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Published in: Italian Journal of Pediatrics 1/2022

01-12-2022 | Care | Research

Care burden and associated factors in caregivers of children with cancer

Authors: Mahnaz Chaghazardi, Maryam Janatolmakan, Shahab Rezaeian, Alireza Khatony

Published in: Italian Journal of Pediatrics | Issue 1/2022

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Abstract

Background

Evidence suggests that many parents who care for their children with cancer are affected by the care burden due to the chronic nature of the disease. The aim of this study was to determine the burden of care level and its related factors in the caregivers of children with cancer.

Method

A total of 270 caregivers of children with cancer were included in this cross-sectional study by convenience sampling method. Data collection tools were a personal information form and the Novak & Guest’s Caregiver Burden Inventory. Data were analyzed by descriptive and inferential statistics (chi-square and univariate linear regression model).

Results

The mean ages of caregivers and patients were 35.7 ± 7.0 and 3.1 ± 1.6 years, respectively. The mean care burden was 68.4 ± 1.5 out of 120. About 50 and 36% of caregivers had moderate and severe care burden, respectively.

Conclusion

Caregivers had moderate to high care burden. A number of factors associated with care burden were identified. Health authorities need to take family-centered measures to reduce the burden of caregivers.
Literature
1.
go back to reference Toledano-Toledano F, Luna D, Moral de la Rubia J, Martínez Valverde S, Bermúdez Morón CA, Salazar García M, et al. Psychosocial factors predicting resilience in family caregivers of Children with Cancer: A Cross-Sectional study. Int J Environ Res Public Health. 2021;18(2):748.CrossRef Toledano-Toledano F, Luna D, Moral de la Rubia J, Martínez Valverde S, Bermúdez Morón CA, Salazar García M, et al. Psychosocial factors predicting resilience in family caregivers of Children with Cancer: A Cross-Sectional study. Int J Environ Res Public Health. 2021;18(2):748.CrossRef
2.
go back to reference Sajjadi H, Vameghi M, Ghazinour M, KhodaeiArdakani M. Caregivers’ quality of life and quality of services for children with cancer: a review from Iran. Global J Health Sci. 2013;5(3):173. Sajjadi H, Vameghi M, Ghazinour M, KhodaeiArdakani M. Caregivers’ quality of life and quality of services for children with cancer: a review from Iran. Global J Health Sci. 2013;5(3):173.
3.
go back to reference Hassanipour S, Fathalipour M, Delam H, Ghorbani M, Abdzadeh E, Arab-Zozani M, et al. The Incidence of Childhood Cancer in Iran: A systematic review and meta-analysis. Iran J Pediatr Hematol Oncol. 2019;9(3):193–206. Hassanipour S, Fathalipour M, Delam H, Ghorbani M, Abdzadeh E, Arab-Zozani M, et al. The Incidence of Childhood Cancer in Iran: A systematic review and meta-analysis. Iran J Pediatr Hematol Oncol. 2019;9(3):193–206.
4.
go back to reference Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S. Care burden and its related factors in parents of children with cancer. Iran J Nurs. 2018;31(111):40–51.CrossRef Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S. Care burden and its related factors in parents of children with cancer. Iran J Nurs. 2018;31(111):40–51.CrossRef
5.
go back to reference Rahimi S, Fadakar Soghe R, Tabri R, Kazemnezhad LE. Related factors with Quality of Life among preschool children with cancer. Holist Nurs Midwifery. 2013;24(71):30–9. Rahimi S, Fadakar Soghe R, Tabri R, Kazemnezhad LE. Related factors with Quality of Life among preschool children with cancer. Holist Nurs Midwifery. 2013;24(71):30–9.
6.
go back to reference Lim HA, Tan JY, Chua J, Yoong RK, Lim SE, Kua EH, et al. Quality of life of family caregivers of cancer patients in Singapore and globally. Singap Med J. 2017;58(5):258.CrossRef Lim HA, Tan JY, Chua J, Yoong RK, Lim SE, Kua EH, et al. Quality of life of family caregivers of cancer patients in Singapore and globally. Singap Med J. 2017;58(5):258.CrossRef
