Korean J Hosp Palliat Care.  2015 Dec;18(4):314-321. 10.14475/kjhpc.2015.18.4.314.

Family Caregivers' Quality of Life, Depression and Anxiety according to Symptom Control in Hospice Patients

Affiliations
  • 1Department of Family Medicine, Pusan National University Hospital, Busan, Korea. greatseunghun@daum.net
  • 2Department of Family Medicine, Kosin University Gospel Hospital, Busan, Korea.
  • 3Department of Internal Medicine, Pusan National University Hospital, Busan, Korea.
  • 4Department of Family Medicine, Pusan National University School of Medicine, Yangsan, Korea.
  • 5Department of Medical Education, Pusan National University School of Medicine, Yangsan, Korea.
  • 6Department of Family Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

PURPOSE
It is well known that a terminal cancer condition affects not only patient themselves but their family members because the patients experience a variety of symptoms. This study was aimed to investigate modifiable factors that influence family caregivers' quality of life, depression, and anxiety.
METHODS
From January 2015 through May 2015, a survey was conducted with 61 family caregivers of hospice patients who were hospitalized in two university hospitals and one municipal hospital in Busan. The questionnaire was consisted of characteristics of family caregivers and patients, the Korean version of the Caregiver Quality of Life Index-Cancer (CQOLC-K), Beck's Depression Inventory II (BDI-II), Beck's Anxiety Inventory (BAI), and patient's symptom controlling scores rated by family caregivers.
RESULTS
Family caregivers' depression was associated with religion. Quality of life and depression of family caregivers were also influenced by monthly household income. Patient age was inversely related to family caregiver's quality of life (rs=-0.259, P=0.043). Family caregivers' quality of life was associated with patient's anxiety (r=0.443, P=0.001). Family caregivers' depression was affected by patient's constipation (r=0.276, P=0.046), anxiety (r=0.508, P<0.001), and daytime drowsiness (r=0.377, P=0.005). And family caregivers' anxiety was influenced by patients' sleep disturbance (r=0.276, P=0.046), depression (r=0.297, P=0.031), and anxiety (r=0.357, P=0.009).
CONCLUSION
According to our findings, family caregivers had higher quality of life and less depression and anxiety when symptoms in hospice patients were well controlled.

Keyword

Neoplasms; Hospices; Caregivers; Depression; Anxiety; Quality of life; Constipation

MeSH Terms

Anxiety*
Busan
Caregivers
Constipation
Depression*
Family Characteristics
Hospices*
Hospitals, Municipal
Hospitals, University
Humans
Quality of Life*
Sleep Stages
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