scholarly journals Predictors of the Relationship Between the Duration of Cancer and Care Time with the Supportive Care Needs of Patients and the Quality of Life of Their Caregivers: A Path Analysis

Author(s):  
Seyedeh Maryam Attari ◽  
Zohreh mahmoodi ◽  
Mozhgan Mohammadzadeh Nimekari ◽  
Malihe Nasiri ◽  
Yaghoub Ashouri taziani ◽  
...  

Abstract Background Breast cancer patients face various material, and the mutual impact of patients and caregivers on each other show the need for further supportive care from the community and family. This study aimed to identify the predictors of the direct and indirect relationships of the duration of cancer and care time with the supportive needs of the patients and the quality of life of their family caregivers.Methods This descriptive-analytical study was carried out on 150 patients and their caregivers in Iran. Data were collected using the Supportive Care Needs Survey-short form (SCNS-SF34), the Caregiver Quality of Life Index-Cancer (CQOLC) scale, and a socio-demographic checklist and were then analyzed in SPSS-24 and Lisrel-8.8 software using descriptive-analytical statistics and path analysis.Results The mean age of the patients and caregivers was 45.76±10.44 and 43.46±9.5, respectively. Based on the test results, the duration of cancer was positively correlated with the total score of supportive needs in both paths (B=0.799). The patients’ sexuality needs had the highest negative correlation with their duration of cancer in the direct path (B=-0.87) and psychological needs the highest negative correlation in the indirect path (B=-0.32). The care time (in hours) had the highest positive correlation with the total score of supportive needs (B=15.6) in both the direct and indirect paths, and the highest positive correlation with physical needs in the direct path (B=10.65). The caregivers’ quality of life had a negative and direct relationship with the duration of cancer (B=-0.27) and there was a positive and direct relationship between care time and the caregivers’ quality of life (B=3.09). Conclusions Duration of cancer and care time had the highest positive correlation with the patients’ supportive needs, and the caregivers’ quality of life had a negative correlation with the duration of cancer and a positive correlation with care time. It is therefore vital to emphasize the design and implementation of supportive care programs for breast cancer patients and their family caregivers.

2021 ◽  
Author(s):  
Seyedeh Maryam Attari ◽  
Zohreh mahmoodi ◽  
Mozhgan Mohammadzadeh Nimekari ◽  
Malihe Nasiri ◽  
Yaghoub Ashouri taziani ◽  
...  

Abstract Background: Breast cancer patients face various material, physical and psychological problems. The growing trend of breast cancer in Iran, the referral of patients in the advanced stages of the disease, and the mutual impact of patients and caregivers on each other show the need for further supportive care from the community and family. This study aimed to identify the predictors of the direct and indirect relationships of the duration of cancer and care time with the supportive needs of the patients and the quality of life of their family caregivers.Methods: This descriptive-analytical study was carried out on 150 patients and their caregivers in Iran. Data were collected using the Supportive Care Needs Survey-short form (SCNS-SF34), the Caregiver Quality of Life Index-Cancer (CQOLC) scale, and a socio-demographic checklist and were then analyzed in SPSS-24 and Lisrel-8.8 software using descriptive-analytical statistics and path analysis.Results: The mean age of the patients and caregivers was 45.76±10.44 and 43.46±9.5, respectively. Based on the test results, the duration of cancer was positively correlated with the total score of supportive needs in both paths (B=0.799). The patients’ sexuality needs had the highest negative correlation with their duration of cancer in the direct path (B=-0.87) and psychological needs the highest negative correlation in the indirect path (B=-0.32). The care time (in hours) had the highest positive correlation with the total score of supportive needs (B=15.6) in both the direct and indirect paths, and the highest positive correlation with physical needs in the direct path (B=10.65). The caregivers’ quality of life had a negative and direct relationship with the duration of cancer (B =-0.27) and there was a positive and direct relationship between care time and the caregivers’ quality of life (B=3.09). Conclusions: Duration of cancer and care time had the highest positive correlation with the patients’ supportive needs, and the caregivers’ quality of life had a negative correlation with the duration of cancer and a positive correlation with care time. It is therefore vital to emphasize the design and implementation of supportive care programs for breast cancer patients and their family caregivers.


2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Marina de Góes Salvetti ◽  
Caroline Silva Pereira Machado ◽  
Suzana Cristina Teixeira Donato ◽  
Adriana Marques da Silva

ABSTRACT Objectives: to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients. Methods: this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life. Results: prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms. Conclusions: fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.


2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi189-vi189
Author(s):  
Emma Nicklin ◽  
Galina Velikova ◽  
Adam Glaser ◽  
Michelle Kwok-WIlliam ◽  
Miguel Debono ◽  
...  

Abstract INTRODUCTION The supportive care needs of long-term childhood brain tumour survivors, now teenagers and young adults (TYAs), and their caregivers are largely unknown. TYAs are a unique patient cohort with specific challenges and vulnerabilities differing from children or older adults. We aimed to describe their supportive care needs and explore associations between needs and quality of life (QoL).This is the first study to collect quantitative data about needs in this survivorship group. METHODS Participants were recruited from long-term follow-up clinics (in three National Health Service Trusts in England) and online. Participants included childhood brain tumour survivors, ≥ 5 years from diagnosis, currently aged 13-30, and their primary caregivers. Survivors completed the Supportive Care Needs Survey (SCNS) Short-Form and Paediatric Functional Assessment of Cancer Therapy – Brain (Peds-FACT-Br). While caregivers completed the SCNS-Partners and Caregivers (SCNS-P&C) and the Caregiver Quality of Life Index–Cancer (CQOLC). RESULTS In total, 112 individuals (69 survivors/43 caregivers) participated. Survivors reported on average 9.4 (±8.5) unmet needs. Needs were greatest in the psychological domain, with anxiety (60.3%), uncertainty about the future (50.7%) and feeling down and depressed (48.5%) most commonly reported. Caregivers reported on average 12.4 (±12.3) unmet needs. Again, the greatest number of unmet needs were observed in the psychological domain. Many caregivers also reported information needs around financial support/government benefits (42.9%) and possible survivor fertility problems (42.9%). Multivariable linear regression analysis showed that female survivors, unemployed survivors, survivors further away from diagnosis, and single caregivers were more likely to report unmet needs. More unmet needs were significantly associated with poorer QoL in survivors and caregivers. CONCLUSION This research provides leads to improving supportive care and long-term follow-up services. Psychological support appears to be the biggest gap in care. Understanding unmet needs and recognising what services are required is critical to improving quality of long-term survival.


2013 ◽  
Vol 69 (12) ◽  
pp. 2750-2758 ◽  
Author(s):  
Winnie K.W. So ◽  
K.C. Choi ◽  
Carmen W.H. Chan ◽  
Winnie P.Y. Tang ◽  
Alice W.Y. Leung ◽  
...  

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