7.
go back to reference Jafari H, Ebrahimi A, Aghaei A, Khatony A. The relationship between care burden and quality of life in caregivers of hemodialysis patients. BMC Nephrology. 2018;19(1):321.CrossRef Jafari H, Ebrahimi A, Aghaei A, Khatony A. The relationship between care burden and quality of life in caregivers of hemodialysis patients. BMC Nephrology. 2018;19(1):321.CrossRef
8.
go back to reference Wiener L, Battles H, Zadeh S, Pelletier W, Arruda-Colli MNF, Muriel AC. The perceived influence of childhood cancer on the parents' relationship. Psycho-oncology. 2017;26(12):2109–17.CrossRef Wiener L, Battles H, Zadeh S, Pelletier W, Arruda-Colli MNF, Muriel AC. The perceived influence of childhood cancer on the parents' relationship. Psycho-oncology. 2017;26(12):2109–17.CrossRef
9.
go back to reference Valizadeh LJF, Pashaee S. Determinants of care giving burden in parents of child with cancer at Tabriz children medical and training center. J Clin Nurs Midwifery. 2014;3(2):13–20. Valizadeh LJF, Pashaee S. Determinants of care giving burden in parents of child with cancer at Tabriz children medical and training center. J Clin Nurs Midwifery. 2014;3(2):13–20.
10.
go back to reference Kahriman F, Zaybak A. Caregiver burden and perceived social support among caregivers of patients with cancer. Asian Pac J Cancer Prev. 2015;16(8):3313–7.CrossRef Kahriman F, Zaybak A. Caregiver burden and perceived social support among caregivers of patients with cancer. Asian Pac J Cancer Prev. 2015;16(8):3313–7.CrossRef
11.
go back to reference Hsu T, Loscalzo M, Ramani R, Forman S, Popplewell L, Clark K, et al. Factors associated with high burden in caregivers of older adults with cancer. Cancer. 2014;120(18):2927–35.CrossRef Hsu T, Loscalzo M, Ramani R, Forman S, Popplewell L, Clark K, et al. Factors associated with high burden in caregivers of older adults with cancer. Cancer. 2014;120(18):2927–35.CrossRef
12.
go back to reference Chindaprasirt J, Limpawattana P, Pakkaratho P, Wirasorn K, Sookprasert A, Kongbunkiat K, et al. Burdens among caregivers of older adults with advanced cancer and risk factors. Asian Pac J Cancer Prev. 2014;15(4):1643–8.CrossRef Chindaprasirt J, Limpawattana P, Pakkaratho P, Wirasorn K, Sookprasert A, Kongbunkiat K, et al. Burdens among caregivers of older adults with advanced cancer and risk factors. Asian Pac J Cancer Prev. 2014;15(4):1643–8.CrossRef
13.
go back to reference Nemati S, Rassouli M, Ilkhani M, Baghestani AR. Perceptions of family caregivers of cancer patients about the challenges of caregiving: a qualitative study. Scand J Caring Sci. 2018;32(1):309–16.CrossRef Nemati S, Rassouli M, Ilkhani M, Baghestani AR. Perceptions of family caregivers of cancer patients about the challenges of caregiving: a qualitative study. Scand J Caring Sci. 2018;32(1):309–16.CrossRef
14.
go back to reference Adib-Hajbaghery M, Ahmadi B. Caregiver burden and its associated factors in caregivers of children and adolescents with chronic conditions. Int J Community Based Nurs Midwifery. 2019;7(4):258.PubMed Adib-Hajbaghery M, Ahmadi B. Caregiver burden and its associated factors in caregivers of children and adolescents with chronic conditions. Int J Community Based Nurs Midwifery. 2019;7(4):258.PubMed
15.
go back to reference Ahmadi M, Rasouli M, Gheibizadeh M, Karami M, Poormansouri S. Predictors of Caregiver Burden among Parents of Children with Cancer. Iran J Pediatr Hematol Oncol. 2019;9(4):253–63. Ahmadi M, Rasouli M, Gheibizadeh M, Karami M, Poormansouri S. Predictors of Caregiver Burden among Parents of Children with Cancer. Iran J Pediatr Hematol Oncol. 2019;9(4):253–63.
16.
go back to reference Arab M, Bernstein C, Haghshenas A, Ranjbar H. Factors associated with caregiver burden for mothers of children undergoing Acute Lymphocytic Leukemia (ALL) treatment. Palliat Support Care. 2020;18(4):405–12.CrossRef Arab M, Bernstein C, Haghshenas A, Ranjbar H. Factors associated with caregiver burden for mothers of children undergoing Acute Lymphocytic Leukemia (ALL) treatment. Palliat Support Care. 2020;18(4):405–12.CrossRef
