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Assessment of Quality of Life in Caregivers of the Patients with Hematologic Neoplasms

Yıl 2019, Cilt: 13 Sayı: 3, 265 - 272, 20.09.2019
https://doi.org/10.21763/tjfmpc.610806

Öz

Aim/Background: Malignant diseases impair not only the quality of life
of the patient but also the caregivers. The present study aims to investigate
the quality of life in caregivers of the patients with hematologic neoplasms
and determine the relationship between the subscales of quality of life (QOL)
and socio-demographic characteristics of caregivers. Methods: One hundred consecutive caregivers of the patients who
were hospitalized at Bone Marrow Transplant Unit and Hematology Department
between 01 May 2015 and 30 June 2015 were included in this prospective, single
center, cross-sectional study. Socio-demographic data of the patients and the
caregivers were collected using a questionnaire form, QOL was evaluated using
short-form 36. Results: Quality of
life was found to be impaired in 46% of the caregivers. Given that a score of
100 defines full health status, bodily pain (31.3) and mental role (35.9)
subscale scores were found to be the most affected subscales and physical
functioning (71.8) subscale was found to be the least affected. There was a
statistically significant difference between the age of the caregiver and
physical role. Physical role and social functioning were better in caregivers
who have economic support. There was a difference between employed and unemployed
caregivers with regard to physical role and pain subscales. Overall health
perception subscale score was higher for the caregivers of male patients.
Graduates of the university were found to experience less pain. Conclusions: Cancer impairs not only the
life quality of the patient but also the caregiver. So, the patient and the
caregiver should be evaluated together and family physicians should take place
in the center of and coordinate the interventions required for improving the
quality of life of the caregivers.

 

Giriş ve Amaç: Malign hastalıklar sadece
hastanın değil, ailenin de yaşam kalitesini etkiler. Bu çalışmada hematolojik
neoplazmı olan hastaların bakım verenlerinin yaşam kalitesinin araştırılması ve
yaşam kalitesi alt ölçekleri ile bakım verenlerin sosyo-demografik özellikleri
arasındaki ilişkinin belirlenmesi amaçlanmıştır. Yöntem: Bu prospektif, tek merkez, kesitsel çalışmaya 01 Mayıs 2015
ile 30 Haziran 2015 tarihleri arasında Başkent Üniversitesi Kemik İliği Nakli
Ünitesi ve Hematoloji Bölümü’nde yatırılan yüz ardışık hastanın bakım verenleri
alınmıştır. Hastaların ve bakım verenlerin sosyo-demografik verileri anket
formu kullanılarak toplanmıştır, yaşam kalitesi ise kısa-form 36 ile
toplanmıştır. Bulgular: Bakım
verenlerin %46’sında yaşam kalitesinin bozulduğu bulunmuştur. Tam sağlık
durumunu belirten skorun 100 olduğu düşünüldüğünde, vücut ağrısı (31.3) ve
mental rol (35.9) en fazla etkilenen alt ölçekler iken fiziksel işlevselliğin
(71.8) en az etkilendiği bulunmuştur. Bakım verenin yaşı ile fiziksel rol
arasında istatistiksel olarak anlamlı fark vardı. Ekonomik desteği olan bakım
verenlerin fiziksel rol ve sosyal işlev alt ölçekleri daha iyiydi. Çalışan ve
çalışmayan bakım verenler arasında fiziksel rol ve ağrı alt ölçekleri
bakımından fark vardı. Genel sağlık algısı alt ölçeği skoru erkek hastaların
bakım verenlerinde daha yüksekti. Üniversite mezunlarının daha az ağrı
yaşadıkları bulunmuştur. Sonuç:
Kanser sadece hastanın değil, aynı zamanda bakım vericinin de yaşam kalitesini
etkiler. Bu nedenle hasta ve bakım vericisi birlikte değerlendirilmeli, aile
hekimleri bakım vericilerin yaşam kalitesinin artırılması için gereken
girişimlerde merkezde olarak koordinasyon sağlamalıdır.

