The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Factors Influencing Depression of the Cancer Patient's Family Caregivers

암환자 가족원의 우울에 대한 영향요인

  • 홍민주 (경남과학기술대학교 간호학과) ;
  • 김영숙 (고신대학교 간호학과) ;
  • 방부경 (웅상중앙병원) ;
  • 김익지 (와이즈유(영산대학교) 간호학과)
  • Received : 2019.07.29
  • Accepted : 2019.09.25
  • Published : 2019.09.30
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Abstract

Objectives: With the rapidly increasing incidence of cancer worldwide, it has become important for health care professionals to both provide care for cancer patients and to address the challenges faced by family caregivers of cancer patients. This study aims to identify the factors affecting depression among cancer patients' family caregivers. The results of this study suggest the need to propose programs for family caregivers as well as cancer patients. Methods: Participants were 219 caregivers who were informed of the study purpose and agreed to participate. Data were analyzed using t-tests, one-way ANOVA, Scheffe's test, Pearson correlation coefficients, and multiple stepwise regression with the SPSS/WIN 25.0 program. Results: The mean score for depression among cancer patients' family caregivers was $1.57{\pm}.40$ (range: 0-3). Depression was significantly different based on age, relationship with the patient, education, occupation, cancer recurrence, care days per week, financial burden, site of cancer, and health status. Analysis using multiple regression showed that model 1 showed 16% of the factors predicting depression among cancer patients' family caregivers (F=6.16, p<.001) including occupation, recurrence, and health status of the caregiver. Model 3, which included additional burnout, showed 37% of the factors predicting depression (F=12.36, p<.001). Conclusions: These results suggest that it is necessary to develop programs for prevention and management of depression among cancer patients' family caregivers.