17.
go back to reference Motlagh ME, Mirzaei-Alavijeh M, Hosseini SN. Care burden in parents of children with leukemia: a cross-sectional study in the west of Iran. Int J Pediatr. 2019;7(6):9541–8. Motlagh ME, Mirzaei-Alavijeh M, Hosseini SN. Care burden in parents of children with leukemia: a cross-sectional study in the west of Iran. Int J Pediatr. 2019;7(6):9541–8.
18.
go back to reference Wang J, Shen N, Zhang X, Shen M, Xie A, Howell D, et al. Care burden and its predictive factors in parents of newly diagnosed children with acute lymphoblastic leukemia in academic hospitals in China. Support Care Cancer. 2017;25(12):3703–13.CrossRef Wang J, Shen N, Zhang X, Shen M, Xie A, Howell D, et al. Care burden and its predictive factors in parents of newly diagnosed children with acute lymphoblastic leukemia in academic hospitals in China. Support Care Cancer. 2017;25(12):3703–13.CrossRef
19.
go back to reference Govina O, Kotronoulas G, Mystakidou K, Katsaragakis S, Vlachou E, Patiraki E. Effects of patient and personal demographic, clinical and psychosocial characteristics on the burden of family members caring for patients with advanced cancer in Greece. Eur J Oncol Nurs. 2015;19(1):81–8.CrossRef Govina O, Kotronoulas G, Mystakidou K, Katsaragakis S, Vlachou E, Patiraki E. Effects of patient and personal demographic, clinical and psychosocial characteristics on the burden of family members caring for patients with advanced cancer in Greece. Eur J Oncol Nurs. 2015;19(1):81–8.CrossRef
20.
go back to reference Schrank B, Ebert-Vogel A, Amering M, Masel EK, Neubauer M, Watzke H, et al. Gender differences in caregiver burden and its determinants in family members of terminally ill cancer patients. Psycho-Oncology. 2016;25(7):808–14.CrossRef Schrank B, Ebert-Vogel A, Amering M, Masel EK, Neubauer M, Watzke H, et al. Gender differences in caregiver burden and its determinants in family members of terminally ill cancer patients. Psycho-Oncology. 2016;25(7):808–14.CrossRef
21.
go back to reference Caruso R, Breitbart W. Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions. Epidemiol Psychiatr Sci. 2020;29. Caruso R, Breitbart W. Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions. Epidemiol Psychiatr Sci. 2020;29.
22.
go back to reference Solem RC. Limitation of a cross-sectional study. Am J Orthod Dentofac Orthop. 2015;148(2):205.CrossRef Solem RC. Limitation of a cross-sectional study. Am J Orthod Dentofac Orthop. 2015;148(2):205.CrossRef
23.
24.
go back to reference Lee KC, Yiin JJ, Lu SH, Chao YF. The burden of caregiving and sleep disturbance among family caregivers of advanced cancer patients. Cancer Nurs. 2015;38(4):E10–8.CrossRef Lee KC, Yiin JJ, Lu SH, Chao YF. The burden of caregiving and sleep disturbance among family caregivers of advanced cancer patients. Cancer Nurs. 2015;38(4):E10–8.CrossRef
25.
go back to reference Novak M, Guest C. Application of a multidimensional caregiver burden inventory. Gerontologist. 1989;29(6):798–803.CrossRef Novak M, Guest C. Application of a multidimensional caregiver burden inventory. Gerontologist. 1989;29(6):798–803.CrossRef
26.
go back to reference Shin JY, Lim JW, Shin DW, Kim SY, Yang HK, Cho J, et al. Underestimated caregiver burden by cancer patients and its association with quality of life, depression and anxiety among caregivers. Eur J Cancer Care. 2018;27(2):e12814.CrossRef Shin JY, Lim JW, Shin DW, Kim SY, Yang HK, Cho J, et al. Underestimated caregiver burden by cancer patients and its association with quality of life, depression and anxiety among caregivers. Eur J Cancer Care. 2018;27(2):e12814.CrossRef
27.
go back to reference Salmani A, Ashketorab T, Hasanvand S. The Burden of Caregiverand Related Factors of Oncology Patients of Shah Vali Hospital. Adv Nurs Midwifery. 2015;24(2):11–7. Salmani A, Ashketorab T, Hasanvand S. The Burden of Caregiverand Related Factors of Oncology Patients of Shah Vali Hospital. Adv Nurs Midwifery. 2015;24(2):11–7.
