Overburden and Quality of Life of Caregivers of Patients with Cancer during Palliative Care
DOI:
https://doi.org/10.15649/cuidarte.1248Keywords:
Quality of life, Caregivers, Palliative Care, Cancer, Cost of IllnessAbstract
Introduction: Family caregivers often experience caregiving overburden, which in turn may have implications for their quality of life. This study is aimed at describing the associations between the level of caregiving overburden and the quality of life of caregivers of patients with cancer during palliative care attending a quaternary healthcare institution in Medellin, Colombia. Materials and Methods: A cross-sectional descriptive correlational study was conducted with 62 family caregivers. Participants’ characterization, Zarit Caregiver Burden Scale and Caregiver Quality of Life questionnaires were administered. Correlation tests were performed using Pearson’s correlation coefficient and simple linear regression model. Results: A Pearson’s correlation coefficient of r = -0.54 at p < 0.0001 was found between caregiver overburden and quality of life. Negative correlations were also identified across all dimensions of overburden and quality of life in caregivers. A regression model was established in which caregiver overburden (b = -0.556 CI 95% = -3.114 - -1.237) and being a married or common-law partnered caregiver (b = 0.258 IC 95%= 0.907-52.99) are predicting variables of quality of life. Conclusions: A strong inverse correlation was found between overburden and quality of life of family caregivers of patients with cancer during palliative care.
How to cite this article: Arias-Rojas Mauricio, Carreño Moreno Sonia, Sepúlveda García Aura, Romero Ballesteros Ingrith. Sobrecarga y calidad de vida de cuidadores de personas con cáncer en cuidados paliativos. Revista Cuiddarte. 2021;12(2):e1248. http://dx.doi.org/10.15649/cuidarte.1248
References
World Health Organization. Noncommunicable Diseases Country Profiles 2018. World Health Organization. Geneva; 2018.
Worl Health Organization. Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/en/#. 2015
Pastrana T, De Lima L, Pons JC. Atlas de Cuidados Paliativos de Latinoamérica. Houston; 2013.
Garcia-Rueda N, Carvajal Valcarcel A, Saracibar-Razquin M, Arantzamendi Solabarrieta M. The experience of living with advanced-stage cancer: a thematic synthesis of the literature. Eur J Cancer Care. 2016;25(4):551–69. DOI: https://doi.org/10.1111/ecc.12523
Arias-Rojas M, Carreño–Moreno S, Chaparro L. Incertidumbre ante la enfermedad crónica. Revisión integrativa. Rev Latinoam Bioética. 2019;36(1):91-104. DOI: https://doi.org/10.18359/rlbi.3575
Butow PN, Price MA, Bell ML, Webb PM, deFazio A, Friedlander M. Caring for women with ovarian cancer in the last year of life: a longitudinal study of caregiver quality of life, distress and unmet needs. Gynecol Oncol. 2014;132(3):690–7. DOI: https://doi.org/10.1016/j.ygyno.2014.01.002
Ullrich A, Ascherfeld L, Marx G, Bokemeyer C, Bergelt C, Oechsle K. Quality of life, psychological burden, needs, and satisfaction during specialized inpatient palliative care in family caregivers of advanced cancer patients. BMC Palliat Care. 2017;16(1):31. DOI: https://doi.org/10.1186/s12904-017-0206-z
Oechsle K, Ullrich A, Marx G, Benze G, Heine J, Dickel LM, et al. Psychological burden in family caregivers of patients with advanced cancer at initiation of specialist inpatient palliative care. BMC Palliat Care. 2019;18(1):1–14. DOI: https://doi.org/10.1186/s12904-019-0469-7
Moreira de Souza R, Turrini RN. Paciente oncológico terminal: sobrecarga del cuidador. Enfermería Glob. 2011;10(22):1–13. DOI: https://doi.org/10.6018/eglobal.10.2.122771
Naoki Y, Matsuda Y, Maeda I, Kamino H, Kozaki Y, Tokoro A, et al. Association between family satisfaction and caregiver burden in cancer patients receiving outreach palliative care at home. Palliat Support Care. 2018;16(3):260–8. DOI: https://doi.org/10.1017/S1478951517000232.
