Health-Related Quality of Life (HRQOL) of Gastrointestinal Cancer Caregivers: The Impact of Caregiving

01 April 2019


Nik Nairan Abdullah, Idayu Badilla Idris, Khadijah Shamsuddin, and Nik Muhd Aslan Abdullah


Abstract

Objective

This study examined the quality of life (QOL) of caregivers for gastrointestinal (GI) cancer patients, and associated factors.

Methods

A cross-sectional study was conducted at three referral hospitals in Klang Valley, Malaysia. A total of 323 pairs of patients and caregivers from the oncology units of these hospitals completed questionnaires in Malay. The QOL of caregivers was measured using The Malay Caregiver Quality of Life questionnaire. The independent variables were caregiver and patient factors, care-related factors, the Caregiver Strain Index-Malay, and the Multidimensional Scale of Perceived Social Support-Malay. Simple and multiple linear regression analyses were performed to determine the factors associated with the QOL. Variables with p < 0.05 were considered significant in the multiple analyses.

Results

Female caregivers were 68.1% of the total, and 46.4% caregivers were spouses to cancer patients. Their mean age was 44.50 (13.29) years old. About 51.7% were of Malay ethnicity. The mean score for QOL was 80.17 (21.58). Being a male caregiver (beta = 5.165, p = 0.011) and of Indian ethnicity (beta = -9.163, p = 0.001) were strongly associated with caregiver QOL. Male patients contributed higher QOL scores for the caregivers compared to female patients. There was an inverse relationship among caregiving strain, duration of caregiving, and caregiver QOL. Conclusion: The identification of factors that affect QOL will allow healthcare providers to develop appropriate interventions. It is important that caregivers be in good health so as not to compromise the care they provide to their patients.


