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Supportive Care in Cancer

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01-05-2018 | Original Article

Evaluation of quality of life in caregivers who are providing home care to cancer patients

Author: Mahcube Cubukcu

Published in: Supportive Care in Cancer | Issue 5/2018

Abstract

Purpose

The author aimed to evaluate the quality of life and the factors affecting the caregivers of cancer patients receiving home care.

Methods

This cross-sectional descriptive study was performed in 48 cancer patients who were served from home care unit and 48 caregivers between 01 and 28 February 2014. Patients’ functional status was evaluated with Katz Index for Activities of Daily Living and the Lawton Scale for Instrumental Activities of Daily Living. The levels of quality of life of caregivers of patients with cancer were determined with Caregiver Quality of Life Index-Cancer (CQOLC).

Results

The mean age of forty-eight patients was 69.79 ± 16.09 years; 62.5% of them were female. The mean duration of home care was 5.99 ± 5.26 years; 25% of patients were fully dependent on the bed. 83.3% of caregivers were female, mean age of caregivers was 50.75 ± 14.89 years, and 77.1% of them were family members. The mean CQOLC score was 74.43 ± 24.45. The highest score was detected in the financial distress and the lowest score was detected in the positive adaptation. The quality of life is increasing as the length of care is reduced and income status increased.

Conclusion

The quality of life of caregivers is very low. Each characteristic of the caregiver will affect the care he/she gives. From this point of view, it is important to consider the characteristics of caregivers in improving the care given to cancer patients. In this respect, there is a need to support caregivers both materially and spiritually.

Tanli S (1996) Financing home care services: a business plan proposal. Istanbul University Social Sciences Institute, Graduate thesis

Oglak S (2007) Home care services and care insurance. Iskenderun Municipality Culture Publications, Iskenderun

Regulation on Provision of Home Care Services (2011) Official newspaper date: 10.03.2005. Number of Official Newspapers: 25751. The guidelines on the application procedures and principles of home health services offered by the Ministry of Health Date:24.01.2011 Number:B.10.0.THG.0.10.00.01–020/8751

Ellenbecker CH, Samia L, Cushman JM, Alster K (2008) Agency for Health care Research and Quality (US), An evidence-based handbook for nurses. In: Hughes RG (ed) Patient Safety and Quality, pp 301–336

Regulation on Provision of Home Care Services (2015) Official newspaper date: 27.02.2015. Number of Official Newspapers: 29280. The guidelines on the application procedures and principles of home health services offered by the Ministry of Health Date:27.02.2015

Can R (2013) Medical ethical problems coming to the aged during the care services for the elderly. Repub Med J 35:448–456

Civi S, Kutlu R, Celik HH (2011) Depression status and the factors affecting the quality of life in the relatives of the patients with cancer. Gulhane Med J 53(4):248–253

The Ministry of Health Transportation Address https://www.saglik.gov.tr/TR,3278/dunya-ve-turkiyede-kanser-02042012.html%20(01/01/2013)

Mollahaliloglu S, Basara BB, Eryilmaz Z (2011) The Ministry of Health of Turkey, Health Statistics Year book. School of Public Health, Refik Saydam Hygiene Center Presidency. Ministry of Health of Turkey, Ankara

10.

Yardim N, Mollahaliloğlu S, Cakır E (2007) Evaluation of Turkey Ministry of Health 1983–2001 cancer incidences and cancer death rates in the burden of disease study data Turk. J Cancer 37(4):148–153

11.

Kitrungrote L, Cohen MZ (2006) Quality of life of family caregivers of patients with cancer: a literature review. Oncol Nurs Forum 33(3):625–632. https://doi.org/10.1188/06.ONF.625-632 CrossRef

12.

Orak SO, Sezgin S (2015) Determining the care load of family members who care for cancer patients. Psychiatr Nurs J 6(1):33–39

13.

Remennick L (2011) All my life is one big nursing home: Russian immigrant women in Israel speak about double caregiver stress. Women’s Stud Int Forum 24(6):685–700CrossRef

14.

Ozdemir FK, Sahin ZA, Kucuk D (2009) Determination of burden cares for mothers having children with cancer. New Med J 26:153–158

15.

Silver JH, Wellman N (2002) Family caregiver training is needed to improve outcomes for older adults using home care technologies. J Am Diet Assoc 102(6):831–836. https://doi.org/10.1016/S0002-8223(02)90185-9 CrossRefPubMed

16.

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(8):4141–4145. https://doi.org/10.7314/APJCP.2012.13.8.4141 CrossRefPubMed

17.

Ak M, Yavuz KF, Lapsekili N, Turkcapar MK (2012) Evaluation of the care load of patients with chronic psychiatric disorders and caregivers. Think Man Mag Psychiatr Neurol Sci 25:330–337

18.