Kaynakça

  • 1. Türkiye İstatistik Kurumu/ Ölüm_Nedeni_İstatistikleri_26.04.2018%20(1).pdf
  • 2. Seyhan Çıtlık Sarıtaş, Zeliha Büyükbayram The anxiety level of chemotherapy receiving patients and their caregivers and affecting factors TAF Preventive Medicine Bulletin 2016; 15(2):141-151.
  • 3. Ovayolu O, Ovayolu N, Tuna D, Serce S, SevincA, Cocelli LP. Quality of life of caregivers: A cross‐sectional study. International journal of nursing practice 2014; 20:424-432.
  • 4. Sucaklı MH. An approach to dying patients and end-of-life care. Turkish Journal of Family Medicine and Primary Care. 2014;7(3):52-5.
  • 5. Jonathon Judkins, BS, Irena Laska, RN, Judith Paice, PhD, RN, and Priya Kumthekar, MD Quality of Life of Family Caregivers of Patients with Cancer in Korc¸e, Albania, Journal of Palliative Care 2019; 34(2):118-125.
  • 6. Yıldız E, Dedeli Ö, Pakyüz SÇ Evaluation of Care Burden and Quality of Life among Family Caregivers of Patients with Cancer. Hemşirelikte Eğitim Ve Araştırma Dergisi 2016; 13(3):216-225.
  • 7. Kaya N, Bolol N, Ülgen S, İşçi Ç, Özen S, Akgün G. Quality of Life and Influencing Factors in Caregivers of Patients with Cancer. ClinExpHealthSci 2017; DOI: 10.5152/clinexphealthsci.2017.422
  • 8. Effendy C, Dassen MV, Setiyarini S et al. 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 2015; 24(5):585-591.
  • 9. http://www.woncaeurope.org/sites/default/files/documents/Definition%203rd%20ed%202011%20with%20revised%20wonca%20tree.pdf (Access date: 23 Nov 2015.)
  • 10. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memıs A. Kısa Form-36’nın Türkçe versiyonunun güvenilirligi ve geçerliliği. İlaç ve Tedavi Dergisi, 1999; 12(2):102-106.
  • 11. Weitzner MA, McMillan SC, Jacobsen PB et al. Family caregiver quality of life: differences between curative and palliative cancer treatment settings. J Pain Symptom Management 1999; 17(6):418-428.
  • 12. Given B, Sherwood PR. Family care for the older person with cancer. Seminars in oncology nursing. 2006; 22(1):43-50.
  • 13. Turkoglu, N, Kilic D. Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pacific Journal of Cancer Prevention 2012; 13(8):4141-4145. 14. Hassett MJ. The full burden of cancer. The oncologist 2010; 15(8):793-795.
  • 15. Ozer ZC, Firat MZ, Bektas HA. Confirmatory and exploratory factor analysis of the caregiver quality of life index-cancer with Turkish samples Qual Life Res. 2009; 18(7):913-921.
  • 16. El‐Jawahri AR, Traeger LN, Kuzmuk K et al. Quality of life and mood of patients and family caregivers during hospitalization for hematopoietic stem cell transplantation. Cancer 2015:121(6): 951-959.
  • 17. Cagatay DM. Ayaktan kemoterapi alan hastalar ve yakınlarında sağlıkla ilgili yaşam kalitesi. Thesis (2011) (Access date: 20 Nov 2015.)
  • 18. Van Houtven CH, Ramsey SD, Hornbrook MC, Atienza AA, vanRyn M. Economic burden for informal caregivers of lung and colorectal cancer patients. Oncologist. 2010; 15(8):883-93.
  • 19. Miedema B, Easley J, Fortin P, Hamilton R, Mathews M. The economic impact on families when a child is diagnosed with cancer. Current Oncology 2008; 15(4):173.
  • 20. Grunfeld E, Joyle D, Whelan T et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Canadian Medical Association Journal 2004; 170(12): 1795-1801.
  • 21. Lee Y, Lin PY, Chien CY, Fang FM. Prevalence and risk factors of depressive disorder in caregivers of patients with head and neck cancer. Psycho‐Oncology 2015; 24(2):155-161.
  • 22. Longo CJ, Fitch M, Deber RB, Williams AP. Financial and family burden associated with cancer treatment in Ontario, Canada. Supportive Care in Cancer 2006; 14(11):1077-1085.
  • 23. Karabuga HY, Pınar R. Evaluation of quality of life among family caregivers of patients with cancer. Turkish Journal of Research & Development in Nursing 2013; 15(2):1-16.
  • 24. Can G, Akın S, Aydıner A, Ozdilli K, Oskay U, Durna Z. A psychometric validation study of the Quality of Life and FAMCARE scales in Turkish cancer family caregivers. Quality of Life Research 2011; 20(8): 1319-1329.
  • 25. Shieh SC, Tung HS, Liang SY. Social support as influencing primary family caregiver burden in Taiwanese patients with colorectal cancer. Journal of nursing scholarship 2012; 44(3):223-231.
  • 26. Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, Van den Bos GAM. Cancer and caregiving: the impact on the caregiver's health. Psycho-oncology 1998; (7):3-13.
  • 27. Hacialioglu N, Ozer N, Karabulutlu EY, 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.
  • 28. Sherif T, Jehani T, Saadani M, Andejani AW. Adult oncology and chronically ill patients: comparison of depression, anxiety and caregiver's quality of life. 2001; 7(3):502-9.
  • 29. Abbasnezhad M, Rahmani A, Ghahramanian A, Roshangar F, Eivazi J, Azadi A et al. Cancer care burden among Primary Family Caregivers of Iranian Hematologic Cancer Patients. Asian Pacific Journal of Cancer Prevention 2015; 16(13):5499-5505.
Yıl 2019, Cilt: 13 Sayı: 3, 265 - 272, 20.09.2019
https://doi.org/10.21763/tjfmpc.610806

