Volume 3, Issue 4, Pages 154-166 (December 2009)

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ABSTRACT

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Influences of Psychological Well-being, Quality of Caregiver-patient Relationship, and Family Support on the Health of Family Caregivers for Cancer Patients in Taiwan

Received 13 August 2009; received in revised form 24 August 2009; accepted 16 November 2009.

Purpose

The purpose of this study was to examine the influences of psychological well-being, quality of caregiver-patient relationship, and family support on the health of family caregivers for cancer patients in a Taiwanese hospital.

Methods

A cross-sectional, correlational design was used. A sample of 91 family caregivers of hospitalized cancer patients completed the Caregiver Reaction Assessment and Psychological Well-Being Scale. Pearson's product moment correlation and regression analyses were used to examine the data.

Results

The psychological well-being and the quality of the caregiver-patient relationship of family caregivers were found to be significantly positively correlated with caregivers' health. The lack of family support was found to be significantly negatively correlated with caregivers' health. Psychological well-being, quality of caregiver-patient relationship, and family support accounted for 59% of the variance in caregivers' health.

Conclusion

The findings suggest that nurses, while providing care in the hospital and upon discharge need to be aware of the psychological well-being, quality of caregiver-patient relationship, and family support of a family caregiver, as these factors all have an impact on a family caregiver' health.

Key Words: family caregiver , health status , interpersonal relations , mental health , social support

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Article Outline

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References

American Cancer Society, 2007. 1. American Cancer Society . Estimated new cancer cases for selected cancer sites by state, US, 2007–Old method . Retrieved September 24, 2008, from http://www.cancer.org/downloads/STT/EstimatedNewCancerCasesByState2007OldMethod.pdf 2007; .

Borenstein et al., 2000. 2. Borenstein M , Rothstein H , Cohen J , Schoenfeld D , Berlin J . SamplePower (release 2.0) [Computer Software] . Chicago, IL: SPSS Inc.; 2000; .

Caress et al., 2009. 3. Caress A , Luker KA , Chalmer KI , Salmon MP . A review of the information and support needs of family carers of patients with chronic obstructive pulmonary disease . Journal of Clinical Nursing . 2009;18:479–491 . CrossRef

Celano et al., 2008. 4. Celano M , Bakeman R , Gaytan O , Smith CO , Koci A , Henderson S . Caregiver depressive symptoms and observed family interaction in low-income children with persistent asthma . Family Process . 2008;47:7–20 . CrossRef

Chen and Short, 2008. 5. Chen F , Short SE . Household context and subjective well-being among the oldest old in China . Journal of Family Issues . 2008;29:1379–1403 .

Coeling et al., 2003. 6. Coeling HV , Biordi DL , Theis SL . Negotiating dyadic identity between caregivers and care receivers . Journal of Nursing Scholarship . 2003;35:21–25 . MEDLINE

Corbeil et al., 1999. 7. Corbeil RR , Quayhagen MP , Quayhagen M . Intervention effects on dementia caregiving interaction: A stress-adaptation modeling approach . Journal of Aging and Health . 1999;11:79–95 . MEDLINE | CrossRef

Department of Health in Taiwan, 2008. 8. Department of Health in Taiwan . Statistics data for cause of death . Retrieved October 7, 2008, from http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10124&class_no=440&level_no=4 2008; .

Department of Statistics, 2009. 9. Department of Statistics . National indicators of interior statistics in Taiwan . Retrieved May 22, 2009, from http://www.moi.gov.tw/stat/news_content.aspx?sn=2024 2009; .

Dimitropoulos et al., 2008. 10. Dimitropoulos G , Carter J , Schachter R , Woodside DB . Predictors of family functioning in carers of individuals with anorexia nervosa . International Journal of Eating Disorders . 2008;41:739–747 . CrossRef

Drentea and Goldner, 2006. 11. Drentea P , Goldner MA . Caregiving outside of the home: the effects of race on depression . Ethnicity & Health . 2006;11:41–57 . MEDLINE | CrossRef

Eldred and Sykes, 2008. 12. Eldred C , Sykes C . Psychosocial interventions for carers of survivors of stroke: A systematic review of interventions based on psychological principles and theoretical frameworks . British Journal of Health Psychology . 2008;13:563–581 . CrossRef

Given, et al., 1992. 13. Given CW , Given B , Stommel M , Collins C , King S , Franklin S . The caregiver reactions assessment (CRA) for caregivers to persons with chronic physical and mental impairments . Research in Nursing & Health . 1992;15:271–283 . MEDLINE | CrossRef

Kao, and Acton, 2006. 14. Kao H-FS , Acton G . Conceptulization and psychometric properties of the Caregiver Burden Scale in Taiwan . Issues in Mental Health Nursing . 2006;27:853–866 . MEDLINE | CrossRef

Kazanowski, 2005. 15. Kazanowski M . Family caregivers' medication management of symptoms in patients with cancer . Journal of Hospice & Palliative Nursing . 2005;7:174–181 .