Weitzner MA, Jacobsen PB, Wagner H, Friedland J, Cox C (1999) The Caregiver Quality of Life Index-Cancer(CQOLC) scale: development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Qual Life Res J 8(1/2):55–63. https://doi.org/10.1023/A:1026407010614 CrossRef

19.

Karabuga-Yakar H, Pinar R (2013) Reliability and validity of Turkish version of the caregiver quality of life index cancer scale. Asian Pac J Cancer Prev 14:4017–4021

20.

Wallace M, Shelkey M (2007) Hardford Insitute for Geriatric Nursing, Katz Index of Independence in Activities of Daily Living (ADL). Urol Nurs J 27(1):93–94

21.

Graf C (2008) Hardford Insitute for Geriatric Nursing, the Lawton Instrumental Activities of Daily Living (IADL) scale. Medsurg Nurs J 17:343–344

22.

Atagun Mİ, Devrim Balaban O, Atagun Z, Elagoz M, Yılmaz Ozpolat A (2011) Care load in chronic illness. Curr Approaches Psychiatr 3(3):513–552

23.

Edwards B, Lerma U (2002) Quality of life instruments for caregivers of patients with cancer: a review of their psychometric properties. Cancer Nurs 25(5):342–349. https://doi.org/10.1097/00002820-200210000-00002 CrossRefPubMed

24.

Isık Koc G, Eroglu K (2009) The effects of home care services on the complications of early discharged newborns. Hacet Univ Health Sci J 16(1):25–38

25.

Akyar I, Akdemir N (2009) Strains of caregivers of Alzheimer patients. J Hacet Univ Nurs ;16(3):32–49

26.

Tasdelen P, Ates M (2012) The needs of home care patients and the burdens of their caregivers. HEAD 9(3):22–29

27.

Lim HA, Tan JYS, Chua J, Yoong RKL, Lim SE, Kua EH, Mahendran R (2017) Quality of life of family caregivers of cancer patients in Singapore and globally. Singapore Med J 58(5):258–261

28.

Son KY, Lee CH, Park SM, Lee CH, Soo In O, Bumjo O, Tak SH, Cho BL, Lee K, Lee SH (2012) The factors associated with the quality of spouse caregivers of patients with cancer. J Palliat Med 15(2):216–224. https://doi.org/10.1089/jpm.2011.0305 CrossRefPubMed

29.

Tang WR, Tang ST, Kao CY (2009) Psychometric testing of the Caregiver Quality of Life Index-Cancer on a Taiwanese family caregiver sample. Cancer Nurs 32(3):220–229. https://doi.org/10.1097/NCC.0b013e31819b5ae8 CrossRefPubMed

30.

Malak A, Dicle A (2008) The burden of caregivers in patients with brain tumors and affecting factors. J Turk Neurosurg 18(2):118–121

31.

Kim Y, Baker F, Spillers RL (2007) Cancer caregivers’ quality of life: effects of gender, relationship, and appraisal. J Pain Symptom Manag 34(3):294–304. https://doi.org/10.1016/j.jpainsymman.2006.11.012 CrossRef

32.

Lim HA, Griva K, Yoong RK, Chua J, Leow MQ, Chan MF, Chan SWC, Kua EH, Mahendran R (2016) Do caregivers of cancer patients receiving care in home hospice services have better quality of life? An exploratory investigation in Singapore. Psycho-Oncology 25(4):471–474. https://doi.org/10.1002/pon.3876 CrossRefPubMed

33.

Ozdemir FK, Sahin ZA, Kucuk D (2009) Determining the caring burden of mothers with cancer. New Medical Journal 26:153–158

34.

Rhee YS, Yun YH, Park S, Shin DO, Lee KM, Yoo HJ, Kim JH, Kim SO, Lee R, Lee YO, Kim NS (2008) Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. J Clin Oncol 26(36):5890–5895. https://doi.org/10.1200/JCO.2007.15.3957 CrossRefPubMed

35.

Dunkin JJ, Anderson-Hanley C (1998) Dementia caregiver burden: a review of the literature and guidelines for assessment and intervention. Neurology 51:53–60CrossRef

36.

Ayabakan D, Ates E, Kurt B, Nazlican E, Akbala M (2017) Investigation of depression and quality of life factors in cancer patients’ caregivers. J BUON 22(2):524–529

37.

Larsen LS (1998) Effectiveness of a counseling intervention to assist family caregivers of chronically ill relatives. J Psychosoc Nurs Ment Health Serv 36(8):26–32PubMed

Title: Evaluation of quality of life in caregivers who are providing home care to cancer patients
Author: Mahcube Cubukcu
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 5/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-017-3968-1

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Abstract

Purpose

Methods

Results

Conclusion

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