Öz

Kaynakça

  • 1. Türkiye İstatistik Kurumu/ Ölüm_Nedeni_İstatistikleri_26.04.2018%20(1).pdf
  • 2. Seyhan Çıtlık Sarıtaş, Zeliha Büyükbayram The anxiety level of chemotherapy receiving patients and their caregivers and affecting factors TAF Preventive Medicine Bulletin 2016; 15(2):141-151.
  • 3. Ovayolu O, Ovayolu N, Tuna D, Serce S, SevincA, Cocelli LP. Quality of life of caregivers: A cross‐sectional study. International journal of nursing practice 2014; 20:424-432.
  • 4. Sucaklı MH. An approach to dying patients and end-of-life care. Turkish Journal of Family Medicine and Primary Care. 2014;7(3):52-5.
  • 5. Jonathon Judkins, BS, Irena Laska, RN, Judith Paice, PhD, RN, and Priya Kumthekar, MD Quality of Life of Family Caregivers of Patients with Cancer in Korc¸e, Albania, Journal of Palliative Care 2019; 34(2):118-125.
  • 6. Yıldız E, Dedeli Ö, Pakyüz SÇ Evaluation of Care Burden and Quality of Life among Family Caregivers of Patients with Cancer. Hemşirelikte Eğitim Ve Araştırma Dergisi 2016; 13(3):216-225.
  • 7. Kaya N, Bolol N, Ülgen S, İşçi Ç, Özen S, Akgün G. Quality of Life and Influencing Factors in Caregivers of Patients with Cancer. ClinExpHealthSci 2017; DOI: 10.5152/clinexphealthsci.2017.422
  • 8. Effendy C, Dassen MV, Setiyarini S et al. 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 2015; 24(5):585-591.
  • 9. http://www.woncaeurope.org/sites/default/files/documents/Definition%203rd%20ed%202011%20with%20revised%20wonca%20tree.pdf (Access date: 23 Nov 2015.)
  • 10. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memıs A. Kısa Form-36’nın Türkçe versiyonunun güvenilirligi ve geçerliliği. İlaç ve Tedavi Dergisi, 1999; 12(2):102-106.
  • 11. Weitzner MA, McMillan SC, Jacobsen PB et al. Family caregiver quality of life: differences between curative and palliative cancer treatment settings. J Pain Symptom Management 1999; 17(6):418-428.
  • 12. Given B, Sherwood PR. Family care for the older person with cancer. Seminars in oncology nursing. 2006; 22(1):43-50.
  • 13. Turkoglu, N, Kilic D. Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pacific Journal of Cancer Prevention 2012; 13(8):4141-4145. 14. Hassett MJ. The full burden of cancer. The oncologist 2010; 15(8):793-795.
  • 15. Ozer ZC, Firat MZ, Bektas HA. Confirmatory and exploratory factor analysis of the caregiver quality of life index-cancer with Turkish samples Qual Life Res. 2009; 18(7):913-921.
  • 16. El‐Jawahri AR, Traeger LN, Kuzmuk K et al. Quality of life and mood of patients and family caregivers during hospitalization for hematopoietic stem cell transplantation. Cancer 2015:121(6): 951-959.
  • 17. Cagatay DM. Ayaktan kemoterapi alan hastalar ve yakınlarında sağlıkla ilgili yaşam kalitesi. Thesis (2011) (Access date: 20 Nov 2015.)
