Cancer Prev, 14, 209-15.   DOI   ScienceOn
22 Given B, Wyatt G, Given C, et al (2004). Burden and depression among caregivers of patients with cancer at the end of life. Oncol Nurs Forum, 31, 1105-17.   DOI   ScienceOn
23 Chirawatkul A (2008). Biostatistics for medical sciences (3rd ed.). Khon Kaen: Klang Na Na Wittaya.
24 Faison K J, Faria S H, Frank D (1999). Caregivers of chronically ill elderly: perceived burden. J Community Health Nurs, 16, 243-53.   DOI   ScienceOn
25 Garlo K, O'Leary J R, Van Ness P H, Fried T R (2010). Burden in caregivers of older adults with advanced illness. J Am Geriatr Soc, 58, 2315-22.   DOI   ScienceOn
26 Given BA, Given CW, Sherwood P (2011). Caregiver burden. In Naeim A, Reuben DB and Ganz PA (Eds.), Management of cancer in the older patient (pp. 241-248). Philadelphia: Elsevier.
27 Given B A, Sherwood P, Given C W (2011). Support for caregivers of cancer patients: transition after active treatment. Cancer Epidemiol Biomarkers Prev, 20, 2015-21.   DOI   ScienceOn
28 Goldstein N E, Concato J, Fried T R, et al (2004). Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care, 20, 38-43.
29 Hayman J A, Langa K M, Kabeto M U, et al (2001). Estimating the cost of informal caregiving for elderly patients with cancer. J Clin Oncol, 19, 3219-25.   DOI
30 Arai Y, Kudo K, Hosokawa T, et al (1997). Reliability and validity of the Japanese version of the Zarit Caregiver Burden interview. Psychiatry Clin Neurosci, 51, 281-7.   DOI   ScienceOn
31 Chunharas S (2007). Situations of the Thai elderly 2007pp. (1000). Retrieved from The Foundation of Thai Gerontology Research and Development Institute (TGRI) database
32 Braun M, Mikulincer M, Rydall A, Walsh A, Rodin G (2007). Hidden morbidity in cancer: spouse caregivers. J Clin Oncol, 25, 4829-34.   DOI   ScienceOn
33 Carod Artal F J, Ferreira Coral L, Trizotto D S, Menezes Moreira C (2009). Burden and perceived health status among caregivers of stroke patients. Cerebrovasc Dis, 28, 472-80.   DOI   ScienceOn