Skip to main content
Top
Published in: Supportive Care in Cancer 10/2014

01-10-2014 | Original Article

Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care

Authors: Miki Morishita, Kiyoko Kamibeppu

Published in: Supportive Care in Cancer | Issue 10/2014

Login to get access

Abstract

Purpose

Satisfaction with care is thought to be important for quality of life (QOL) of family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care. This study aimed to clarify (1) family caregivers’ QOL status and (2) factors related to their QOL, including satisfaction with care.

Methods

Data were collected from 111 family caregivers of patients with recurrent or metastasized digestive cancer. The Short-Form 36 (SF-36) (acute version) was used to measure QOL.

Results

Family caregivers’ QOL was lower than the national average (Cohen’s d = 0.12–0.66). Lower age of patients and family caregivers (standardized regression coefficient (β) = −0.18, β = −0.26) and family caregivers’ perceived health (β = 0.22) were related to better physical health of family caregivers, but satisfaction with care was not related to physical health. However, family caregivers’ mental health was related to their satisfaction with care (Spearman’s rank correlation coefficient (r) = 0.49–0.61, standardized regression coefficient (β) = 0.24–0.42), as well as higher age of family caregivers (β = 0.25), their perceived health (β = 0.30), non-spousal caregiver (β = −0.20), patient lacking a history of surgery aimed at radical treatment (β = −0.22), and patient not hospitalized solely for symptom relief (β = −0.10).

