Korean J Adult Nurs.  2017 Dec;29(6):647-656. 10.7475/kjan.2017.29.6.647.

The Effect of Caregiver Reaction on Psychological Well-being among Family Caregivers of Cancer Patients

Affiliations
  • 1Department of Nursing, Cheongam College, Suncheon, Korea.
  • 2School of Nursing, Hanyang University, Seoul, Korea. ysshin2k@hanyang.ac.kr

Abstract

PURPOSE
This study was designed to explore positive and negative aspects of the caregiver reaction and identify factors influencing psychological well-being among family caregivers of home-based cancer patients.
METHODS
The participants were 139 family caregivers from two cities. These caregivers took care of he family member in the home. Data were collected utilizing the Caregiver Reaction Assessment Scale and the Psychological Well-being Scale.
RESULTS
Self-esteem was the highest reaction reported among the family caregivers. There were significant correlations between caregiver reaction and their psychological well-being. In multiple regression analysis, self-esteem and family support were predictors of psychological well-being among family caregivers (F=13.71, p < .001, Adj. R²=.393).
CONCLUSION
The results demonstrated that self-esteem and family support impacts the psychological well-being among cancer family caregivers. Thus, nursing intervention are needed to enhance self-esteem to improve psychological well-being among family caregivers.


MeSH Terms

Caregivers*
Humans
Mental Health
Nursing

Cited by  1 articles

Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis
Eun Kyung Kim, Heeok Park
Korean J Adult Nurs. 2019;31(4):351-364.    doi: 10.7475/kjan.2019.31.4.351.


