Skip to main content
Erschienen in: Supportive Care in Cancer 7/2004

01.07.2004 | Supportive Care International

Impact of cancer patients’ quality of life on that of spouse caregivers

verfasst von: Mei-Ling Chen, Lining Chu, Hsiu-Chuan Chen

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2004

Einloggen, um Zugang zu erhalten

Abstract

Goals of work

This study aimed to examine the correlation between quality of life (QOL) in cancer patients and that of their spouse caregivers and to identify factors that influence this correlation.

Patients and methods

This cross-sectional study collected data from 121 cancer patient/spouse caregiver dyads. The Functional Assessment of Cancer Therapy Scale-General (FACT-G) was used to measure patients’ QOL, and the Caregiver Quality of Life Index (CQLI) was used to measure spouse caregivers’ QOL. Correlation coefficients between patients’ and caregivers’ QOL were computed for four dimensions of QOL, as well as a total score for QOL. Correlations between patients’ and caregivers’ total QOL scores were furthered analyzed by three groups of factors: disease-/treatment-related, caregiving-related, and relationship-related variables.

Main results

Only the social/family and functional dimensions of patient QOL and total score for patient QOL were associated with each dimension of their caregivers’ QOL and with the total score (r=0.27–0.44). Physical and emotional dimensions of patients’ QOL did not significantly influence spouse caregivers’ QOL for any dimension nor for the total score. Factors influencing the association between patients’ and caregivers’ overall QOL included cancer diagnosis, length of hospitalization, caregiving intensity and duration, marital satisfaction, and caregiving self-esteem.

