Asian Oncol Nurs.  2018 Sep;18(3):135-142. 10.5388/aon.2018.18.3.135.

The Effects of Stress and Stress Coping on Life Quality in Cancer Patients and Caregivers: A Dyadic Analysis Using an Actor-Partner Interdependence Model

Affiliations
  • 1Department of Nursing, InJe University Busan Paik Hospital, Busan, Korea.
  • 2College of Nursing Science, Kyung Hee University, Seoul, Korea. hjw0721@naver.com

Abstract

PURPOSE
This study is to determine actor and partner effects of stress coping on quality of life (QoL) of cancer patients and their primary caregivers using an actor-partner independence model (APIM).
METHODS
The subjects of this study were adults aged 19 years and over who visited a hospital. They were diagnosed with cancer and were treated with chemotherapy, radiotherapy, and hematopoietic stem cell transplantation. 137 patients with cancer and 137 caregivers were included in the study.
RESULTS
Cancer patient stress had a direct effect on their stress coping (β=.42, p=.004). Primary caregiver stress also had a direct effect on their stress coping (β=.41, p < .001). Factors significantly affecting cancer patients' QoL were patient stress (β=−.14, p=.002), stress coping (β=.24, p < .001), and primary caregiver stress coping (β=.11, p=.021). Factors significantly affecting primary caregiver QoL were primary caregiver stress (β=−.22, p < .001) and their stress coping (β=.14, p=.009).
CONCLUSION
In order to improve the quality of life of cancer patients and caregivers, it is necessary to consider cancer patients and caregivers as a unit when constructing intervention programs for stress management.

Keyword

Caregivers; Neoplasms; Stress

MeSH Terms

Adult
Caregivers*
Drug Therapy
Hematopoietic Stem Cell Transplantation
Humans
Quality of Life*
Radiotherapy

Figure

  • Fig. 1. Result of path.


Reference

1. National Cancer Information Center (KR). 5 year survival rate of major cancers [Internet]. Available from. http://www.cancer.go.kr/mbs/cancer/. [Accessed November 1, 2017].
2. Lee KE, Son YG. Research trends of quality of life after gastrectomy among gastric cancer patients in Korea. Asian Oncol Nurs. 2016; 16:59–66.
Article
3. de Haes JC, Stiggelbout AM. Assessment of values, utilities and preferences in cancer patients. Cancer Treat Rev. 1996; 22(Suppl A):13–26.
Article
4. An H, Nho JH, Yoo S, Kim H, Nho M, Yoo H. Effects of lifestyle intervention on fatigue, nutritional status and quality of life in patients with gynecologic cancer. J Korean Acad Nurs. 2015; 45:812–22.
Article
5. Jang OJ, Woo SH, Park YS. Effects of telephone follow-up on the self-care performance for cancer patients undergoing chemotherapy and role stress of family caregivers. J Korean Acad Fundam Nurs. 2006; 13:50–9.
6. Kang JY. The influence of stress, spousal support, and resilience on the ways of coping among women with breast cancer [dissertation]. Seoul: Seoul National Univ.;2012.
7. Sung IS, Kim JY, Noh GO, Ahn KD, Ryu EJ, Kwon IG. Quality of life and family burden in cancer patients. J Korean Acad Adult Nurs. 2007; 19:603–13.
8. Kim Y, Carver CS, Spillers RL, Love-Ghaffari M, Kaw CK. Dyadic effects of fear of recurrence on the quality of life of cancer survivors and their caregivers. Qual Life Res. 2012; 21:517–25.
Article
9. Lee JH, Park HK, Hwang IC, Kim HM, Koh SJ, Kim YS, et al. Factors associated with care burden among family caregivers of terminally Ill cancer patients. Korean J Hosp Palliat Care. 2016; 19:61–9.
Article
10. Cheon SS. A study on the relationship among family support, stress and quality of life on according to the phases of illness in breast cancer patients [dissertation]. Jinju: Gyeongsang National Univ.;2008.
11. Dionne-Odom JN, Hull JG, Martin MY, Lyons KD, Prescott AT, Toste-son T, et al. Associations between advanced cancer patients’ survival and family caregiver presence and burden. Cancer Med. 2016; 5:853–62.
12. Kershaw T, Northouse L, Kritpracha C, Schafenacker A, Mood D. Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychol Health. 2004; 19:139–55.
Article
13. Pankrath AL, Weißflog G, Mehnert A, Niederwieser D, Döhner H, Hönig K, et al. The relation between dyadic coping and relationship satisfaction in couples dealing with haematological cancer. Eur J Cancer Care (Engl). 2018; 27:e12595.
Article
14. La IS. Effects of stress appraisal on the quality of life of adult patients and their primary family caregivers with multiple myeloma: testing dyadic dynamics using actor-partner interdependence model [dissertation]. Seoul: Kyung Hee Univ.;2015.
15. Lee IJ. Marital adjustment of cancer patients and their spouses: focusing on the actor effect and partner effect [dissertation]. Seoul: Ewha Wom-ans Univ.;2011.
16. Fisch GS, Cohen IL, Jenkins EC, Brown WT. Screening developmen-tally disabled male populations for fragile X: the effect of sample size. Am J Med Genet. 1988; 30:655–63.
Article
17. Volicer BJ, Bohannon MW. A hospital stress rating scale. Nurs Res. 1975; 24:352–9.
Article
18. Kang YS. A study on the awareness of stress due to hospitalization [dissertation]. Seoul: Yonsei Univ.;1984.
19. McCubbin HI, Thompson AI. Family assessment inventories for research and practice. Madison, WI: Wisconsin-Madison Univ. 1987.
20. Yang KH, Song MR, Kim E. The stress and adaptation in family caregiver of chemotherapy patients. The Seoul Journal of Nursing. 1998; 12:118–32.
21. Moorey S, Frampton M, Greer S. The cancer coping questionnaire: a self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour. Psychooncology. 2003; 12:331–44.
Article
22. Kim JN, Kwon JH, Kim SY, Yu BH, Hur JW, Kim BS, et al. Validation of Korean-cancer coping questionnaire (K-CCQ). Korean J Health Psychol. 2004; 9:395–414.
23. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, NY: Springer;1984.
24. Yang YH. The relationship of caregiving stress, coping methods, social support and health of the caregivers of patients with cancer according to the phases of cancer illness. J Korean Acad Adult Nurs. 1998; 10:435–45.
25. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol. 1993; 11:570–9.
Article
26. Min SK, Kim KI, Suh SY, Kim DK. Development of the Korean version of the world health organization quality of life scale (WHOQOL). J Korean Neuropsychiatr Assoc. 2000; 39:78–88.
27. Jeong SG. The relationship among resilience, stress and self care of cancer patients receiving chemotherapy [dissertation]. Jinju: Gyeongsang National Univ.;2012.
28. Badr H, Carmack CL, Kashy DA, Cristofanilli M, Revenson TA. Dyadic coping in metastatic breast cancer. Health Psychol. 2010; 29:169–80.
Article
29. Kim KS. A study on the relationship between perceived family support and quality of life of cancer patients [dissertation]. Daejeon: Daejeon Univ.;2003.
30. Graves KD. Social cognitive theory and cancer patients’ quality of life: a metaanalysis of psychosocial intervention components. Health Psychol. 2003; 22:210–9.
Article
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