Reference

1.Kim KS., Kwon SH. Comfort and quality of life of cancer patients. Asian Nursing Research. 2007. 1(2):125–35. https://doi.org/10.1016/s1976-1317(08)60015-8.
Article
2.Kim YS., Taw YS. The influencing factors on quality of life among breast cancer survivors. Asian Oncology Nursing. 2011. 11(3):221–8. https://doi.org/10.5388/jkon.2011.11.3.221.
Article
3.Li QP., Mak YW., Loke AY. Spouses' experience of caregiving for cancer patients: a literature review. International Nursing Review. 2013. 60(2):178–87. https://doi.org/10.1111/inr.12000.
Article
4.Kim Y., Carver CS., Shaffer KM., Gansler T., Cannady RS. Cancer caregiving predicts physical impairments: roles of earlier caregiving stress and being a spousal caregiver. Cancer. 2015. 121(2):302–10. https://doi.org/10.1002/cncr.29040.
Article
5.Yoon SJ., Kim JS., Jung JG., Kim SS., Kim S. Modifiable factors associated with caregiver burden among family caregivers of terminally ill Korean cancer patients. Supportive Care in Cancer. 2014. 22(5):1243–50. https://doi.org/10.1007/s00520-013-2077-z.
Article
6.Chi NC., Demiris G., Lewis FM., Walker AJ., Langer SL. Behavio-ral and educational interventions to support family caregivers in end-of-life care: a systematic review. American Journal of Hospice and Palliative Medicine. 2016. 33(9):894–908. https://doi.org/10.1177/1049909115593938.
7.Folkman S. Positive psychological states and coping with se-vere stress. Social Science & Medicine. 1997. 45(8):1207–21. https://doi.org/10.1016/S0277-9536(97)00040-3.
Article
8.Given CW., Given B., Stommel M., Collins C., King S., Franklin S. The Caregiver Reaction Assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing & Health. 1992. 15(4):271–83. https://doi.org/10.1002/nur.4770150406.
Article
9.LeSeure P., Chongkham-Ang S. The experience of caregivers living with cancer patients: a systematic review and metasyn-thesis. Journal of Personalized Medicine. 2015. 5(4):406–39. https://doi.org/10.3390/jpm5040406.
Article
10.Cobb SC., Etkins L., Nelson M., Egleston B., Sweeney CW. A comparison of the reactions of caregivers of patients with cancer versus patients with other chronic medical conditions. Oncology Nursing Forum. 2016. 43(3):321–7. https://doi.org/10.1188/16.onf.321-327.
11.Kim MS., Kim HW., Cha KH. Analysis on the construct of psychological well-being (PWB) of Korean male and female adults. Korean Journal of Social and Personality Psychology. 2001. 15(2):19–39.
12.Evans R., Thomas F. Emotional interactions and an ethics of care: Caring relations in families affected by HIV and AIDS. Emotion, Space and Society. 2009. 2(2):111–9. https://doi.org/10.1016/j.emospa.2009.08.003.
Article
13.Kwon IS., Eun Y. The development of a continuing nursing care program for cancer patients after discharge. Journal of Korean Academy of Nursing. 2001. 31(1):81–93. https://doi.org/10.4040/jkan.2001.31.1.81.
Article
14.Kang MH., Moon YS., Lee YJ., Kang YS., Kim HG., Lee GW, et al. Physical symptoms and psychiatric, social, spiritual and eco-nomical care needs of patients under home-based cancer ser-vice. Korean Journal of Hospice and Palliative Care. 2014. 17(4):216–22. https://doi.org/10.14475/kjhpc.2014.17.4.216.
Article
15.Choi YS., Bae JH., Kim NH., Tae YS. Factors influencing burden among family caregivers of elderly cancer patients. Asian On-cology Nursing. 2016. 16(1):20–9. https://doi.org/10.5388/aon.2016.16.1.20.
Article
16.Kim HS. Correlation between stress, coping patterns and physical symptom of cancer patient' s caregiver. Korean Journal of Adult Nursing. 2001. 13(2):317–26.
17.Hudson PL., Trauer T., Graham S., Grande G., Ewing G., Payne S, et al. A systemic review of instruments related to family caregivers of palliative care patients. Palliative Medicine. 2010. 24(7):656–68. https://doi.org/10.1177/0269216310373167.
18.Petrinec A., Burant C., Douglas S. Caregiver reaction assess-ment: psychometric properties in caregivers of advanced can-cer patients. Psycho-Oncology. 2017. 26(6):862–5. https://doi.org/10.1002/pon.4159.
Article
19.Rhee YS., Han IY., Lee IJ., Nam EJ. Cross cultural validation of Caregiver Reaction Assessment(CRA) for cancer patient's caregiver. Korean Journal of Health Promotion. 2009. 9(3):189–98.
20.Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 1989. 57(6):1069–81. https://doi.org/10.1037/0022-3514.57.6.1069.
Article
21.Li Q., Loke AY. The positive aspects of caregiving for cancer patients: a critical review of the literature and directions for future research. Psycho-Oncology. 2013. 22(11):2399–407. https://doi.org/10.1002/pon.3311.
Article
22.Choi SO. Posttraumatic growth in family caregivers of patients with cancer. Korean Journal of Hospice and Palliative Care. 2014. 17(1):1–9. https://doi.org/10.14475/kjhpc.2014.17.1.1.
Article
23.Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology. 1988. 7(3):269–97. https://doi.org/10.1037/0278-6133.7.3.269.
Article
24.Rha SY., Park Y., Song SK., Lee CE., Lee J. Caregiving burden and the quality of life of family caregivers of cancer patients: the re-lationship and correlates. European Journal of Oncology Nursing. 2015. 19(4):376–82. https://doi.org/10.1016/j.ejon.2015.01.004.
Article
25.Hwang IC., Kang K-A., Ahn HY. Analysis of research papers published by the Korean Journal of Hospice and Palliative Care (The first issue-2012). Korean Journal of Hospice and Palliative Care. 2013. 16(2):74–9. https://doi.org/10.14475/kjhpc.2013.16.2.074.
Article
26.Lim YJ., Cho BH., Jang HS., Jeong HJ. A study on burden and well-being of primary caregivers of patients with a stroke. Journal of Korean Academy of Fundamentals of Nursing. 2009. 16(3):272–81.
27.Lethin C., Renom-Guiteras A., Zwakhalen S., Soto-Martin M., Saks K., Zabalegui A, et al. Psychological well-being over time among informal caregivers caring for persons with dementia living at home. Aging & Mental Health. 2017. 21(11):1138–46. https://doi.org/10.1080/13607863.2016.1211621.
Article
28.SY Kim., Kim JM., Kim SW., Kang HJ., Lee JY., Shin IS, et al. Factors associated with quality of life of family caregivers in terminally ill cancer patients. Journal of the Korean Society Biological Therapies in Psychiatry. 2014. 20(3):227–37.
29.Lee MS., Kim HJ., Suh SR. Uncertainly and nursing need according to illness phases in cancer patients. Korean Journal of Adult Nursing. 2008. 20(1):1–9.
30.Ryff CD. Psychological well-being revisited: advances in the science and practice of eudaimonia. Psychotherapy and Psy-chosomatics. 2014. 83(1):10–28. https://doi.org/10.1159/000353263.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr