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Employment Status and Work-Related Difficulties among Family Members of Terminally Ill Patients Compared with the General Population

  • Kim, Seon Young (National Cancer Control Institute and Hospital, National Cancer Center) ;
  • Chang, Yoon-Jung (National Cancer Control Institute and Hospital, National Cancer Center) ;
  • Do, Young Rok (Department of Hematooncology, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Sam Yong (Division of Hematooncology, Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Park, Sang Yoon (Center for Uterine Cancer, National Cancer Center) ;
  • Jeong, Hyun Sik (Department of Internal Medicine, Sunlin Hospital, Handong University) ;
  • Kang, Jung Hun (Division of Hematooncology, Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Kim, Si-Yung (Department of Internal Medicine, Kyunghee University Hospital) ;
  • Ro, Jung Sil (Center for Breast Cancer, National Cancer Center) ;
  • Lee, Jung Lim ;
  • Lee, Woo Jin (Center for Liver Cancer, National Cancer Center) ;
  • Park, Sook Ryun (Center for Stomach Cancer, National Cancer Center) ;
  • Yun, Young Ho (National Cancer Control Institute and Hospital, National Cancer Center)
  • Published : 2013.01.31

Abstract

Background: Although caregiving to patients with terminal illness is known to be a stressful burden to family members, little attention has been focused on work-related problems. We aimed to investigate employment status and work-related difficulties of family caregivers of terminal cancer patients, comparing with the general population. Methods: Using structured questionnaires, we assessed family caregivers of 481 cancer patients determined by physicians to be terminally ill, from 11 university hospitals and the National Cancer Center in Korea. Results: Among 381 family caregivers of terminal cancer patients (response rate, 87.6%), 169 (43.9%) were not working before cancer diagnosis, but currently 233 (63.7%) were not working. Compared with the general population (36.5%), the percentage of not working among the family caregivers was higher (OR=2.39; 95%CI=1.73-3.29). A major reason for not working was to provide assistance to the patients (71.6%). 40.6% of those who continued working and 32.3% of those who not working family members reported extreme fatigue. Caregivers of old age, those who were female, those with a lower household income, and those caring for patients with a low performance status were not working at a more significant rate. Conclusion: Family caregivers of terminal cancer patients suffer job loss and severe work-related difficulties, probably due to caregiving itself and to fatigue. We need to develop supportive programs to overcome the burden of caregivers of the terminally ill.

Acknowledgement

Supported by : National Cancer Center

References

  1. Herr K, Titler M, Fine PG, et al (2012). The Effect of a Translating Research into Practice (TRIP)-Cancer Intervention on Cancer Pain Management in Older Adults in Hospice. Pain Med.
  2. Kimman M, Norman R, Jan S, et al (2012). The burden of cancer in member countries of the Association of Southeast Asian Nations (ASEAN). Asian Pac J Cancer Prev, 13, 411-20. https://doi.org/10.7314/APJCP.2012.13.2.411
  3. Knapp C, Quinn G, Bower B, et al (2011). Posthumous reproduction and palliative care. J Palliat Med, 14, 895-8. https://doi.org/10.1089/jpm.2011.0102
  4. Knapp CA, Madden V, Wang H, et al (2011). Pediatric nurses' attitudes toward hospice and pediatric palliative care. Pediatr Nurs, 37, 121-6.
  5. O’Connor NR,Kumar P (2012). Conservative management of end-stage renal disease without dialysis: a systematic review. J Palliat Med, 15, 228-35. https://doi.org/10.1089/jpm.2011.0207
  6. Pantilat SZ, Kerr KM, Billings JA, et al (2012). Characteristics of palliative care consultation services in California hospitals. J Palliat Med, 15, 555-60. https://doi.org/10.1089/jpm.2011.0390
  7. Phipps MS, Desai RA, Wira C, et al (2011). Epidemiology and outcomes of fever burden among patients with acute ischemic stroke. Stroke, 42, 3357-62. https://doi.org/10.1161/STROKEAHA.111.621425
  8. Shahmoradi N, Kandiah M, Peng LS (2009). Impact of nutritional status on the quality of life of advanced cancer patients in hospice home care. Asian Pac J Cancer Prev, 10, 1003-09.
  9. Smith TA, Davidson PM, Lam LT, et al (2012). The use of non-invasive ventilation for the relief of dyspnoea in exacerbations of chronic obstructive pulmonary disease; a systematic review. Respirology, 17, 300-7. https://doi.org/10.1111/j.1440-1843.2011.02085.x
  10. Stiel S, Pastrana T, Balzer C, et al (2012). Outcome assessment instruments in palliative and hospice care-a review of the literature. Support Care Cancer.
  11. Tordoff J, Chang SY, Norris PT (2012). Community pharmacists' perceptions of services that benefit older people in New Zealand. Int J Clin Pharm, 34, 342-50. https://doi.org/10.1007/s11096-012-9612-8
  12. Unroe KT, Greiner MA, Johnson KS, et al (2012). Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure. Am Heart J, 163, 987-93 e3. https://doi.org/10.1016/j.ahj.2012.03.006
  13. von Gunten CF (2012). Evolution and effectiveness of palliative care. Am J Geriatr Psychiatry, 20, 291-7. https://doi.org/10.1097/JGP.0b013e3182436219
  14. Chochinov HM, Kristjanson LJ, Breitbart W, et al (2011). Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial. Lancet Oncol, 12, 753-62. https://doi.org/10.1016/S1470-2045(11)70153-X
  15. Baker JN, Harper J, Kane JR, et al (2011). Implementation and evaluation of an automated patient death notification policy at a tertiary pediatric oncology referral center. J Pain Symptom Manage, 42, 652-6. https://doi.org/10.1016/j.jpainsymman.2011.07.002
  16. Bukki J, Klein J, But L, et al (2011). Methicillin-resistant Staphylococcus aureus (MRSA) management in palliative care units and hospices in Germany: a nationwide survey on patient isolation policies and quality of life. Palliat Med.
  17. Cohen LW, van der Steen JT, Reed D, et al (2012). Family perceptions of end-of-life care for long-term care residents with dementia: differences between the United States and the Netherlands. J Am Geriatr Soc, 60, 316-22. https://doi.org/10.1111/j.1532-5415.2011.03816.x
  18. Duclos A, Peix JL, Colin C, et al (2012). Influence of experience on performance of individual surgeons in thyearoid surgery: prospective cross sectional multicentre study. BMJ, 344, d8041. https://doi.org/10.1136/bmj.d8041
  19. Dybicz SB, Thompson S, Molotsky S, et al (2011). Prevalence of diabetes and the burden of comorbid conditions among elderly nursing home residents. Am J Geriatr Pharmacother, 9, 212-23. https://doi.org/10.1016/j.amjopharm.2011.05.001
  20. Fairfield KM, Murray KM, Wierman HR, et al (2012). Disparities in hospice care among older women dying with ovarian cancer. Gynecol Oncol, 125, 14-8. https://doi.org/10.1016/j.ygyno.2011.11.041
  21. Flannelly KJ, Emanuel LL, Handzo GF, et al (2012). A national study of chaplaincy services and end-of-life outcomes. BMC Palliat Care, 11, 10. https://doi.org/10.1186/1472-684X-11-10
  22. Gomes B, Calanzani N, Higginson IJ (2012). Reversal of the British trends in place of death: time series analysis 2004-2010. Palliat Med, 26, 102-7. https://doi.org/10.1177/0269216311432329

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