  • 18. Van Houtven CH, Ramsey SD, Hornbrook MC, Atienza AA, vanRyn M. Economic burden for informal caregivers of lung and colorectal cancer patients. Oncologist. 2010; 15(8):883-93.
  • 19. Miedema B, Easley J, Fortin P, Hamilton R, Mathews M. The economic impact on families when a child is diagnosed with cancer. Current Oncology 2008; 15(4):173.
  • 20. Grunfeld E, Joyle D, Whelan T et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. Canadian Medical Association Journal 2004; 170(12): 1795-1801.
  • 21. Lee Y, Lin PY, Chien CY, Fang FM. Prevalence and risk factors of depressive disorder in caregivers of patients with head and neck cancer. Psycho‐Oncology 2015; 24(2):155-161.
  • 22. Longo CJ, Fitch M, Deber RB, Williams AP. Financial and family burden associated with cancer treatment in Ontario, Canada. Supportive Care in Cancer 2006; 14(11):1077-1085.
  • 23. Karabuga HY, Pınar R. Evaluation of quality of life among family caregivers of patients with cancer. Turkish Journal of Research & Development in Nursing 2013; 15(2):1-16.
  • 24. Can G, Akın S, Aydıner A, Ozdilli K, Oskay U, Durna Z. A psychometric validation study of the Quality of Life and FAMCARE scales in Turkish cancer family caregivers. Quality of Life Research 2011; 20(8): 1319-1329.
  • 25. Shieh SC, Tung HS, Liang SY. Social support as influencing primary family caregiver burden in Taiwanese patients with colorectal cancer. Journal of nursing scholarship 2012; 44(3):223-231.
  • 26. Nijboer C, Tempelaar R, Sanderman R, Triemstra M, Spruijt RJ, Van den Bos GAM. Cancer and caregiving: the impact on the caregiver's health. Psycho-oncology 1998; (7):3-13.
  • 27. Hacialioglu N, Ozer N, Karabulutlu EY, 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.
  • 28. Sherif T, Jehani T, Saadani M, Andejani AW. Adult oncology and chronically ill patients: comparison of depression, anxiety and caregiver's quality of life. 2001; 7(3):502-9.
  • 29. Abbasnezhad M, Rahmani A, Ghahramanian A, Roshangar F, Eivazi J, Azadi A et al. Cancer care burden among Primary Family Caregivers of Iranian Hematologic Cancer Patients. Asian Pacific Journal of Cancer Prevention 2015; 16(13):5499-5505.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Orijinal Makaleler
Yazarlar

Çiğdem Gereklioğlu

Aslı Korur

Süheyl Asma Bu kişi benim

Nurhilal Büyükkurt Bu kişi benim

Soner Solmaz

Can Boğa

Hakan Özdoğu Bu kişi benim

Yayımlanma Tarihi 20 Eylül 2019
Gönderilme Tarihi 4 Nisan 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 13 Sayı: 3

Kaynak Göster

Vancouver Gereklioğlu Ç, Korur A, Asma S, Büyükkurt N, Solmaz S, Boğa C, Özdoğu H. Assessment of Quality of Life in Caregivers of the Patients with Hematologic Neoplasms. TJFMPC. 2019;13(3):265-72.

Sağlığın ve birinci basamak bakımın anlaşılmasına ve geliştirilmesine katkıda bulunacak yeni bilgilere sahip yazarların İngilizce veya Türkçe makaleleri memnuniyetle karşılanmaktadır.