Conclusions

Social and functional aspects of patients’ QOL play a significant role in determining the QOL of their spouse caregivers. The strength of association between patients’ and spouse caregivers’ overall QOL can be moderated by some factors.
Literatur
1.
Zurück zum Zitat Baider L, Kaplan De-Nour A (1984) Couples’ reactions and adjustment to mastectomy: A preliminary report. Int J Psychiatry Med 14:265–276 Baider L, Kaplan De-Nour A (1984) Couples’ reactions and adjustment to mastectomy: A preliminary report. Int J Psychiatry Med 14:265–276
2.
Zurück zum Zitat Baider L, Kaplan De-Nour A (1988) Adjustment to cancer: Who is the pateint--the husband or the wife. Isr J Med Sci 24:631–636PubMed Baider L, Kaplan De-Nour A (1988) Adjustment to cancer: Who is the pateint--the husband or the wife. Isr J Med Sci 24:631–636PubMed
3.
Zurück zum Zitat Blanchard CG, Albrecht TL, Ruckdeschel JC (1997) The crisis of cancer: Psychological impact on family caregivers. Oncology 11:189–194PubMed Blanchard CG, Albrecht TL, Ruckdeschel JC (1997) The crisis of cancer: Psychological impact on family caregivers. Oncology 11:189–194PubMed
4.
Zurück zum Zitat Carter PA, Chang BL (2000) Sleep and depression in cancer caregivers. Cancer Nurs 23:410–415CrossRefPubMed Carter PA, Chang BL (2000) Sleep and depression in cancer caregivers. Cancer Nurs 23:410–415CrossRefPubMed
5.
Zurück zum Zitat Cassileth BR, Lusk EJ, Strouse TB, Miller DS, Brown LL, Cross PA (1985) A psychological analysis of cancer patients and their next-of-kin. Cancer 55:72–76PubMed Cassileth BR, Lusk EJ, Strouse TB, Miller DS, Brown LL, Cross PA (1985) A psychological analysis of cancer patients and their next-of-kin. Cancer 55:72–76PubMed
6.
Zurück zum Zitat Cella D (1997) Manual of the Functional Assessment of Chronic Therapy (FACIT) measurement system. Version 4. Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare and Northwestern University, Evanston Cella D (1997) Manual of the Functional Assessment of Chronic Therapy (FACIT) measurement system. Version 4. Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare and Northwestern University, Evanston
7.
Zurück zum Zitat Cella DF, Tulsky DS, Gray G, et al (1993) The Functional Assessment of Cancer Therapy Scale: Development and validation of the general measure. J Clin Oncol 11:570–579PubMed Cella DF, Tulsky DS, Gray G, et al (1993) The Functional Assessment of Cancer Therapy Scale: Development and validation of the general measure. J Clin Oncol 11:570–579PubMed
8.
Zurück zum Zitat Chan CW, Chang AM (1999) Stress associated with tasks for family caregivers of patients with cancer in Hong Kong. Cancer Nurs 22:260–265CrossRefPubMed Chan CW, Chang AM (1999) Stress associated with tasks for family caregivers of patients with cancer in Hong Kong. Cancer Nurs 22:260–265CrossRefPubMed
9.
Zurück zum Zitat Directorate General of Budgeting Accounting and Statistics. National statistics. http://www129.tpg.gov.tw/mbas/doc4/income191.htm. cited 20 Dec 2003 Directorate General of Budgeting Accounting and Statistics. National statistics. http://​www129.​tpg.​gov.​tw/​mbas/​doc4/​income191.​htm.​ cited 20 Dec 2003
10.
Zurück zum Zitat Ferrell B, Dow KH, Grant MM (1995) Measurement of the quality of life in cancer survivors. Qual Life Res 4:523–531PubMed Ferrell B, Dow KH, Grant MM (1995) Measurement of the quality of life in cancer survivors. Qual Life Res 4:523–531PubMed
11.
Zurück zum Zitat Given CW, Given B, Stommel M, Collins C, King S, Franklin S (1992) The Caregiver Reaction Assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Res Nurs Health 15:271–283PubMed Given CW, Given B, Stommel M, Collins C, King S, Franklin S (1992) The Caregiver Reaction Assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Res Nurs Health 15:271–283PubMed
12.
Zurück zum Zitat Given CW, Stommel M, Given B, Osuch J, Kurtz ME, Kurtz JC (1993) The influence of cancer patients’ symptoms and functional states on patients’ depression and family caregivers’ reaction an depression. Health Psycho 12:277–285CrossRef Given CW, Stommel M, Given B, Osuch J, Kurtz ME, Kurtz JC (1993) The influence of cancer patients’ symptoms and functional states on patients’ depression and family caregivers’ reaction an depression. Health Psycho 12:277–285CrossRef
13.
Zurück zum Zitat Hu LJ (1999) The caregiving burden, depression and quality of life of primary caregivers of metastatic cancer patients receiving home care (master’ s thesis). Chang Gung University, Tao-Yuan, Taiwan Hu LJ (1999) The caregiving burden, depression and quality of life of primary caregivers of metastatic cancer patients receiving home care (master’ s thesis). Chang Gung University, Tao-Yuan, Taiwan
14.
Zurück zum Zitat Hughes SL, Hurder AG, Weaver FM, Kubal JD, Henderson W (1999) Relation between caregiver burden and health-related quality of life. Gerontologist 39:534–545PubMed Hughes SL, Hurder AG, Weaver FM, Kubal JD, Henderson W (1999) Relation between caregiver burden and health-related quality of life. Gerontologist 39:534–545PubMed
15.
Zurück zum Zitat Kurtz ME, Kurtz JC, Given CC, Given B (1996) Concordance of cancer patient and caregiver symptom reports. Cancer Prac 4:185–190 Kurtz ME, Kurtz JC, Given CC, Given B (1996) Concordance of cancer patient and caregiver symptom reports. Cancer Prac 4:185–190
16.
Zurück zum Zitat McMillan SC (1996) Quality of life in hospice patients. Oncol Nurs Forum 22:1401–1409 McMillan SC (1996) Quality of life in hospice patients. Oncol Nurs Forum 22:1401–1409
17.
Zurück zum Zitat McMillan SC, Mahon M (1994) The impact of hospice services on the quality of life of primary caregivers. Oncol Nurs Forum 21:1189–1195PubMed McMillan SC, Mahon M (1994) The impact of hospice services on the quality of life of primary caregivers. Oncol Nurs Forum 21:1189–1195PubMed
18.
Zurück zum Zitat National Health Insurance, Department of Health. Statistical Annual Report of Medical Care. http://www.doh.gov.tw/statistic/index.htm. Cited 20 Dec 2003 National Health Insurance, Department of Health. Statistical Annual Report of Medical Care. http://​www.​doh.​gov.​tw/​statistic/​index.​htm.​ Cited 20 Dec 2003
19.
Zurück zum Zitat Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, van den Bos GA (1998) Cancer and caregiving: The impact on the caregiver’ s health. Psychooncology 7:3–13CrossRefPubMed Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, van den Bos GA (1998) Cancer and caregiving: The impact on the caregiver’ s health. Psychooncology 7:3–13CrossRefPubMed
20.
Zurück zum Zitat Nijboer C, Triemstra M, Tempelaar R, Sanderman R, van den Bos GA (1999) Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer 86:577–588CrossRefPubMed Nijboer C, Triemstra M, Tempelaar R, Sanderman R, van den Bos GA (1999) Determinants of caregiving experiences and mental health of partners of cancer patients. Cancer 86:577–588CrossRefPubMed
21.
Zurück zum Zitat Northouse LL, Swain MA (1987) Adjustment of patients and husbands to the initial impact of breast cancer. Nurs Res 36:221–225PubMed Northouse LL, Swain MA (1987) Adjustment of patients and husbands to the initial impact of breast cancer. Nurs Res 36:221–225PubMed
22.
Zurück zum Zitat Northouse LL, Mood D, Templin T, Mellon S, George T (2000) Couples’ patterns of adjustment to colon cancer. Soc Sci Med 50:271–284CrossRefPubMed Northouse LL, Mood D, Templin T, Mellon S, George T (2000) Couples’ patterns of adjustment to colon cancer. Soc Sci Med 50:271–284CrossRefPubMed
23.
Zurück zum Zitat Schumm WR, Paff-Bergen LA, Hatch RC, et al (1986) Concurrent and discriminant validity of the Kansas Marital Satisfaction scale. J Marriage Fam 48:381–387 Schumm WR, Paff-Bergen LA, Hatch RC, et al (1986) Concurrent and discriminant validity of the Kansas Marital Satisfaction scale. J Marriage Fam 48:381–387
24.
Zurück zum Zitat Shek DT, Tsang SK (1993) The Chinese version of Kansas Marital Satisfaction Scale: Some psychometric and normative data. Soc Behav Pers 21:205–214 Shek DT, Tsang SK (1993) The Chinese version of Kansas Marital Satisfaction Scale: Some psychometric and normative data. Soc Behav Pers 21:205–214
25.
Zurück zum Zitat Spiller J, Alexander D (1993) Domiciliary care: A comparison of the views of terminally ill patients and their family caregivers. Palliat Med 7:109–115PubMed Spiller J, Alexander D (1993) Domiciliary care: A comparison of the views of terminally ill patients and their family caregivers. Palliat Med 7:109–115PubMed
26.
Zurück zum Zitat Teel CS, Press AN (1999) Fatigue among elders in caregiving and noncaregiving roles. West J Nurs Res 21:498–520CrossRefPubMed Teel CS, Press AN (1999) Fatigue among elders in caregiving and noncaregiving roles. West J Nurs Res 21:498–520CrossRefPubMed
27.
Zurück zum Zitat WHOQOL Group (1995) The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 41:1403-1409CrossRefPubMed WHOQOL Group (1995) The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 41:1403-1409CrossRefPubMed
28.
Zurück zum Zitat Yang CL (2000) The development and testing of “Cancer Caregivers’ Need Q-sort Scale” (master’ s thesis). Chang Gung University, Tao-Yuan, Taiwan Yang CL (2000) The development and testing of “Cancer Caregivers’ Need Q-sort Scale” (master’ s thesis). Chang Gung University, Tao-Yuan, Taiwan
Metadaten
Titel
Impact of cancer patients’ quality of life on that of spouse caregivers
verfasst von
Mei-Ling Chen
Lining Chu
Hsiu-Chuan Chen
Publikationsdatum
01.07.2004
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 7/2004
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-004-0636-z

Weitere Artikel der Ausgabe 7/2004

Supportive Care in Cancer 7/2004 Zur Ausgabe

Forthcoming Meetings

July 2004

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.