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References

  1. OECD. https://data.oecd.org/healthstat/deaths-from-cancer.htm
  2. R.D. Nipp, A. El-Jawahri, J.N. Fishbein, E.R. Gallagher, J.M. Stagl, E.R. Park, V.A. Jackson, W.F. Pirl, J.A. Greer, J.S. Temel(2016), Factors Associated with Depression and Anxiety Symptoms in Family Caregivers of Patients with Incurable Cancer. Annals of Oncology, Vol.27(8);1607-1612. https://doi.org/10.1093/annonc/mdw205
  3. S.O, Lee, M.J, Kim(2015), Health Perception and Family Support as Influencing Factors on Depression in Hospitalized Elderly Patients. The Korean Journal of Health Service Managemen, Vol.9(4);145-155.
  4. Y.H. Kim, S.H. Lee, H.S. Lim, Y.J. Choi, Y.J. Kim, S.Y. Lee, D.W. Jeong, K.H. Yu(2015), Family Caregivers' Quality of Life, Depression and Anxiety according to Symptom Control in Hospice Patients. The Korean Journal of Hospice Palliative Care, Vol.18(4);314-321. https://doi.org/10.14475/kjhpc.2015.18.4.314
  5. S.H. Kim, Y. Choi, J.H. Lee, D.E. Jang, S. Kim(2013), A Review of Trend of Nursing Theories related Caregivers in Korea. Open Nursing Journal, Vol.12;26-35. https://doi.org/10.2174/1874434601812010026
  6. M.J. Hong, Y.S. Tae(2013), Structural Relationship of Burnout and related Variables among Family Caregivers of Cancer Patients. Journal of Korean Academy of Nursing, Vol.43(6);812-20. https://doi.org/10.4040/jkan.2013.43.6.812
  7. S.D. Klagholz, A. Ross, L. Wehrlen, S.Z. Bedoya, L. Wiener, M.F. Bevans(2018), Assessing the Feasibility of an Electronic Patient Reported Outcome (ePRO) collection system in caregivers of cancer patients. Psychooncology. Vol.27(4);1350-1352. https://doi.org/10.1002/pon.4658
  8. K. Chio, H. Yoon, Y. Im(2018), Dyadic Interdependence of Depression among Older Adults with Cancer and Family Caregivers. Korean Journal of Gerontological Social Welfare. Vol.73(1);293-313. https://doi.org/10.21194/kjgsw.73.1.201803.293
  9. T.C. Fong, R.T. Ho, F. S. Au-Yeung, C.Y. Sing, K.Y. Law, L.F. Lee, S.M. Ng(2016), The Relationships of Change in Work Climate with Changes in Burnout and Depression: A 2-year Longitudinal Study of Chinese Mental Health Care Workers. Psychology, health & medicine. Vol.21(4);401-412. https://doi.org/10.1080/13548506.2015.1080849
  10. E.Y. Yeom, H.O. Jeon(2013), Relations of Burnout, Interpersonal Relations, Professional Self-concept and Depression in Clinical Nurses. Journal of the Korea Academia-Industrial cooperation Society, Vol.14(6);2869-2879. https://doi.org/10.5762/KAIS.2013.14.6.2869
  11. S.C. Shieh, H.S. Tung, S.Y. Liang(2012), Social Support as Influencing Primary Family Caregiver Burden in Taiwanese Patients with Colorectal Cancer. Journal of Nursing Scholarship. Vol.44(3);223-231. https://doi.org/10.1111/j.1547-5069.2012.01453.x
  12. D.B. Kim, S.B. Kim, S.M. Shin(2012), The Effects of Social Participation on the Depression of the Spouseless Elderly: The Mediating Effect of Social Support and Self Efficacy. Journal of the Korean Gerontological Society. Vol.32(1);289-303.
  13. S.H. Lee, M.R. Cho, J.H. Lee(2015). A Study on Preliminary Research and Public Policy for Various Family Care Services. Seoul Foundation of Women & Family. 1-208.
  14. A.T. Beck, R.A. Steer, G.K. Brown(1996). BDI-II: Beck Depression Inventory. 2nd ed: San Antonio, Tex: Pearson.
  15. J. Park(1985), A Study to Development a Scale of Social Support. Unpublished doctoral dissertation, Yonsei University, Seoul.
  16. A. Malakh-Pines, E. Aronson, D. Kafry(1981), Burnout: From Tedium to Personal Growth: Free Pr.
  17. S.H. Park(2005). The Influence of Depression on Care Burden for Cancer Patient's Family. Unpublished master's thesis for Master's degree. Ewha Womans University, department of social welfare, p.61-65
  18. J.M. Kim., J.N. Chung(2016). The Influence of Psychological Well-being and Social Support on the Burnout of Infant Care Teachers. Journal of Korean Home Management Association, Vol.34(5);21-33. https://doi.org/10.7466/JKHMA.2016.34.5.21
  19. T.A. Badger, C. Segrin, A.J. Figueredo, J. Harrington, K. Sheppard, S. Passalacqua(2011), Psychosocial Interventions to Improve Quality of Life in Prostate Cancer Survivors and Their Intimate or Family Partners. Quality of Life Research. Vol.20(6);833-844. https://doi.org/10.1007/s11136-010-9822-2
  20. F. Griffiths, A. Lindenmeyer, J. Powell, P. Lowe, M. Thorogood(2006), Why are health care interventions delivered over the internet? A systematic review of the published literature. Journal of medical Internet research, Vol.8(2);e10. https://doi.org/10.2196/jmir.8.2.e10
  21. Q.P. Li, Y.W. Mak, A.Y. Loke(2013), Spouses' Experience of Caregiving for Cancer Patients: a Literature Review. International Nursing Review. Vol.60(2);178-187. https://doi.org/10.1111/inr.12000
  22. Y.S. Rhee, Y.H. Yun, S. Park, D.O. Shin, K.M. Lee, H.J. Yoo, J.H. Kim, S.O. Kim, R. Lee, Y.O. Lee, N.S. Kim(2008), Depression in Family Caregivers of Cancer Patients: the Feeling of Burden as a Predictor of Depression. Journal of Clinical Oncology. Vol.26(36);5890-5895. https://doi.org/10.1200/JCO.2007.15.3957
  23. Y. Kim, P.R. Duberstein, S. Sorensen, M.R. Larson(2005), Levels of Depressive Symptoms in Spouses of People with Lung Cancer: Effects of Personality, Social Support, and Caregiving Burden. Psychosomatics. Vol.46(2);123-130. https://doi.org/10.1176/appi.psy.46.2.123
  24. L. Northouse(2012), Helping Patients and Their Family Caregivers Cope With Cancer. Oncology Nursing Forum. Vol.39(5);500-506. https://doi.org/10.1188/12.ONF.500-506
  25. W.L. Awa, M. Plaumann, U. Walter(2010), Burnout Prevention: A Review of Intervention Programs. Patient Education and Counseling. Vol.78(2); 184-190. https://doi.org/10.1016/j.pec.2009.04.008