Subscribe to RSS

DOI: 10.5935/2526-8732.20200293
Quality of life of caregivers of patients with gastrointestinal cancer: relationship of sex, age, and stage of the cancer patients
Qualidade de vida de cuidadores de pacientes com câncer gastrointestinal: relação de sexo, idade e estádio dos pacientes com câncer Financial support: None to declare.
ABSTRACT
Introduction: The caregivers of cancer patients may experience changes in their routine that affect their quality of life. The aim of the study was to identify the domains that compromise the quality of life (QoL) of the caregivers of patients with gastrointestinal cancer (GIC).
Methods: A descriptive, observational study with caregivers of patients diagnosed with GIC during chemotherapy therapy was done. The caregivers answered 2 questionnaires, SF-36 (short form health survey 36) and CBS (caregiver burden scale).
Results: 100 caregivers of 100 patients with GIC were included. The mean age of the patients was 62.2±13 years. Most of them had colorectal cancer (66%), ECOG 0-1 (87%) and stage II/III (81%) disease. Among caregivers, 81% had less than 60 years old and 76% were female. According to the SF-36, lower levels were observed in the emotional, physical aspects and vitality and the best average in functional capacity. Regarding the CBS instrument, the general strain domain and disappointment was the more affected. Stage or ECOG was not associated to the caregivers QOL or burden. High schooling level of the patients was associated with a better quality of life and less burden of the caregivers. Ageing caregivers had a worst QoL and an increased burden.
Conclusion: Most of caregivers were women and youngers, and had a worst quality of life in emotional role, physical aspects and vitality, and an increased burden in general strain and disappointment.
RESUMO
Introdução: Os cuidadores de pacientes com câncer podem vivenciar mudanças em seu cotidiano que afetam sua qualidade de vida. O objetivo do estudo foi identificar os domínios que comprometem a qualidade de vida (QV) dos cuidadores de pacientes com câncer gastrointestinal (CG).
Métodos: Foi realizado um estudo descritivo e observacional com cuidadores de pacientes com diagnóstico de CG durante o tratamento quimioterápico. Os cuidadores responderam a 2 questionários, SF-36 (short form health survey 36) e CBS (caregiver burden scale).
Resultados: 100 cuidadores de 100 pacientes com CG foram incluídos. A média de idade dos pacientes foi de 62,2±13 anos. A maioria deles tinha câncer colorretal (66%), ECOG 0-1 (87%) e doença em estágio II/III (81%). Entre os cuidadores, 81% tinham menos de 60 anos e 76% eram do sexo feminino. De acordo com o SF-36, foram observados níveis inferiores nos aspectos emocionais, físicos e vitalidade, e a melhor média na capacidade funcional. Em relação ao instrumento CBS, o domínio de desgaste geral e decepção foi o mais afetado. Estágio ou ECOG não foram associados à QV ou sobrecarga do cuidador. A alta escolaridade dos pacientes foi associada a uma melhor qualidade de vida e menor sobrecarga dos cuidadores. Cuidadores idosos tiveram pior QV e sobrecarga aumentada.
Conclusão: A maioria dos cuidadores eram mulheres e jovens, e apresentaram pior qualidade de vida no papel emocional, aspectos físicos e vitalidade, e aumento da sobrecarga no desgaste geral e decepção.
Publication History
Received: 11 August 2021
Accepted: 03 September 2021
Article published online:
23 February 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Lilian Nascimento Rosa, Nora Manoukian Forones. Quality of life of caregivers of patients with gastrointestinal cancer: relationship of sex, age, and stage of the cancer patients. Brazilian Journal of Oncology 2022; 18: e-20200293.
