Kanser Hastalarına Bakım Veren Aile Üyelerinin Sorunları, Yaşam Kalitesi ve Müdahaleler

Year 2019, Volume: 6 Issue: 3, 195 - 203, 08.10.2019

Sevcan Toptaş Kılıç Fatma Öz

https://doi.org/10.31125/hunhemsire.630828

Cited By: 5

Abstract

Kanser, hem dünyada
hem de Türkiye’de ölüm sebeplerinin başında gelen, tedavi süreci uzun süren,
hasta bakımının sadece hastanede değil evde de devam ettiği, hastanın olduğu
kadar bakım verici olan aile üyelerinin de olumsuz etkilendiği bir hastalıktır.
Hastalığı yaşayan kişinin etkilenen yaşamı kadar bakım vermekle yükümlü kişi ve
kişilerin de yaşamları fiziksel, duygusal, sosyal ve ekonomik yönden
etkilenmektedir. Bakım veren aile üyeleri hem kendi gereksinimleri ve istekleri
ile hem de bakım rolünün sorumlulukları arasında denge kurmaya
çalışmaktadırlar. Bunu yapmaya çalışırlarken de yaşam kaliteleri bu süreçten
olumsuz olarak etkilenebilmektedir. Bu derlemede kanser hastasına bakım veren
aile üyelerinin yaşam kalitelerinin bakım verme sürecinden nasıl etkilendiği
açıklanmaya çalışılmış ve bakım verenlere yönelik müdahaleler sunulmuştur. 

