- Volume 15 Issue 12
DOI QR Code
Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy
- Sercekus, Pinar (Obstetrics and Gynaecology Nursing Department, Denizli School of Health, Pamukkale University) ;
- Besen, Dilek Buyukkaya (Internal Medicine Nursing Department, Faculty of Nursing, Dokuz Eylul University) ;
- Gunusen, Neslihan Partlak (Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Dokuz Eylul University) ;
- Edeer, Aylin Durmaz (Surgical Nursing Department, Faculty of Nursing, Dokuz Eylul University)
- Published : 2014.06.30
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.
- Stajduhar KI (2013). Burdens of family caregiving at the end of life. Clin and Investigative Med, 36, 121-6. https://doi.org/10.25011/cim.v36i3.19722
- Shih WMJ, Hsiao PJ, Chen ML, Lin MH (2013). Experiences of family of patient with newly diagnosed advanced terminal stage hepatocellular cancer. Asian Pac J Cancer Prev, 14, 4655-60. https://doi.org/10.7314/APJCP.2013.14.8.4655
- Silveira MJ, Given CW, Given B, Rosland AM, Piette JD (2010) Patient-caregiver concordance in symptom assessment and improvement in outcomes for patients undergoing cancer chemotherapy. Chronic Illness, 6, 46-56. https://doi.org/10.1177/1742395309359208
- Speziale HJ, Carpenter DR (2003). Qualitative Research in Nursing: Advancing the Humanistic Imperative. 4th ed, Lippincott Williams &Wilkins, Philadelphia, 36-39.
- Tamayo GJ, Broxson A, Munsell M, Cohen MZ (2010). Caring for the caregiver. Oncol Nurs Forum, 37, 50-7. https://doi.org/10.1188/10.ONF.E50-E57
- Terakye G (2011). Interaction with cancer patients' relatives. Electronic Journal of Dokuz Eylul University School of Nursing, 4, 78-82.
- Turkoglu N, Kilic D (2012). Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pac J Cancer Prev, 13, 4141-5. https://doi.org/10.7314/APJCP.2012.13.8.4141
- Tsigaroppoulos T, Mazaris E, Chatzidarellis E, et al (2009). Problems faced by relatives caring for cancer patients at home. Int J Nurs Practices, 15, 1-6. https://doi.org/10.1111/j.1440-172X.2008.01725.x
- Ugur O, Fadiloglu Zc (2012). The effect of planned education applied to caregivers of cancer patients on caregiver burdens. Cumhuriyet Nurs J, 1, 53-8.
- Ugur O, Elcigil A, Arslan D, Sonmez A (2014). Responsibilities and difficulties of caregivers of cancer patients in home care. Asian Pac J Cancer Prev, 15, 725-9 . https://doi.org/10.7314/APJCP.2014.15.2.725
- Yildirim A, Simsek H (2005). Qualitative research methods in social sciences 5th ed, Seckin press, Ankara, Turkey, 151-163, 227-241, 255-273.
- Liu JE, Mok E, Wong T (2005). Perceptions of supportive communication in Chinese patients with cancer: experiences and expectations. J Adv Nur, 52, 262-70. https://doi.org/10.1111/j.1365-2648.2005.03583.x
- Kurtz ME, Kurtz JC, Given CW, Given B (2005). A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. J Pain Symptom Manage, 30, 112-22. https://doi.org/10.1016/j.jpainsymman.2005.02.008
- Lee J, Bell K (2011). The impact of cancer on family relationships among chinese patients. J Transcultural Nur, 22, 225-34 . https://doi.org/10.1177/1043659611405531
- Lethborg CE, Kissane D, Burns WI (2003). 'It's not the easy part': the experience of significant others of women with early stage breast cancer, at treatment completion. Soc Work Health Care, 37, 63-85. https://doi.org/10.1300/J010v37n01_04
- National Profile of Family Caregivers in Canada (2002). National Profile of Family Caregivers in Canada, Final Report, pg: 1-38. (Access date: december 2013) http://www.hc-sc.gc.ca/hcs-sss/alt_formats/hpb-dgps/pdf/pubs/2002-caregivinterven/2002-caregiv-interven-eng.pdf
- Ogce F, Ozkan S, Okcin F, Yaren A, Demiray G (2013). Evaluation of quality of life of breast cancer patient nextof-kin in Turkey. Asian Pac J Cancer Prev, 14, 2771-6. https://doi.org/10.7314/APJCP.2013.14.5.2771
- Pinkert C, Holtgrawe M, Remmers H (2013). Needs of relatives of breast cancer patients-the perspectives of families and nurses. Eur J Oncol Nur, 17, 81-7. https://doi.org/10.1016/j.ejon.2011.10.006