DOI: 10.5935/2526-8732.20200293
-
REFERENCES
- 1 Bray F, Feerlay J, Soerjomatarm I, Siegel R, Torre LA, Jemal A. global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; Nov; 68 (06) 394-424
- 2 Ministério da Saúde (BR), Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA). Estimate 2020 - Incidence of cancer in Brazil [Internet]. Rio de Janeiro: Ministério da Saúde/INCA;; 2020. ; [access in 2021, March 12]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
- 3 Vitaliano PP, Zhang J, Scanlan JM. Is caregiving hazardous to one's physical health? A meta-analysis. Psychol Bull 2003; Nov; 129 (06) 946-972
- 4 Song JI, Shin DW, Choi JY, Kang J, Baik YJ, Mo H. et al. Quality of life and mental health in family caregivers of patients with terminal cancer. Support Care Cancer 2011; Oct; 19 (10) 1519-1526
- 5 Geng HM, Chuang DM, Yang F, Yang Y, Liu WM, Liu LH. et al. Prevalence, and determinants of depression in caregivers of cancer patients: a systematic review and meta-analysis. Medicine (Baltimore) 2018; Sep; 97 (39) e11863
- 6 Ciconelli RM, Ferraz MB, Meinão I, Quaresma MR. Brazilian Portuguese version of the SF36. A reliable and valid quality of life outcome measure. Rev Bras Reumatol 1997; May/Jun; 39 (03) 143-150
- 7 Elmstahl S, Malmberg B, Annerstedt L. Cargiver's burden of patients 3 years after stroke assessed by a novel caregiver burden scale. Arch Phys Med Rehabil 1996; Feb; 77 (02) 177-182
- 8 Medeiros MMC, Ferraz MB, Quaresma MR. Adaptation and validation of the caregiver burden scale to Brazilian cultural milieu. Braz J Rheumatol 1998; Jul/ Aug; 38 (04) 193-199
- 9 Abdullah NN, Idris IB, Shamsuddin K, Abdullah NMA. Health-related quality of life (HRQOL) of gastrointestinal cancer caregiver: the impact of caregiving. Asian Pac J Cancer Prev 2019; 20 (04) 1191-1197
- 10 Borges EL, Franceschini J, Costa LHD, Fernandes ALG, Jamnik S, Santoro IL. Family caregiver burden: the burden of caring for lung cancer patients according to the cancer stage and patient quality of life. J Bras Pneumol 2017; Jan/Feb; 43 (01) 18-23
- 11 Mirsoleymani SR, Camelia RC, Matbouei M, Nasiri M, Vasli P. Predictors of caregiver burden in Iranian family caregivers of cancer patients. J Educ Health Promot 2017; 6: 91
- 12 Moreira NS, Sousa CS, Poveda VB, Turini RNT. Self-esteem of cancer patients' caregivers with reduced functional capacity. Esc Anna Nery 2015; 19 (02) 316-332
- 13 Wieldraaijer T, Duineveld LAM, Donkervoort SC, Busschers WB, Van Weert HCPM, Wind J. Colorectal cancer patients' preferences for type of caregiver during survivorship care. Scand J Prim Health Care 2018; Mar; 36 (01) 14-19
- 14 Santo EARE, Gaíva MAM, Espinosa MM, Barbosa DA, Belasco AGS. Taking care of children with cancer: evaluation of the caregivers' burden and quality of life. Rev Latino-Am Enfermagem 2011; Jun; 19 (03) 515-522
- 15 Xiong C, Biscardi M, Astell A, Nalder E, Cameron JI, Mihailidis A. et al. Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: a systematic review. PLoS One 2020; Apr; 15 (04) e0231848
- 16 Litzelman K, Kent EE, Mollica M, Rowland JH. How does caregiver well- being relate to perceived quality of care in patients with cancer? Exploring associations and pathways. J Clin Oncol 2016; Oct; 34 (29) 3554-3561
- 17 Borges EL, Franceschini J, Costa LH, Fernandes AL, Jamnik S, Santoro IL. Family caregiver burden: the burden of caring for lung cancer patients according to cancer stage and quality of life. J Bras Penumol 2017; Jan/Feb; 43 (01) 18-23
- 18 Vrettos I, Kamposuaras K, Kontodimopoulos N, Pappa E, Geirgiadou E, Haritos D. et al. Comparing health-related quality of care of cancer patients under chemotherapy and their caregivers. Sci World J 2012; 2012: 135283
- 19 Sacco LB, König S, Westerlund H, Platts LG. Informal caregiving and quality of life among older adults: prospective analyses from the Swedish longitudinal occupational survey of health (SLOSH). Soc Indic Res 2020; Sep; 2020
- 20 Hsu T, Nathwani N, Loscalzo M, Chung V, Chao J, Karanes C. et al. Understanding caregiver quality of life in caregivers of hospitalized older adults with cancer. J Am Geriatr Soc 2019; May; 67 (05) 978-986