Caregiver Burden among Patients with Gynaecological Cancer at a Tertiary Hospital in Port Harcourt, Nigeria
Published: 2024-04-19
Page: 79-93
Issue: 2024 - Volume 7 [Issue 1]
Alegbeleye, Justina Omoikhefe *
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
Amadi, Christian Emeka
Department of Surgery, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Caring for patients with gynaecological cancer is often prolonged and can significantly affect the psychological, emotional, functional, and even physical health of caregivers.
Objectives: To evaluate the level of caregiver burden and determine the factors associated with it among primary caregivers of gynaecological cancer patients.
Materials and Methods: This was a prospective cross-sectional study conducted at the gynaecologic oncology unit of the University of Port Harcourt Teaching Hospital between July 1, 2023, and December 31, 2023, on 51 primary caregivers of patients with gynaecological cancers by convenient sampling. A pretest using a semi-structured interview questionnaire, assessing demographic and caregiving factors, was conducted at the River State University Teaching Hospital, to ensure its validity and reliability. A score above 20 was considered a high level of burden. Data was analyzed using SPSS 28, and the level of significance was considered at p value ≤ 0.05.
Results: The mean age of caregivers was 40.4 ± 11.6 years. The mean score of the Zarit Burden Interview was 31.75 ± 19.14. About one-third 17 (33.3%) were frequently stressed between caring for relative and trying to meet other responsibilities, almost half (45.1%) reported that they sometimes do not have as much privacy as needed and 24 (47.1%) were quite frequently doing more for the patient, with 24 (47.1%) of the patients moderately dependent on caregivers. More than half 35 (68.6%) of the caregivers had a high burden of care. Missing job due to caregiving role (X2=9.495, P=0.002), the residence of the caregivers (X2=7.556, P=0.006) and menopausal status (x2=24.238, p<0.001) were significantly associated with the level of burden.
Conclusion: The caregivers of women with cancer carry a heavy burden. Hence, they need our support, our time, and our ears to listen, thereby improving the quality of lives of both patients and their caregivers.
Keywords: Gynaecological cancers, caregiver burden, Zarit burden interview, Port Harcourt, Nigeria
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References
Sung H, Ferla J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality, worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin. 2021;71(3):209-249.
Mattsson E, Einhorn K, Ljungman L, Sundström-Poromaa I, Stålberg K, Wikman A. Women treated for gynaecological cancer during young adulthood – A mixed- methods study of perceived psychological distress and experiences of support from health care following end-of-treatment. Gynecol Oncol. 2018;149(3):464-469.
Boa R, Grénman S. Psychosexual health in gynecologic cancer. Int J Gynecol Obstet. 2018;143(Suppl.2):147-152.
Given BA, Sherwood P, Given CW. Support for caregivers of cancer patients: Transition after active treatment. Cancer Epidemiol Bio Prev. 2011;20(10):2015-2021.
Datta S, Kar S. Assessing health and quality of life burden on caregivers of chronically and terminally ill patients – Evidence based systematic review from a global perspective. Athens J Health. 2016;3(4):319-334.
Germeni E, Sarris M. Experiences of cancer caregiving in socioeconomically deprived areas of Attica, Greece. Qual Health Res. 2015;25(7):98-995.
Stenberg U, Ruland CM, Olsson M, Ekstedt M. To live close to a person with cancer-experiences of family caregivers. Social Work Health Care. 2012;51(10):909-926.
Samiel M. Challenges of making radiotherapy accessible in developing countries. Cancer Control: J Mottiff Cancer Centr. 2013;1-10.
Zarit S. Family burden for old spousal patients at the end of life. Can Med Assoc. J. 2004;170 (12): 1811-1812.
Hacialioglu N, Ozer N, Yilmaz Karabulutlu E, Erdem N, Erci B. The quality of life of family caregivers of cancer patients in the east of Turkey. Eur J Oncol Nurs. 2010;14 (3):211-217.
Chessick CA, Perlick DA, Miklowitz DJ, Kaczynski R, Allen MH, Morris CD, et al. Current suicide ideation and prior suicide attempts of bipolar patients as influences on caregiver burden. Suicide Life Threat Behav. 2007;37 (4):482- 491.
Lukhmana S, Bhasin SK, Chhabra P, Bhatia MS. Family caregivers' burden:a hospital based study in 2010 among cancer patients from Delhi. Indian J Cancer. 2015;52(1):146-151.
Kim Y, Given BA. Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer. 2008;112 (11) (suppl):2556-2568.
Milbury K, Badr H, Fossella F, Pisters KM, Carmack CL. Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Support Care Cancer. 2013;21(9):2371-2379.
Wadhwa D, Burman D, Swami N, Rodin G, Lo C, Zimmermann C. Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology. 2013;22(2):403-410.
Butow PN, Price MA, Bell ML, Webb PM, deFazio A. 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): 690-697.