28.
go back to reference Hatami F, Hojjati H. Effect of Roy’s adaptation model on the care burden of mothers of children under chemotherapy (a quasi-experimental study). Med Surg Nurs J. 2019;8(1):e90489. Hatami F, Hojjati H. Effect of Roy’s adaptation model on the care burden of mothers of children under chemotherapy (a quasi-experimental study). Med Surg Nurs J. 2019;8(1):e90489.
29.
go back to reference Shokri M, Tarjoman A, Borji M, Solaimanizadeh L. Investigating psychological problems in caregiver of pediatrics with cancer: A systematic review. J Child Adolesc Psychiatr Nurs. 2020;33(4):229–38.CrossRef Shokri M, Tarjoman A, Borji M, Solaimanizadeh L. Investigating psychological problems in caregiver of pediatrics with cancer: A systematic review. J Child Adolesc Psychiatr Nurs. 2020;33(4):229–38.CrossRef
30.
go back to reference Santo EAR, Gaíva MAM, Espinosa MM, Barbosa DA, Belasco AGS. Taking care of children with cancer: evaluation of the caregivers’ burden and quality of life. Rev Latino-Am Enfermagem. 2011;19:515–22.CrossRef Santo EAR, Gaíva MAM, Espinosa MM, Barbosa DA, Belasco AGS. Taking care of children with cancer: evaluation of the caregivers’ burden and quality of life. Rev Latino-Am Enfermagem. 2011;19:515–22.CrossRef
31.
go back to reference Toledano-Toledano F, Domínguez-Guedea MT. Psychosocial factors related with caregiver burden among families of children with chronic conditions. BioPsychoSocial Med. 2019;13(1):1–9.CrossRef Toledano-Toledano F, Domínguez-Guedea MT. Psychosocial factors related with caregiver burden among families of children with chronic conditions. BioPsychoSocial Med. 2019;13(1):1–9.CrossRef
32.
go back to reference Granek L, Rosenberg-Yunger Z, Dix D, Klaassen R, Sung L, Cairney J, et al. Caregiving, single parents and cumulative stresses when caring for a child with cancer. Child Care Health Dev. 2014;40(2):184–94.CrossRef Granek L, Rosenberg-Yunger Z, Dix D, Klaassen R, Sung L, Cairney J, et al. Caregiving, single parents and cumulative stresses when caring for a child with cancer. Child Care Health Dev. 2014;40(2):184–94.CrossRef
33.
go back to reference Sulkers E, Tissing WJ, Brinksma A, Roodbol PF, Kamps WA, Stewart RE, et al. Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis. Psycho-Oncology. 2015;24(3):318–24.CrossRef Sulkers E, Tissing WJ, Brinksma A, Roodbol PF, Kamps WA, Stewart RE, et al. Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis. Psycho-Oncology. 2015;24(3):318–24.CrossRef
34.
go back to reference Law E, Fisher E, Eccleston C, Palermo TM. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2019;(3). Law E, Fisher E, Eccleston C, Palermo TM. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2019;(3).
35.
go back to reference Liu Q, Petrini MA, Luo D, Yang BX, Yang J, Haase JE. Parents’ experiences of having a young child with Acute lymphoblastic leukemia in China. J Pediatr Oncol Nurs. 2021;38(2):94–104.CrossRef Liu Q, Petrini MA, Luo D, Yang BX, Yang J, Haase JE. Parents’ experiences of having a young child with Acute lymphoblastic leukemia in China. J Pediatr Oncol Nurs. 2021;38(2):94–104.CrossRef
36.
go back to reference Klassen AF, Raina P, McIntosh C, Sung L, Klaassen RJ, O’Donnell M, et al. Parents of children with cancer: Which factors explain differences in health-related quality of life. Int J Cancer. 2011;129(5):1190–8.CrossRef Klassen AF, Raina P, McIntosh C, Sung L, Klaassen RJ, O’Donnell M, et al. Parents of children with cancer: Which factors explain differences in health-related quality of life. Int J Cancer. 2011;129(5):1190–8.CrossRef
Metadata
Title
Care burden and associated factors in caregivers of children with cancer
Authors
Mahnaz Chaghazardi
Maryam Janatolmakan
Shahab Rezaeian
Alireza Khatony
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
Italian Journal of Pediatrics / Issue 1/2022
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-022-01291-w

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