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

Chindaprasirt, Jarin; Limpawattana, Panita; Pakkaratho, Pornvaree; Wirasorn, Kosin; Sookprasert, Aumkhae; Kongbunkiat, Kannikar; Sawanyawisuth, Kittisak

doi:10.7314/apjcp.2014.15.4.1643

Cited by 25 publications

(34 citation statements)

References 28 publications

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“…It is known that caregivers experience financial difficulties (Hilton et al, 2000;National Profile of Family Caregivers in Canada, 2002;Tsigaroppoulos et al, 2009;Stajduhar, 2013;Chindaprasirt et al, 2014). Tsigaroppoulos et al (2009) determined that patients' relatives had trouble in transporting their patients to the hospital.…”

Section: Discussionmentioning

confidence: 99%

Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

Serçekuş¹,

Besen²,

Günüşen³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Cancer is a disease which affects not only patients but also their families physically and emotionally. The purpose of this study was to determine the needs, challenges and ways of coping of caregivers of cancer patients. Materials and Methods: In the study, a phenomenological approach was used. Data were collected through semi-structured individual interviews. The study sample comprised 16 family members providing care for a cancer patient. Results: The study findings are grouped under four main themes: the impact of caregiving, masking feelings, experienced challenges and expectations, and coping. During the caregiving process, patient relatives are affected physiologically, psychologically and socially. It was determined that patient relatives hid their feelings and avoided talking about the disease for fear that they might upset the patient, and that they had difficulty in coping with the patient's reactions during the treatment process. Family members had difficulties arising from the health system, hospital conditions and treatment in addition to transportation and financial problems. Support is very important in coping, but it was determined that some of the relatives of patients did not receive adequate support. Patient relatives expect that health care professionals should provide them with more information about their patient's condition and the course of the disease that their patients should be dealt with by the physicians specialized in cancer, and that psychological support should be provided both for them and for their patient. Conclusions: During the caregiving process, family members are faced with many difficulties and they exhibit different coping behaviors which health care professionals should take into account.

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Section: Discussionmentioning

confidence: 99%

Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

Serçekuş¹,

Besen²,

Günüşen³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…This has not been identified as a contributing factor in prior studies of caregiving in older adults with cancer, but has been noted in other studies of caregivers of cancer and noncancer patients . Poor caregiver mental health is associated with caregiver QOL, potentially suggesting that a caregiver's coping strategies and outlook on life are important to his/her QOL . This may suggest that a combination of psychosocial support and bolstering of available support, such as home care, may help to improve QOL in these caregivers .…”

Section: Discussionmentioning

confidence: 90%

“…[46][47][48][49] Poor caregiver mental health is associated with caregiver QOL, potentially suggesting that a caregiver's coping strategies and outlook on life are important to his/her QOL. 7,50 This may suggest that a combination of psychosocial support and bolstering of available support, such as home care, may help to improve QOL in these caregivers. 51 We found that caregivers of patients who were admitted due to treatment-related complications had lower QOL.…”

Section: Discussionmentioning

confidence: 99%

“…Caregivers are at higher risk of psychological distress, sleep disturbance and fatigue, and death compared to noncaregivers . Prior studies have reported significant caregiver burden and poorer quality of life (QOL) in caregivers of older adults with cancer; however, there is little data on the impact of caregiving in caregivers of older patients with cancer who are hospitalized.…”

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confidence: 99%

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Understanding Caregiver Quality of Life in Caregivers of Hospitalized Older Adults With Cancer

Hsu

Nathwani

Loscalzo

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVES Caregivers of older adults with cancer assist both with cancer care and other health issues, which may make them vulnerable to consequences of caregiving. Hospitalization may represent a time when a caregiver's ability to provide care at home is exceeded. We sought to characterize caregivers of hospitalized older adults with cancer, determine their quality of life (QOL), and identify factors associated with caregiver QOL. METHODS Patients (n = 100), aged 65 years and older, with an unplanned hospitalization and their caregivers were included. Caregivers completed a questionnaire about their health, social support, caregiving relationship, QOL (Caregiver Quality of Life Index‐Cancer [CQOLC] tool), and patient function. Patient medical history was obtained via chart review. The association between patient, caregiving, and caregiver factors and CQOLC was determined using multivariate linear regression. RESULTS Most patients (73%) had metastatic/advanced disease, and 71% received treatment for their cancer within 30 days of hospitalization. Median Karnofsky Performance Status (KPS) was 60%, and 89% required help with instrumental activities of daily living, as reported by caregivers. Median caregiver age was 65 years (range = 29‐84 years). The majority (60%) had no major comorbidities and rated their health as excellent/good (79%), though 22% reported worsening health due to caregiving. Caregivers had a median Mental Health Inventory‐18 score of 70 (range = 0–97), a median Medical Outcomes Study (MOS)‐social activity score of 56 (range = 0–87.5), and a median MOS‐Social Support Survey score of 68 (range = 0–100). Caregivers provided a median of 35 hours of care per week (range = 0‐168 hours of care per week). Mean CQOLC was 84.6 ± 23.5. Lower caregiver QOL was associated with poorer caregiver mental health, less social support, and poorer patient KPS (P < .05). CONCLUSION Caregivers of hospitalized older adults with cancer are older but generally in good health. Those with poorer mental health, less social support, and caring for patients with poorer performance status are more likely to experience lower QOL. J Am Geriatr Soc 67:978–986, 2019.

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“…Not only the limitation in functional status, but also the problems with co-morbidity, frailty, polypharmacy, and treatment toxicity (Lichtman et al, 2014;Maggiore et al, 2014). Both the disease and its treatment affect overall life expectancy, quality of life, and burden for the caregivers (Chindaprasirt et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Hospital-based Population of Elderly Cancer Cases in Northeastern Thailand

Wirasorn¹,

Suwanrungruang²,

Sookprasert³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Background: The proportion of aged Thais (≥65 years old) is expected to be 30% by 2030, leading to an increased number of elderly cancer cases. Older individuals have distinct patterns of cancer and treatment needs. We therefore conducted the present study of new cancer cases and trends to get a perspective on the elderly cancer situation in Northeast Thailand. Materials and Methods: All new elderly cancer cases (≥65 years) registered in the hospital-based cancer registry at the Faculty of Medicine, Srinagarind Hospital, Khon Kaen University during 1993-2012 were included in the study. Results: Elderly patients accounted for 31.6% of all cancer patients and new cancer cases in the older age group increased 46% from the first to second decades. The absolute number of oldest old (80+ years) doubled. The top three cancers in males were liver and bile duct, lung, and colorectal. In females, the three most common cancers were liver and bile duct, oral cavity, and cervix. Cancers with the highest percentages of increase were thyroid, prostate, and colorectal. Conclusions: Elderly cancer cases are increasing. Treatment modalities and palliative care for older populations are urgently needed.

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

Cited by 25 publications

References 28 publications

Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

Understanding Caregiver Quality of Life in Caregivers of Hospitalized Older Adults With Cancer

Hospital-based Population of Elderly Cancer Cases in Northeastern Thailand

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