Keywords

Bakım veren aile üyesi, müdahaleler, neoplazm, yaşam kalitesi

References

• 1. Alptekin S. Charecteristics and quality of life analysis of caregivers of cancer patients. Medical Oncology. 2010; 27(3):607–617. 2. Grunfeld E, Cole D, Whelan T, Clinch J, Reyno L, Earle CC, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 2004;170:1795–1801. 3. Ye T, M and Zhu ML. Investigation of mental health of caregivers and patients of malignant gastrointestinal tumor. Chinese J. Health Psychol. 2005;13:38–39. 4. Silveira MJ, Given CW, Given B, Rosland AM, Piette JD. Patient-caregiver concordance in symptom assessment and improvement in outcomes for patients undergoing cancer chemotherapy. ChronicIllness. 2010;6(1):46–56. 5. Vrettos I, Kamposioras K, Kontodimopoulos N, Pappa E, Georgiadou E, Haritos D, et al. Comparing health-related quality of life of cancer patients under chemotherapy and of their caregivers. Scientific World Journal. 2012; Article ID 135283:1-9 doi:10.1100/2012/135283 6. Caruso R, Nanni MG, Riba MB, Sabato S, Grassi L. The burden of psychosocial morbidity related to cancer: patient and family issues. Int Rev Psychiatry. 2017;28:1-14. 7. Ayabakan-Cot D, Ates E, Kurt B, Nazlican E, Akbala M. Investigation of depression and quality of life factors in cancer patients' caregivers. J BUON. 2017;22(2):524-529 8. Aubin M, Vézina L, Verreault R, Simard S, Desbiens JF, Tremblay L, et al. Effectiveness of an intervention to improve supportive care for family caregivers of patients with lungcancer: study protocolfor a randomized controlled trial. 2017;18(1):304. 9. Çivici S, Kutlu R, Çelik HH. Kanserli hasta yakınlarında depresyon ve yaşam kalitesini etkileyen faktörler. Gülhane Tıp Dergisi, 2011;53:248-253. 10. Chen ML, Chu L, Chen HC. Impact of cancer patients' quality of life on that of spouse caregivers. Support Care Cancer, 2004;12:469-75. 11. Fleming D, Sheppard V, Mangan P, Taylor K, Tallarico, Adams I, et al. Caregiving at the end of life: Perceptions of health care quality and quality of life among patients and caregivers. Journal of Painand Symptom Management. 2006;31(5):407-420. 12. Given CW, Sikorskii A, Given BA, Cease KB, Piette JD. A web-based program to engage informal caregivers to support patients through chemotherapy. J Clin Oncol. 2015; 10;33(29_suppl):90. 13. Xia XY, Luo XW, Wang, Y. Source of burden and its effect on caregiver of advanced cancer patients. West China Med. J. 2014;29:1384–1386. 14. Given BA, Given CW, Sherwood PR. Family and caregiver needs over the course of the cancer trajectory. J Support Oncol. 2012;10:57–64. 15. National Alliance for Caregiving. Cancer caregiving in the U.S.: An intense, episodic, and challenging care experience [İnternet]. 2016. Erişim adresi: http://www.caregiving.org/wpcontent/uploads/2016/06/CancerCaregivingReport_FINAL_June-17-2016. 16. Uğur Ö, Fadıloğlu ZÇ. Kanser hastasına bakım verenlerde uygulanan planlı eğitimin bakım veren yükü üzerine etkisi. Cumhuriyet Üniversitesi Hemşirelik Dergisi. 2012;53-58. 17. Hacıalioğlu N, Özer N, Yılmaz E, Erdem N, Erci B. The quality of life of family caregivers of cancer patients in the east of Turkey. European Journal of Oncology Nursing. 2010; 14(3):211-217. 18. Cohen, J. Social, emotional, ethical and academic education: Creating a climate for learning, participation in democracy andwell-being. Harvard Educational Review. 2006;76 (2): 201-237. 19. Doumit MA, Huijer HA-S, Kelley JH, Nassar N. The lived experience of Lebanese family caregivers of cancer patients. Cancer Nurs. 2008;31: E36–42. 20. Yeh PM, Wierenga M, Yuan SC. Influences of psychological well-being, quality of caregiver-patient relationship, and family support on the health of family caregivers for cancer patients in Taiwan. Asian Nursing Research. 2009;3(4):154-166. 21. Karabulutlu E, Akyıl R, Karaman S, Karaca M. Kanser hastalarına bakım verenlerin uyku kalitesi ve psikolojik sorunlarının incelenmesi. Türk Onkoloji Dergisi. 2013;28(1):1-9. 22. Given BA, Given CW, Sherwood P. The Challenge of Quality Cancer Care for Family Caregivers. Semin OncolNurs. 2012;30:205–212. 23. Chun-Yi Lee, Yu Lee, Liang-JenWang, Chih-Yen Chien, Fu-MinFang, Pao-Yen Lin. Depression, anxiety, quality of life, and predictors of depressive disorders in caregivers of patients with head and neck cancer: A six-month follow-upstudy. 2017;100:29-34 24. Kızılcı S. Kemoterapi alan kanserli hastalar ve yakınlarının yaşam kalitesi ve yaşam kalitesini etkileyen faktörler. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1999; 3:19-22. 25. Öksüz E, Barış N, Arslan F, Ateş MA. Kemoterapi alan hastalara bakım verenlerin psikiyatrik semptom düzeyleri ve bakım verme yükleri. Anatolian Journal of Clinical Investigation. 