Reference

  1. American Cancer Society. (2017). Caregivers and family. American Cancer Society.
  2. Awadalla, A. W., Ohaeri, J. U., 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.
  3. Aydogan, U., Doganer, Y. C., Komurcu, S., et al. (2016). Coping attitudes of cancer patients and their caregivers and quality of life of caregivers. Indian Journal of Palliative Care, 22, 150–156.
  4. Azizah, A. M., Nor Saleha, I. T., Nor Hashimah, A., & Mastulu, W. (2015). Malaysian National Cancer Registry report 2007–2011: Incidence of ten most common cancers (p. 17). National Cancer Institute, Ministry of Health Malaysia.
  5. Baider, L., & Goldzweig, G. (2012). Exploration of family care: A multicultural approach. In L. Grassi & M. Riba (Eds.), Clinical psycho-oncology: An international perspective (pp. 187–198). Wiley-Blackwell.
  6. Bilgin, S., & Gozum, S. (2016). Effect of nursing care given at home on the quality of life of patients with stomach cancer and their family caregivers’ nursing care. European Journal of Cancer Care, 1–11.
  7. Che Bakar, O., Yusoff, E. H., & Ainsah Omar, A. (2008). Psychiatric morbidity and quality of life among family caregivers of hospice patients with cancer: A home-based community preliminary study. ASEAN Journal of Psychiatry, 9, 78–84.
  8. Donnelly, M., Anderson, L. A., Johnston, B. T., et al. (2008). Oesophageal cancer: Caregiver mental health and strain. Psycho-Oncology, 17, 1196–1201.
  9. Effendy, C., Vernooij-Dassen, M., Setiyarini, S., et al. (2015). Family caregivers’ involvement in caring for a hospitalized patient with cancer and their quality of life in a country with strong family bonds. Psycho-Oncology, 24, 585–591.
  10. Fletcher, B. S., Miaskowski, C., Given, B., & Schumacher, K. (2012). The cancer family caregiving experience: An updated and expanded conceptual model. European Journal of Oncology Nursing, 16, 387–398.
  11. Goldzweig, G., Hubert, A., Walach, N., et al. (2009). Gender and psychological distress among middle- and older-aged colorectal cancer patients and their spouses: An unexpected outcome. Critical Reviews in Oncology/Hematology, 70, 71–82.
  12. Gupta, R., & Pillai, V. K. (2009). Caregiver burden in South Asian families: A systems theory perspective. Journal of Ethnic & Cultural Diversity in Social Work, 9, 41–53.
  13. Hagedoorn, M., Sanderman, R., Bolks, H. N., Tuinstra, J., & Coyne, J. C. (2008). Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychological Bulletin, 134, 1–30.
  14. Haley, W. E., Gitlin, L. N., Wisniewski, S. R., et al. (2004). Well-being, appraisal, and coping in African-American and Caucasian dementia caregivers: Findings from the REACH study. Aging & Mental Health, 8, 316–329.
  15. Katbamna, S., Ahmad, W., Bhakta, P., Baker, R., & Parker, G. (2004). Do they look after their own? Informal support for South Asian carers. Health & Social Care in the Community, 12, 398–406.
  16. Kiss, A., & Meryn, S. (2001). Effect of sex and gender on psychosocial aspects of prostate and breast cancer. BMJ, 323, 1055–1058.
  17. Krouse, R. S., Herrinton, L. J., Grant, M., et al. (2009). Health-related quality of life among long-term rectal cancer survivors with an ostomy: Manifestations by sex. Journal of Clinical Oncology, 27, 4664–4670.
  18. Künzler, A., Hodgkinson, K., Zindel, A., Bargetzi, M., & Znoj, H. J. (2011). Who cares, who bears, who benefits? Female spouses vicariously carry the burden after cancer diagnosis. Psychology & Health, 26, 337–352.
  19. Li, Q., Xu, Y., Zhou, H., & Loke, A. Y. (2016). Factors influencing the health-related quality of life of Chinese advanced cancer patients and their spousal caregivers: A cross-sectional study. BMC Palliative Care, 15, 72.
  20. Lim, H. A., Tan, J. Y. S., Chua, J., et al. (2016). Quality of life of family caregivers of cancer patients in Singapore and globally. Singapore Medical Journal, 1, 1–13.
  21. Lu, L., Pan, B., Sun, W., et al. (2010). Quality of life and related factors among cancer caregivers in China. Psychiatry and Clinical Neurosciences, 64, 505–513.
  22. Lua, P. L., Norhayati, M., & Ahmad Kashfi, A. R. (2013). HRQoL profile and psychometric properties assessment of caregiver quality of life instrument among HIV/AIDS family caregivers in Terengganu. Malaysian Journal of Psychiatry, 1, 1–4.
  23. Lua, P. L., Nor-Khaira-Wahida, K., Zariah, A. A., & Lee, K. F. (2014). Caring for epilepsy: Awareness, knowledge, attitude and health-related quality of life of family caregivers. Malaysian Journal of Psychiatry, 23, 45–56.
  24. Matthews, B. A. (2003). Role and gender differences in cancer-related distress: A comparison of survivor and caregiver self-reports. Oncology Nursing Forum, 30, 493–499.
  25. Miguel, I., Moreira, A., & Freire, J. (2017). Burden, quality of life and distress of the main caregiver in head and neck, cervix and rectum cancer patients. Journal of Cancer Research and Therapeutics, 5, 14–18.
  26. Ng, C., Siddiq, A. A., Aida, S., Zainal, N., & Koh, O. (2010). Validation of the Malay version of the Multidimensional Scale of Perceived Social Support among a group of medical students in the Faculty of Medicine, University Malaya. Asian Journal of Psychiatry, 3, 3–6.
  27. Nik Jaafar, N. R., Selamat Din, S. H., Mohamed Saini, S., et al. (2014). Clinical depression while caring for loved ones with breast cancer. Comprehensive Psychiatry, 55, 529.
  28. Othman, Z., & Teck, W. S. (2014). Validation of Malay caregiver strain index. Eastern Journal of Medicine, 19, 102–104.
  29. Palma, E., Simonetti, V., Franchelli, P., et al. (2012). An observational study of family caregivers’ quality of life caring for patients with a stoma. Gastroenterology Nursing, 35, 99–104.
  30. Renemane, L., Oleynik, D., & Sivins, A. (2016). Depression, anxiety and subjective stress in gastrointestinal cancer inpatients. European Neuropsychopharmacology, 26, 373–374.
  31. Shaw, J., Harrison, J., Young, J., et al. (2013). Coping with newly diagnosed upper gastrointestinal cancer: A longitudinal qualitative study of family caregivers’ role perception and supportive care needs. Supportive Care in Cancer, 21, 749–756.
  32. Son, K. Y., Lee, C. H., Park, S. M., et al. (2012). The factors associated with the quality of life of the spouse caregivers of patients with cancer: A cross-sectional study. Journal of Palliative Medicine, 15, 216–224.
  33. Tan, J. Y., Molassiotis, A., Lloyd-Williams, M., & Yorke, J. (2018). Burden, emotional distress and quality of life among informal caregivers of lung cancer patients: An exploratory study. European Journal of Cancer Care, 27, e12691.
  34. Turkoglu, N., & Kilic, D. (2012). Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pacific Journal of Cancer Prevention, 13, 4141–4145.
  35. Wadhwa, D., Burman, D., Swami, N., et al. (2013). Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology, 22, 403–410.
  36. Warapornmongkholkul, A., Howteerakul, N., Suwannapong, N., & Soparattanapaisarn, N. (2018). Self-efficacy, social support, and quality of life among primary family-member caregivers of patients with cancer in Thailand. Journal of Health Research, 32, 111–122.
  37. Weitzner, M. A., Jacobsen, P. B., Wagner, H., Jr., Friedland, J., & Cox, C. (1999). The Caregiver Quality of Life Index–Cancer scale: Development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Quality of Life Research, 8, 55–63.
  38. Wong, O. M., & Chau, B. H. (2006). The evolving role of filial piety in eldercare in Hong Kong. Asian Journal of Social Science, 34, 600–617.
  39. World Health Organization. (2017). WHOQOL: Measuring quality of life. World Health Organization.
  40. Zhu, P., Fu, J. F., Wang, B., et al. (2013). Quality of life of male spouse caregivers for breast cancer patients in China. Asian Pacific Journal of Cancer Prevention, 15, 4181–4185.
  41. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1998). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.

Cite

Abdullah, N. N. , Idris, I. B. , Shamsuddin, K. and Abdullah, N. M. A. (2019). Health-Related Quality of Life (HRQOL) of Gastrointestinal Cancer Caregivers: The Impact of Caregiving. Asian Pacific Journal of Cancer Prevention20(4), 1191-1197. doi: 10.31557/APJCP.2019.20.4.1191

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