Conclusions

Family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care had lower QOL, both physically and mentally, than the national average. Improvements in satisfaction with care may contribute to improved QOL.
Literature
3.
go back to reference Nakagawa K (2006) A textbook of cancer. Sanseido, Tokyo Nakagawa K (2006) A textbook of cancer. Sanseido, Tokyo
4.
go back to reference Furuse J (2011) A handbook of chemotherapy of digestive system cancer. Chugai-igakusha, Tokyo Furuse J (2011) A handbook of chemotherapy of digestive system cancer. Chugai-igakusha, Tokyo
5.
go back to reference Stenberg U, Ruland CM, Miaskowski C (2010) Review of the literature on the effects of caring for a patient with cancer. Psychooncology 19(10):1013–1025PubMedCrossRef Stenberg U, Ruland CM, Miaskowski C (2010) Review of the literature on the effects of caring for a patient with cancer. Psychooncology 19(10):1013–1025PubMedCrossRef
6.
go back to reference Bowman KF, Rose JH, Deimling GT (2006) Appraisal of the cancer experience by family members and survivors in long-term survivorship. Psychooncology 15(9):834–845PubMedCrossRef Bowman KF, Rose JH, Deimling GT (2006) Appraisal of the cancer experience by family members and survivors in long-term survivorship. Psychooncology 15(9):834–845PubMedCrossRef
7.
go back to reference Yun YH, Rhee YS, Kang IO et al (2005) Economic burdens and quality of life of family caregivers of cancer patients. Oncology 68(2–3):107–114PubMedCrossRef Yun YH, Rhee YS, Kang IO et al (2005) Economic burdens and quality of life of family caregivers of cancer patients. Oncology 68(2–3):107–114PubMedCrossRef
9.
go back to reference Carter PA (2002) Caregivers’ descriptions of sleep changes and depressive symptoms. Oncol Nurs Forum 29(9):1277–1283PubMedCrossRef Carter PA (2002) Caregivers’ descriptions of sleep changes and depressive symptoms. Oncol Nurs Forum 29(9):1277–1283PubMedCrossRef
10.
go back to reference Rhee YS, Yun YH, Park S et al (2008) Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. J Clin Oncol 26(36):5890–5895PubMedCrossRef Rhee YS, Yun YH, Park S et al (2008) Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. J Clin Oncol 26(36):5890–5895PubMedCrossRef
11.
go back to reference Kaye JM, Gracely EJ (1993) Psychological distress in cancer patients and their spouses. J Cancer Educ 8(1):47–52PubMedCrossRef Kaye JM, Gracely EJ (1993) Psychological distress in cancer patients and their spouses. J Cancer Educ 8(1):47–52PubMedCrossRef
12.
go back to reference Vanderwerker LC, Laff RE, Kadan-Lottick NS et al (2005) Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol 23(28):6899–6907PubMedCentralPubMedCrossRef Vanderwerker LC, Laff RE, Kadan-Lottick NS et al (2005) Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. J Clin Oncol 23(28):6899–6907PubMedCentralPubMedCrossRef
13.
go back to reference Hodgkinson K, Butow P, Hunt GE et al (2007) Life after cancer: couples’ and partners’ psychological adjustment and supportive care needs. Support Care Cancer 15(4):405–415PubMedCrossRef Hodgkinson K, Butow P, Hunt GE et al (2007) Life after cancer: couples’ and partners’ psychological adjustment and supportive care needs. Support Care Cancer 15(4):405–415PubMedCrossRef
14.
go back to reference Pellegrino R, Formica V, Portarena I et al (2010) Caregiver distress in the early phases of cancer. Anticancer Res 30(11):4657–4664PubMed Pellegrino R, Formica V, Portarena I et al (2010) Caregiver distress in the early phases of cancer. Anticancer Res 30(11):4657–4664PubMed
15.
go back to reference Ogasawara T (2008) Family care of palliative care. Fam Nurs 6(2):47–52 Ogasawara T (2008) Family care of palliative care. Fam Nurs 6(2):47–52
17.
go back to reference Chou S, Kawamoto R, Nakano M (2009) The development of a method to evaluate general ward nursing care practices targeted at families of cancer patients—identification and selection of items for evaluation. J UOEH 31(1):37–49PubMed Chou S, Kawamoto R, Nakano M (2009) The development of a method to evaluate general ward nursing care practices targeted at families of cancer patients—identification and selection of items for evaluation. J UOEH 31(1):37–49PubMed
18.
go back to reference Arimori Y (2007) Family care in hospitals: the point of view of a nurse in a general ward. Jpn J Hosp Palliat Care 17:S118–S120 Arimori Y (2007) Family care in hospitals: the point of view of a nurse in a general ward. Jpn J Hosp Palliat Care 17:S118–S120