2013;7(1):24-30. 26. Li Q, Lin Y, Xu Y, Zhou H. The impact of depression and anxiety on quality of life in Chinese cancer patient-family caregiver dyads, a cross-sectional study. Health Qual Life Outcomes. 2018;16:230. 27. Chen SC, Tsai MC, Liu CL, Yu WP, Liao CT, Chang JTC. Support needs of patients with oral cancer and burden to their family caregivers. Cancer Nursing. 2009; 32(6), 473-481. 28. Fridriksdóttir N, Sævarsdóttir P, Halfdánardóttir SI, Jónsdóttir A, Magnúsdóttir H, Ólafsdóttir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncol. 2011;50:252–258 29. Park B, Kim SY, Shin JY, Sansonfishe RW, Shin DW, Cho J, et al. Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient-family caregiver dyads in Korea. Support Care Cancer. 2013;21:2799–2807. 30. Fletcher BS, Miaskowski C, Given B,Schumacher K. The cancer family caregiving experience: an updated and expanded con-ceptual model. Eur J Oncol Nurs. 2012;16(4):387–398. 31. Iconomou G, Vagenakis AG, Kalofonos HP. The informational needs, satisfaction with communication, and psychological status ofprimary caregivers of cancer patients receiving chemotherapy. Support Care Cancer. 2001;9(8):591–596. 32. Dumont S, Turgeon J, Allard P, Gagnon P, Charbonneau C, Vezina L. Caring for a love done with advanced cancer: determinantsof psychological distress in family caregivers. J Palliat Med. 2006;9(4):912–921. 33. Tang ST, Li CY, Liao YC. Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliat Med. 2007;21(3):249–257. 34. Lee YH, Liao YC, Liao WY, Shun SC, Liu YC, Chan JC, et al. Anxiety, depression and related factors in family caregivers of newly diagnosed lung cancer patients before first treatment. Psycho-Oncology. 2013;22:2617-2623 35. Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psycho‐Oncology. 2010;19(10): 1013–1025. 36. Deshields TL, Rihanek A, Potter P, Zhang Q, Kuhrik M, Kuhrik N, et al. Psychosocial aspects of caregiving: Perceptions of cancer patients and family caregivers. Supportive Care in Cancer. 2012;20(2):349–356. 37. Li Y, Qiao Y, Luan X, Li S, Kefang Wang K. Family resilience and psychological well‐being among Chinese breast cancer survivors and their caregivers. European journal of cancer care. 2019; 28(2):e12984. 38. Edwards B, Clarke V, The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients’ illness characteristics on depression and anxiety. Psycho-Oncology. 2004;13:562-756. 39. Lim HA, Griva K, Yoong RK, Chua J, Leow MQ, Chan MF, et al. Do caregivers of cancer patients receiving care in home hospice services have better quality of life? An exploratory investigation in Singapore. Psychooncology. 2015;25(4):471-474 40. Fridriksdottir N, Sævardottir P, Halfdanardottir SI, Jonsdottir A, Magnusdottir H, Olafsdottir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica.2011;50: 252-258. 41. Matthews BA, Baker F, Spillers R. Family caregivers’ quality of life: influence of health protective stance and emotional strain. Psychology and Health 2004;19:625-641. 42. Fu F, Zhao H, Tong F, Chi I. A Systematic Review of Psychosocial Interventions to Cancer Caregivers. Front Psychol. 2017;8:834 43. Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? Am J Nurs. 2008;108:28–34. 44. Potter P, Perry AG. Fundamentals of Nursing USA: ElsevierCompany, 2005. 45. Mitchell GK, Girgis A, Jiwa M, Sibbritt D, Burridge LH, Senior HE. Providing general practice needs-based care for carers of people with advanced cancer: a randomised controlled trial. Br. J. Gen. Practice. 2013;63:683–690. 46. Görgülü Ü, Akdemin N, İleri evre kanser hastalarına bakım verenlerin yorgunluk ve uyku kalitesinin değerlendirilmesi. Genel Tıp Derg. 2010;20(4):125-132 47. Orak OS , Sezgin S. Kanser hastasına bakım veren aile bireylerinin bakım verme yüklerinin belirlenmesi. Psikiyatri Hemşireliği Dergisi. Journal of Psychiatric Nursing 2015;6(1):33-39. 48. Yıldız E, Dedeli Ö, Pakyüz SÇ. Kanser Hastalarına Bakım Veren Aile Üyelerinin Bakım Yükü ve Yaşam Kalitesinin İncelenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2016;13 (3):216-225. 49. Kaynar GÖ, Vural F. Kolorektal Kanserli Hastalara Bakım Verenlerin Bakım Yükünün İncelenmesi. Turk J Colorectal Dis. 2018;28:164-171. 50. Karabuğa-Yakar H, Pınar R. Kanserli hastalara bakım veren aile üyelerinin yaşam kalitesi ve yaşam kalitesini etkileyen faktörlerin değerlendirilmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2013;15(2):1-16. 51. Yıldız KM, Ekinci M. Kanserli hastaya bakım veren aile üyelerinin bakım yükleri ve öfke ifade tarzları arasındaki ilişki ve etkileyen faktörler. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2017;14 (3):176-184. 