- Schmid-Buchi S, Halfens RJG, Dassen T, Borne B (2008). A review of psychosocial needs of breast-cancer patients and their relatives. J Clin Nur, 17, 2895-909. https://doi.org/10.1111/j.1365-2702.2008.02490.x
- Schmid-Buchi S, Halfens R JG, Dassen T, Borne B (2011). Psychosocial problems and needs of posttreatment patients with breast cancer and their relatives. J Oncol Nur, 15, 260-6. https://doi.org/10.1016/j.ejon.2009.11.001
- Graneheim UH, Lundman B (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-12. https://doi.org/10.1016/j.nedt.2003.10.001
- Deeken JF, Taylor KL, Mangan P, Yabroff KR, Ingham JM (2003). Care for the caregivers: a review self-report intruments developed to measure the burden, needs, and quality of life of informal caregivers. J Pain and Symptom Management, 26, 922-53. https://doi.org/10.1016/S0885-3924(03)00327-0
- Dew MA, Myaskovsky L, Dimartini AF, et al (2004). Onset, timing and risk for depression and anxiety in family caregivers to heart transplant recipients. Psychological Medicine, 34, 1065-82. https://doi.org/10.1017/S0033291703001387
- Eriksson E, Lauri S (2000). Informational and emotional support for cancer patients' relatives. Eur J Cancer Care, 9, 8-15. https://doi.org/10.1046/j.1365-2354.2000.00183.x
- Gopalan N, Brannon LA (2006). Increasing family members' appreciation of family caregiving stress. J Psychology, 140, 85-94. https://doi.org/10.3200/JRLP.140.2.85-94
- Haley W (2003). The costs of family caregiving: implications for geriatric oncology. Crit Rev Oncol Hematol, 48, 151-8. https://doi.org/10.1016/j.critrevonc.2003.04.005
- Harandy TF, Ghofranipour F, Montazeri A, et al (2010). Muslim breast cancer survivor spirituality: coping strategy or health seeking behavior hindrance? Health Care Women Int, 31, 88-98.
- Hilton BA, Crawford JA, Tarko MA (2000). Men's perspectives on individual and family coping with their wives' breast cancer and chemotherapy. West J Nurs Res, 22, 438-59. https://doi.org/10.1177/01939450022044511
- Huang X, Meiser B, Butow P, Goldstein D (1999). Attitudes and information needs of Chinese migrant cancer patients and their relatives. Aus and NZ J Med, 29, 207-2013. https://doi.org/10.1111/j.1445-5994.1999.tb00685.x
- Hudson P, Aranda S, McMurray N (2002). Intervention development for enhanced lay palliative caregiver support-the use of focus groups. Eur J Cancer Care, 11, 262-70. https://doi.org/10.1046/j.1365-2354.2002.00314.x
- Bee PE, Barnes P, Luker KA (2008). A systematic review of informal caregivers' needs in providing home-based endof-life care to people with cancer. J Clin Nur, 18, 1379-93.
- Chang YJ, Kwon YC, Lee WJ, et al (2013). Burdens, needs and satisfaction of terminal cancer patients and their caregivers. Asian Pac J Cancer Prev, 14, 209-16. https://doi.org/10.7314/APJCP.2013.14.1.209
- Chindaprasirt J, Limpawattana P, Pakkaratho P, et al (2014). Burdens among caregivers of older adults with advanced cancer and risk factors. Asian Pac J Cancer Prev, 15, 1643-8. https://doi.org/10.7314/APJCP.2014.15.4.1643
- Development of a Family Nursing Model for Prevention of Cancer and Other Noncommunicable Diseases through an Appreciative Inquiry vol.15, pp.23, 2015, https://doi.org/10.7314/APJCP.2014.15.23.10367
- Experiences of Spouses of Patients with Hematologic Malignancies: Finding a Way to Get Out of the Endless Tunnel vol.16, pp.1, 2016, https://doi.org/10.5388/aon.2016.16.1.46
- Psychological Distress and Resilience among Partners of Cancer Patients Receiving Outpatient Chemotherapy vol.08, pp.08, 2017, https://doi.org/10.4236/ijcm.2017.88045
- Assessing the Functional Status of Older Cancer Patients in an Ambulatory Care Visit vol.3, pp.3, 2015, https://doi.org/10.3390/healthcare3030846
- Living and Coping With Cancer vol.29, pp.3, 2015, https://doi.org/10.1097/HNP.0000000000000082
- Impact of Oral Anticancer Medication From a Family Caregiver Perspective vol.45, pp.5, 2018, https://doi.org/10.1188/18.ONF.597-606