Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients

Abstract

Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was χ 2 = 174.07, TLI= .95, CFI= .97, RMSEA= .08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

Sentimentos dos cuidadores familiares de pacientes adultos hospitalizados: Revisão Integrativa

“…Apesar da multiplicidade de aspectos que são afetados na vida cotidiana dos cuidadores familiares estes são considerados o "lado esquecido" durante todo o período de internação hospitalar [29][30] . Nesse sentido, a enfermagem exerce papel fundamental na avaliação e manejo do stress, estado de saúde e sentimento de esperança dos cuidadores familiares 31 . Outra estratégia capaz de amenizar o sofrimento dos cuidadores familiares refere-se à comunicação efetiva entre profissionais e cuidadores familiares, uma vez que os cuidadores costumam não expressar dúvidas relacionadas ao prognóstico da doença terminal do familiar, entretanto a ausência de respostas podem contribuir para o aumento do sofrimento do cuidador, por outro lado, o diálogo aberto preparando-os melhor para a morte de seus entes queridos [32][33] .…”

The Mediating Effect of Depression on the Relationship between Social Support, Spirituality and Burnout in Family Members of Patients with Cancer

“…Regardless of the country, cancer directly and indirectly changes the lives of not only patients but also families [1,2]. When the treatment process for patients with cancer changes from typical inpatient treatment to outpatient treatment, patients with cancer spend more time at home [1,3]. The familial values in Korean society cause patient care to become their family members' responsibility, which comes with an increased burden [4].…”

“…The familial values in Korean society cause patient care to become their family members' responsibility, which comes with an increased burden [4]. This burden can cause family members to fail to take care of their own health, which leads to increased psychological stress, physical discomfort, fatigue, and an increased risk of experiencing burnout [1,5,6]. Burnout can cause physical [7] and psychological problems [8,9], which reduces the quality of care provided to the patient and negatively effects the patients' wellbeing and health [1,10].…”

Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients

“…가족 중에서도 책임지고 환 자를 돌보는 주돌봄자는 가사일과 함께 환자를 돌보는 일이 가 중되는 등 자신의 고유 역할에 부가하여 이중의 역할부담을 겪 고 있다 [6,12]. 이러한 역할부담과 함께 돌봄 기간이 길어질수 록 사회적 고립, 경제적 손실, 돌봄 제공으로 인한 신체적 고통, 피로, 불안, 수면장애 등 신체적 ․ 정신적 불건강 정도가 심각하 며 이로 인해 주돌봄자는 소진을 경험하게 된다 [13,14]. [20].…”

“…[20]. 이와 같이 가정간호 주돌봄자 대상으로 한 연 구변수로 돌봄 부담 [7,8,12], 스트레스 [11,21], 소진 [8,11,13], 가족기능 [7], 간호요구도 [12] (Table 5). …”