19.
go back to reference Tazaki M, Nakane Y (2004) Quality of life instrument. Jpn J Clin Psychiatry 33:S83–S87 Tazaki M, Nakane Y (2004) Quality of life instrument. Jpn J Clin Psychiatry 33:S83–S87
20.
21.
go back to reference Lohr KN (1988) Outcome measurement: concepts and questions. Inquiry 25(1):37–50PubMed Lohr KN (1988) Outcome measurement: concepts and questions. Inquiry 25(1):37–50PubMed
22.
go back to reference Matsunaga Y (2006) Concept analysis of patient satisfaction. Bull Sch Nurs Fac Med Toho Univ 19:13–24 Matsunaga Y (2006) Concept analysis of patient satisfaction. Bull Sch Nurs Fac Med Toho Univ 19:13–24
23.
go back to reference Gupta D, Lis CG, Grutch JF (2007) Perceived cancer-related financial difficulty: implications for patient satisfaction with quality of life in advance cancer. Support Care Cancer 15:1051–1056PubMedCrossRef Gupta D, Lis CG, Grutch JF (2007) Perceived cancer-related financial difficulty: implications for patient satisfaction with quality of life in advance cancer. Support Care Cancer 15:1051–1056PubMedCrossRef
24.
go back to reference Lis CG, Gupta D, Granick J, Grutch JF (2006) Can patient satisfaction with quality of life predict survival in advanced colorectal cancer? Support Care Cancer 14:1104–1110PubMedCrossRef Lis CG, Gupta D, Granick J, Grutch JF (2006) Can patient satisfaction with quality of life predict survival in advanced colorectal cancer? Support Care Cancer 14:1104–1110PubMedCrossRef
25.
go back to reference Morita T, Hirai K, Sakaguchi Y et al (2004) Measuring the quality of structure and process in end-of-life care from the bereaved family perspective. J Pain Symptom Manag 27(6):492–501CrossRef Morita T, Hirai K, Sakaguchi Y et al (2004) Measuring the quality of structure and process in end-of-life care from the bereaved family perspective. J Pain Symptom Manag 27(6):492–501CrossRef
26.
go back to reference Song L, Northouse LL, Braun TM et al (2011) Assessing longitudinal quality of life in prostate cancer patients and their spouses: a multilevel modeling approach. Qual Life Res 20(3):371–381PubMedCentralPubMedCrossRef Song L, Northouse LL, Braun TM et al (2011) Assessing longitudinal quality of life in prostate cancer patients and their spouses: a multilevel modeling approach. Qual Life Res 20(3):371–381PubMedCentralPubMedCrossRef
27.
go back to reference Awadalla AW, Ohaeri JU, Gholoum A et al (2007) Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study. BMC Cancer 7:102–115PubMedCentralPubMedCrossRef Awadalla AW, Ohaeri JU, Gholoum A et al (2007) Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study. BMC Cancer 7:102–115PubMedCentralPubMedCrossRef
28.
go back to reference Sarna L, Cooley ME, Brown JK et al (2006) Quality of life and health status of dyads of women with lung cancer and family members. Oncol Nurs Forum 33(6):1109–1116PubMedCrossRef Sarna L, Cooley ME, Brown JK et al (2006) Quality of life and health status of dyads of women with lung cancer and family members. Oncol Nurs Forum 33(6):1109–1116PubMedCrossRef
29.
go back to reference Friedman MM (1992) Family nursing: research, theory & practice, 3rd edn. Appleton & Lange, Stamford Friedman MM (1992) Family nursing: research, theory & practice, 3rd edn. Appleton & Lange, Stamford
30.
go back to reference Ogawa M (2006) Palliative care manual for a general ward. Health Shuppan, Tokyo Ogawa M (2006) Palliative care manual for a general ward. Health Shuppan, Tokyo
31.
go back to reference Collin C, Wade DT, Davies S, Horne V (1988) The Barthel ADL index: a reliability study. Int Disabil Stud 10(2):61–63PubMedCrossRef Collin C, Wade DT, Davies S, Horne V (1988) The Barthel ADL index: a reliability study. Int Disabil Stud 10(2):61–63PubMedCrossRef
32.
go back to reference Granger CV, Dewis LS, Peters NC et al (1979) Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil 60(1):14–17PubMed Granger CV, Dewis LS, Peters NC et al (1979) Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil 60(1):14–17PubMed
33.
go back to reference Given CW, Given B, Stommel M et al (1992) The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Res Nurs Health 15(4):271–283PubMedCrossRef Given CW, Given B, Stommel M et al (1992) The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Res Nurs Health 15(4):271–283PubMedCrossRef
34.