Perpiñá-Galvañ J, Orts-Beneito N, Fernández-Alcántara M, García-Sanjuán S, García-Caro MP, Cabañero-Martínez MJ. Level of burden and health-related quality of life in caregivers of palliative care patients. Int J Environ Res Public Health. 2019;16(23). DOI: https://doi.org/10.3390/ijerph16234806
Coca S, Ramos F, Fernández R. Calidad de vida en los cuidadores familiares de pacientes con enfermedad terminal, bajo un programa de cuidados paliativos domiciliarios. Rev salud pública. 2017;XXI(3):22–34. DOI: https://doi.org/10.31052/1853.1180.v21.n3.17386
Antón BS, Meneses MA. Cansancio del rol de cuidador: análisis de sus factores relacionados. REDUCA. 2014;6(3):74–106. Disponible en: http://revistareduca.es/index.php/reduca-enfermeria/article/view/1708
Grove S, Gray J. Understanding Nursing Research. Building an Evidence-Based Practice. 7th editio. Missouri, EEUU.: Elsevier; 2019. p.652
Chaparro-Diaz L, Sánchez B, Carrillo-Gonzalez GM. Encuesta de caracterización del cuidado de la diada cuidadorfamiliar - persona con enfermedad crónica. Rev Cienc y Cuid. 2015;11(2):31–45. DOI: https://doi.org/10.22463/17949831.196
Barreto-Osorio RV, Campos de Aldana MS, Carrillo-Gonázdlez GM, Coral-Ibarra R, Chaparro-Diaz L, Durádn-Parra M, et al. Entrevista Percepción de Carga del Cuidado de Zarit: pruebas psicométricas para Colombia. Aquichan. 2015;15(3):368–80. DOI: https://doi.org/10.5294/aqui.2015.15.3.5
Albarracín Á, Cerquera A, Pabón D. Escala de sobrecarga del cuidador zarit: estructura factorial en cuidadores informales de Bucaramanga. Rev Psicol Univ Antioquia. 2016;8(2):87–99. DOI: https://doi.org/10.17533/udea.rpsua.v8n2a06
Barrera OL, Carrillo GM, Chaparro DL, Sánchez HB, Vargas RE, Carreño SP. Validez de constructo y confiabilidad del instrumento calidad de vida versión familiar en español. Enfermería Glob. 2015;14(37):227–38. DOI:https://doi.org/10.6018/eglobal.14.1.185111
Gray JR, Grove SK, Sutherland S. The practice of nursing research: appraisal, synthesis, and generation of evidence. 8th ed. St. Louis, Missouri: Elsevier; 2016.
Rizo VA, Molina LM, Milián MN, Pagán MP, Machado GJ. Caracterización del cuidador primario de enfermo oncológico en estado avanzado. Rev Cuba Med Gen Integr. 2016;32(3):1–13.
Flores M, Fuentes H, González G, Meza I, Cervantes G, Valle M. Características principales del cuidador primario informal de adultos mayores hospitalizados. Nure Inv. 2017;14(88):1–16.
Lara PG, Pedraza AA, Blanco LL. Perfil del cuidador: sobrecarga y apoyo familiar e institucional del cuidador primario en el primer nivel de atención. Rev Espec Médico-Quirúrgicas. 2008;13(4):159–66.