52. Çubukçu M. Evaluation of quality of life in caregivers who are providing home care to cancer patients. Support Care Cancer. 2018;26(5):1457-1463. 53. Ferrell B, Wittenberg E. A review of family caregiving intervention trials in oncology. CA Cancer J Clin. 2017; 67(4):318-325. 54. Shan M, Swami N, Pope A, Rodin G, Hannon B, Nissim R, et al. I didn't want to be in charge and yet I was: “bereaved caregivers' accounts of providing home care for family members with advanced cancer. Psycho-Oncology. 2018; 27(4):1229-1236. 55. Jia L, Wang D, Jia L, Han J, Wang Y, Gao F, et al. Impact of psychological intervention to compliance and quality of life for cancer patients and their primary caregivers. Cancer Res Clin. 2012;12:828–830. 56. Chen J. Effect of nursing intervention on quality of life of breast cancer patients and their families during the same period. Youjiang Med. J 2012;40:209–210. 57. Applebaum JA, Breitbart W. Care for the cancer caregiver: a systematic review. Palliat. Support. Care. 2013;11:231–1252. 58. Fegg MJ, Brandstatter M, Kogler M, Hauke G, Rechenberg-Winter P, Fensterer V, et al. Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial. Psychooncology. 2013;22: 2079–2086. 59. Shaw JM, Young JM, Butow PN, Badgery-Parker T, Durcinoska I, Harrison JD et al. Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect). Support. Care in Cancer. 2016;24:585–595. 60. Lai H, Li Y, Li L. Effects of music intervention with nursing presence and recorded music on psycho-physiological indices of cancer patient caregivers. J. Clin. Nurs. 2012;21:745–56. 61. Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–339. 62. Waldron EA, Janke EA, Bechtel CF, Ramirez M, Cohen A. A systematic review of psychosocial interventions to improve cancer caregiver quality of life. Psychooncology. 2013;22(6):1200–1207. 63. Leow M, Chan S, Chan MF. A pilot randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with advanced cancer. Oncol. Nurs. Forum. 2015;42:E63–E72. 64. Olatunji Gabriel I, Mayers Pat M. Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer. European Journal of Oncology Nursing. 2019;38: 85–91 65. Belgacem B, Auclair C, Christine Fedor, Brugnon D, Blanquet M, Tournilhac O, et al. A caregiver educational program improves quality of life and burden for cancer patients and their caregivers: A randomised clinical trial. European Journal of Oncology Nursing. 2013;17:870-876. 66. Kozachik SL, Given CW, Given BA, Pierce SJ, Azzouz F, Rawl SM, et al. Improving depressive symptoms among caregivers of patients with cancer: results of a randomized clinical trial. Oncology Nursing Forum. 2001;28:1149-57. 67. Kurtz ME, Kurtz JC, Given CW, Given B. A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. Journal of Pain and Symptom Management. 2005;30:112-22. 68. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. Western Journal of Nursing Research 2013; 35:590-610. 69. Northouse LL, Mood DW, Schafenacker A, Montie JE, Sandler HM, Forman JD, et al. Randomized clinical trial of a family intervention for prostate cancer patients and their spouses. Cancer. 2007;110:2809-18. 70. Malcarne VL, Ko CM, Roesch SC, Banthia R, Sadler GR Efficacy of problem-solving therapy for spouses of men with prostate cancer: A randomized controlled trial. Psychooncology. 2019; 28(3):497-504. 71. Harden J, Falahee M, Bickes J, Schafenacker A, Walker J, Mood D, et al. Factors associated with prostate cancer patients’ and their spouses’ satisfaction with a family-based intervention. Cancer Nurs. 2009;32:482–492. 72. Milbury K, Liao Z, Shannon V, Mallaiah S, Nagarathna R, Li Y, et al. Dyadic Yoga Program for Patients Undergoing Thoracic Radiotherapy and their Family Caregivers: Results of a Pilot Randomized Controlled Trial. Psychooncology. 2019;28(3):615-621. 73. Martin AC, Keats MR. The impact of yoga on quality of life and psychological distress in caregivers for patients with cancer Oncol Nurs Forum. 2014;41(3):257-264. 74. Richards-Jones S, Mihalopoulos C, Heckel L, Gunn KM, Tan M, Livingston PM. An economic evaluation of a telephone outcall intervention for informal carers of cancer patients in Australia: An assessment of costs and quality-adjusted-life-years. Psycho‐Oncology. 2019;1–8. 75. Sherwood PR, Given BA, Given CW, Sikorskii You M, Prince, J. The impact of a problem-solving intervention on increasing caregiver assistance and improving caregiver health. Supportive Care in Cancer. 2012; 20:1937–1947. 76. Ledderer L, la Cour K, Hansen HP. Feasibility of a psychosocial rehabilitation intervention to enhance the involvement of relatives in cancer rehabilitation: pilot study for a randomized controlled trial. Patient 2013;6:201–212. 77. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. West. J. Nurs. Res. 2013;35:590–610.