go back to reference Misawa T, Miyashita M, Kawa M et al (2009) Validity and reliability of the Japanese version of the caregiver reaction assessment scale (CRA-J) for community-dwelling cancer patients. Am J Hosp Palliat Care 26(5):334–340PubMedCrossRef Misawa T, Miyashita M, Kawa M et al (2009) Validity and reliability of the Japanese version of the caregiver reaction assessment scale (CRA-J) for community-dwelling cancer patients. Am J Hosp Palliat Care 26(5):334–340PubMedCrossRef
35.
go back to reference Fukuhara S, Ware JE Jr, Kosinski M et al (1998) Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol 51:1045–1053PubMedCrossRef Fukuhara S, Ware JE Jr, Kosinski M et al (1998) Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol 51:1045–1053PubMedCrossRef
36.
go back to reference Fukuhara S, Suzukamo Y (2004) Manual of SF-36v2 Japanese version: Institute for Health Outcomes & Process Evaluation research. i Hope International, Kyoto Fukuhara S, Suzukamo Y (2004) Manual of SF-36v2 Japanese version: Institute for Health Outcomes & Process Evaluation research. i Hope International, Kyoto
37.
go back to reference Cohen J (2009) Statistical power analysis for the behavioral sciences. Psychology Press, New York Cohen J (2009) Statistical power analysis for the behavioral sciences. Psychology Press, New York
38.
go back to reference Song JI, Shin DW, Choi JY et al (2011) Quality of life and mental health in family caregivers of patients with terminal cancer. Support Care Cancer 19(10):1519–1526PubMedCrossRef Song JI, Shin DW, Choi JY et al (2011) Quality of life and mental health in family caregivers of patients with terminal cancer. Support Care Cancer 19(10):1519–1526PubMedCrossRef
39.
go back to reference Kirigaya M, Takano M, Hirata Y et al (2005) Nursing to families of dying patients in a general ward: information from interviews with bereaved families. Seijin-kango 36:27–29 Kirigaya M, Takano M, Hirata Y et al (2005) Nursing to families of dying patients in a general ward: information from interviews with bereaved families. Seijin-kango 36:27–29
40.
go back to reference Tamayo GJ, Broxson A, Munsll M, Cohen MZ (2010) Caring for the caregiver. Oncol Nurs Forum 37(1):E50–E57PubMedCrossRef Tamayo GJ, Broxson A, Munsll M, Cohen MZ (2010) Caring for the caregiver. Oncol Nurs Forum 37(1):E50–E57PubMedCrossRef
41.
go back to reference Iconomou G, Vagenakis AG, Kalofonos HP (2001) The informational needs satisfaction with communication, and psychological status of primary caregivers of cancer patients receiving chemotherapy. Support Care Cancer 9:591–596PubMedCrossRef Iconomou G, Vagenakis AG, Kalofonos HP (2001) The informational needs satisfaction with communication, and psychological status of primary caregivers of cancer patients receiving chemotherapy. Support Care Cancer 9:591–596PubMedCrossRef
42.
go back to reference Lu L, Pan B, Sun W et al (2010) Quality of life and related factors among cancer caregivers in China. Psychiatry Clin Neurosci 64(5):505–513PubMedCrossRef Lu L, Pan B, Sun W et al (2010) Quality of life and related factors among cancer caregivers in China. Psychiatry Clin Neurosci 64(5):505–513PubMedCrossRef
43.
44.
go back to reference Kim Y, Baker F, Spillers RL et al (2006) Psychological adjustment of cancer caregivers with multiple roles. Psychooncology 15:795–804PubMedCrossRef Kim Y, Baker F, Spillers RL et al (2006) Psychological adjustment of cancer caregivers with multiple roles. Psychooncology 15:795–804PubMedCrossRef
45.
go back to reference Kurihara Y (2007) Family care when the patient’s treatment translates into palliative care (gear change). Jpn J Hosp Palliat Care 17:S95–S99 Kurihara Y (2007) Family care when the patient’s treatment translates into palliative care (gear change). Jpn J Hosp Palliat Care 17:S95–S99
46.
go back to reference Vivar CG, Whyte DA, McQueen A (2010) ‘Again’: the impact of recurrence on survivors of cancer and family members. J Clin Nurs 19(13–14):2048–2056PubMedCrossRef Vivar CG, Whyte DA, McQueen A (2010) ‘Again’: the impact of recurrence on survivors of cancer and family members. J Clin Nurs 19(13–14):2048–2056PubMedCrossRef
Metadata
Title
Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care
Authors
Miki Morishita
Kiyoko Kamibeppu
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2259-3

Other articles of this Issue 10/2014

Supportive Care in Cancer 10/2014 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine