Skip to main content
Erschienen 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

verfasst von: Miki Morishita, Kiyoko Kamibeppu

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2014

Einloggen, um Zugang zu erhalten

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.
Literatur
3.
Zurück zum Zitat Nakagawa K (2006) A textbook of cancer. Sanseido, Tokyo Nakagawa K (2006) A textbook of cancer. Sanseido, Tokyo
4.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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
8.
9.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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
Metadaten
Titel
Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care
verfasst von
Miki Morishita
Kiyoko Kamibeppu
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 10/2014
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2259-3

Weitere Artikel der Ausgabe 10/2014

Supportive Care in Cancer 10/2014 Zur Ausgabe

Update Onkologie

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