Stamataki Z, Ellis JE, Costello J, Fielding J, Burns M, Molassiotis A. Chronicles of informal caregiving in cancer: using ‘The Cancer Family Caregiving Experience’ model as an explanatory framework. Support Care Cancer. 2014;2 (2):435-444.
Awadalla AW, Ohaeri JU, Gholoum A, Khalid AO, Hamad HM, Jacob, A. Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study. BMC Cancer. 2007;7:102.
Pınar G, Pınar T, Ayhan A. The strain and hopelessness in family caregivers of patients with gynecologic cancer receiving chemotherapy. Int J Hematol. 2012 ;3:170-180.
Seven M, Yılmaz S, Şahin E, Akyüz A. Evaluation of the quality of life of caregivers in gynecological cancer patients. J Cancer Educ. 2014;29(2):325-332.
Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J, Coyne JC. Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects. Psychol Bull. 2008;134 (1):1-30.
Northouse LL, Katapodi MC, Schafenacker AM, Weiss D. The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nur. 2012;28(4):236-45.
Mahadevan R, Jaafar NRN, Din SHS, Ahmad SNA, Baharuddin A, Razali R. (2013). The stress of caregiving: A study of family caregivers of breast cancer patients receiving oncologic treatment at a Malaysian general hospital. Sains Malaysiana. 42(7):1019-26.
Payne S, Smith P, Dean S. Identifying the concerns of informal carers in palliative care. Palliat Med. 1999;13 (1):37-44.
Lukhmana S, Bhasin SK, Chhabra P, Bhatia MS. Family caregivers' burden: a hospital-based study in 2010 among cancer patients from Delhi. Indian J Cancer. 2015;52(1):146-151.
Livingston PM, Osborne RH, Botti M, Mihalopoulos C, McGuigan S, Heckel L, et al. Efficacy and cost-effectiveness of an outcall program to reduce carer burden and depression among carers of cancer patients [PROTECT]: rationale and design of a randomized controlled trial. BMC Health Serv Res. 2014;14 (5):1-8.
Petricone-Westwood D, Lebel S. Being a caregiver to patients with ovarian cancer: a scoping review of the literature. Gynecol Oncol. 2016;143(1):184-192.
Ogunyemi A, Umoru AK, Alabi AO, Adegboyega BC, Otokpa E. Caregiving Burden among Informal Caregivers of Cancer Patients in Lagos, Nigeria. Research Square. 2021;1-24.
Akpan-Idiok PA, Anarado AN. Perceptions of burden of caregiving by informal caregivers of cancer patients attending University of Calabar Teaching Hospital, Calabar, Nigeria. Pan Afr Med. J. 2014;18:159.
Boostaneh M, Zirak M, Fallah R. Burden of Care and Its Relationship with Sleep Quality of Cancer Patients’ Caregivers. Research square. 2021;1-15.
Gabriel IO, Aluko JO, Okeme MI. Caregiver Burden Among Informal Caregivers of Women with Breast Cancer. Biomed J Sci & Tech Res. 2019;15(3):11384-11392.
Jite IE, Adetunji AA, Folasire AM, Akinyemi JO, Bello S. Caregiver burden and associated factors amongst carers of women with advanced breast cancer attending a radiation oncology clinic in Nigeria. Afr J Prm Health Care Fam Med. 2021;13(1): a2812.
Sun Q, Li J, Fang X, Jin J and Cui L. Status and influencing factors of care burden of pancreatic cancer caregivers under COVID-19. Front Psychol. 2023;1 3:1066278.
Yaşar BN, Terzioğlu F. Factors affecting the burden and quality of life of caregivers for gynecological cancer patients. Arch Health Sci Res. 2022;9:51-54.
Zuo Y, Luo BR, Peng WT, Liu XR, He YL, Zhang JJ. Informal caregiver burden and influencing factors in gynaecological oncology patients hospitalized for chemotherapy: a cross-sectional study. J Int Med Res. 2020;48(11): 300060520974927.
Rasul AYJ, Amen MR. Caregiving Burdens among Family Caregivers of Cancer Patients Undergoing Chemotherapy at Hiwa Cancer Hospital in Sulaimani – Iraq. Mosul J Nur. 2022;10(2):290-301.
Mirsoleymani SR, Rohani C, Matbouei M, Nasiri M, Vasli P. Predictors of caregiver burden in Iranian family caregivers of cancer patients. J Edu Health Promot. 2017;6:91:1-6.
Sanjeevani G, Ramakanth P, Chaitanya A. A cross-sectional study of psychopathology, quality of life and caregiver burden in caregivers of cancer patients. ScienceRise: Med Sci. 2022;5(50):57-64.
Shim VK, Ng CG. Burden in Family Caregivers of Cancer Patients: The Association with depression, Religiosity and Religious Coping. Asian Pac J Cancer Care. 2019;4(4):171-182.