Barragán BJ. Necesidades de cuidado de la diada cuidador-persona: Expectativa de cambio en intervenciones de enfermería. Rev Cuid. 2014;5(2). DOI: http://dx.doi.org/10.15649/cuidarte.v5i2.87
Sklenarova H, Krümpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, et al. When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer. 2015;121(9):1513–9. DOI: https://doi.org/10.1002/cncr.29223
Vahidi M, Mahdavi N, Asghari E, Ebrahimi H, Eivazi Ziaei J, Hosseinzadeh M, et al. Other side of breast cancer: factors associated with caregiver burden. Asian Nurs Res. 2016;10(3):201–6. DOI: https://doi.org/10.1016/j.anr.2016.06.002
Götze H, Brähler E, Gansera L, Schnabel A, Gottschalk-Fleischer A, Köhler N. Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient’s death. Eur J Cancer Care. 2018;27(2):1–8. DOI: https://doi.org/10.1111/ecc.12606
Domínguez JA, Ruíz M, Gómez I, Gallego E, Valero J, Izquierdo MT. Ansiedad y depresión en cuidadores de pacientes dependientes. Semergen. 2012;38(1):16–23. DOI: https://doi.org/10.1016/j.semerg.2011.05.013
Krug K, Miksch A, Peters-Klimm F, Engeser P, Szecsenyi J. Correlation between patient quality of life in palliative care and burden of their family caregivers: A prospective observational cohort study. BMC Palliat Care. 2016;15(1):1–8. DOI: http://dx.doi.org/10.1186/s12904-016-0082-y
Toribio-Díaz ME, Medrano-Martínez V, Moltó-Jordá JM, Beltrán-Blasco I. Red de cuidadores informales de los pacientes con demencia en la provincia de Alicante, descripción de sus características. Neurologia. 2013;28(2):95–102. DOI: http://dx.doi.org/10.1016/j.nrl.2012.03.010
Ávila-Toscano JH, Vergara Mercado M. Calidad de vida en cuidadores informales de personas con enfermedades crónicas. Aquichan. 2014;14(3):417–29. DOI: https://doi.org/10.5294/aqui.2014.14.3.11
Carreño S, Chaparro L. Agrupaciones de cuidadores familiares en Colombia: perfil, habilidad de cuidado y sobrecarga. Pensam Psicológico. 2017;15(1):87–101. DOI: http://dx.doi.org/10.11144/Javerianacali.PPSI15-1.ACFC
Klassen AF, Gulati S, Granek L, Rosenberg-Yunger ZRS, Watt L, Sung L, et al. Understanding the health impact of caregiving: a qualitative study of immigrant parents and single parents of children with cancer. Qual Life Res. 2012;21(9):1595–605. DOI: https://doi.org/10.1007/s11136-011-0072-8
Gómez-Galindo AM, Peñas-Felizzola OLL, Parra-Esquivel EI. Caracterización y condiciones de los cuidadores de personas con discapacidad severa en Bogotá. Rev Salud Pública. 2016;18(3):367. DOI: http://dx.doi.org/10.15446/rsap.v18n3.53048
Vargas L, Pinto N. Calidad de vida del cuidador familiar y dependencia del paciente con Alzheimer. Av Enferm. 2010;28(1):116-128.
Colin Reid R, Stajduhar KI, Chappell NL. The impact of work interferences on family caregiver outcomes. J Appl Gerontol. 2010;29(3):267–89. DOI: https://doi.org/10.1177/0733464809339591
Domínguez Guedea MT, García AO, Rivera Sander MA. Bienestar, Apoyo social y contexto familiar de cuidadores de adultos mayores. Acta Investig Psicológica. 2013;3(1):1018–30. DOI: https://doi.org/10.1016/S2007-4719(13)70949-9
Pérez-García E. Enfermería y necesidades espirituales en el paciente con enfermedad en etapa terminal. Enfermería Cuid Humaniz. 2016;5(2):41-45. DOI: https://doi.org/10.22235/ech.v5i2.1286
Rodrigues GA. La espiritualidad ante la proximidad de la muerte... Enfermería Glob. 2011;10(22):1–10. DOI: https://doi.org/10.4321/S1695-61412011000200019
Achury DM, Pinilla M. La comunicación con la familia del paciente que se encuentra al final de la vida. Enfermería Univ. 2016;13(1):55–60. DOI: https://doi.org/10.1016/j.reu.2015.12.001
Ferraz dos AK, Silva de OB, Cruz SV, Nagib BE, Kareny da SJ, de Oliveira SR. Fatores associados à qualidade de vida de cuidadores familiares de idosos. Cienc enferm. 2018;24(17):1–15. DOI: http://dx.doi.org/10.4067/s0717-95532018000100217.
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