Kim and Kwon, 2007. 16. Kim K-S , Kwon S-H . Comfort and Quality of Life of Cancer Patients . Asian Nursing Research . 2007;1:125–135 .

Lee, 2008. 17. Lee M . Caregiver stress and elder abuse among Korean family caregivers of older adults with disabilities . Journal of Family Violence . 2008;23:707–712 .

Miaskowski et al., 2006. 18. Miaskowski C , Cooper BA , Paul SM , Dodd M , Lee K , West C , et al. Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: A cluster analysis . Oncology Nursing Forum . 2006;33(5):E79–E89 .

National Alliance for Caregiving and AARP, 2004. 19. National Alliance for Caregiving and AARP . Caregiving in the U.S. . Retrieved November 22, 2009, from http://www.caregiving.org/data/04finalreport.pdf 2004; .

Nijboer et al., 2000. 20. Nijboer C , Triemstra M , Tempelaar R , Mulder M , Sanderman R , van den Bos GAM . Patterns of caregiver experiences among patterns of cancer patients . The Gerontologist . 2000;40:738–746 . MEDLINE

Ron, 2008. 21. Ron P . Offspring caring for their elderly parents: The effect of social support and gender-role orientation on these caregivers' well-being . Illness, Crisis & Loss . 2008;16:183–201 .

Ryff, 1989. 22. Ryff CD . Happiness is everything, or is it? Explorations on the meaning of psychological well-being . Journal of Personality and Social Psychology . 1989;57:1069–1081 . CrossRef

Savundranayagam et al., 2005. 23. Savundranayagam MY , Hummert ML , Montgomery RJV . Investigating the effects of communication problems on caregiver burden . Journals of Gerontology. Series B: Psychological Sciences and Social Sciences . 2005;60(1):S48–S55 .

Schumacher et al., 2008. 24. Schumacher KL , Stewart BJ , Archbold PG , Caparro M , Mutale F , Agrawal S . Effects of care-giving demand, mutuality, and preparedness on family caregiver outcomes during cancer treatment . Oncology Nursing Forum . 2008;35:49–56 .

Sheu, 1997. 25. Sheu S. J. (1997). Filial piety (Hsiao) and filial caregiving experiences of Chinese families in the San Francisco Bay Area. Unpublished doctoral dissertation, University of California, San Francisco.

Shyu, 2002. 26. Shyu Y-IL . A conceptual framework for understanding the process of family caregiving to frail elders in Taiwan . Research in Nursing & Health . 2002;25:111–121 . MEDLINE | CrossRef

Silverberg, 2007. 27. Silverberg E . Introducing the 3-A grief intervention model for dementia caregivers: acknowledge, assess and assist . Omega: Journal of Death & Dying . 2007;54:215–235 .

Tang, 2009. 28. Tang ST . Supporting cancer patients dying at home or at a hospital for Taiwanese family caregivers . Cancer Nursing . 2009;32:151–157 . CrossRef

Tang and Li, 2008. 29. Tang ST , Li CY . The important role of sense of coherence in relation to depressive symptoms for Taiwanese family caregivers of cancer patients at the end of life . Journal of Psychosomatic Research . 2008;64:195–203 . Abstract | Full Text | Full-Text PDF (151 KB) | CrossRef

Tremont et al., 2008. 30. Tremont G , Davis JD , Bishop DS , Fortinsky RH . Telephone-delivered psychosocial intervention reduces burden in dementia caregivers . Dementia . 2008;7:503–520 .

Weng et al., 2002. 31. Weng HQ , Ma JN , Zhang LC , Zheng YX . The exploration of primary caregiver burden of spinal injury patients at home: Qualitative interviews and observation records of 15 pairs of caregivers and patients . Long Term Care . 2002;5(2):77–89 .

Yates et al., 1999. 32. Yates ME , Tennstedt S , Chang BH . Contributors to and mediators of psychological well-being for informal caregivers . Journal of Gerontology: Psychological Sciences . 1999;54:12–22 .

Yeh and Bull, 2009. 33. Yeh PM , Bull M . Influences of spiritual well-being and coping on family caregiver mental health . Research in Gerontological Nursing . 2009;2:173–181 .

a Department of Nursing, Missouri Western State University, Missouri, USA

b College of Nursing, University of Wisconsin-Milwaukee, Wisconsin, USA

c College of Nursing, Chung-Shan Medical University, Taichung, Taiwan

Correspondence to: Pi-Ming Yeh, PhD, Department of Nursing, Missouri Western State University, 3201 North 34th Terrace, St. Joseph, MO 64506, USA

PII: S1976-1317(09)60027-X

doi:10.1016/S1976-1317(09)60027-X

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