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      Caregiver Burden and Quality of Life among Family Caregivers of Cancer Patients on Chemotherapy: A Prospective Observational Study

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          Abstract

          Aim:

          Informal caregivers of cancer patients have extensive burdens. They are susceptible for deterioration of their quality of life (QOL). We aimed to assess caregiver burden and QOL of family caregivers of cancer patients receiving chemotherapy admitted in the ward/intensive care unit/high-dependency unit.

          Materials and Methods:

          This prospective observational study including 178 caregivers was carried out in a tertiary care hospital. The assessment of caregiving burden was done using the Zarit Burden Interview and its impact on QOL using the WHO BREF QOL questionnaire.

          Results:

          The mean age and mean Zarit Burden score of caregivers were 38.98 ± 10.53 and 30.697 ± 8.96, respectively. Of the total, 70.22% of caregivers reported mild-to-moderate burden and 21.38% reported moderate-to-severe burden. On assessment of QOL WHO BREF, the mean general score was 5.79 ± 1.84, physical health score was 49.65 ± 16.07, psychological health 51.85 ± 20.43, social relations 59.38 ± 21.43, and environmental 58.73 ± 17.51. The QOL scores were slightly better in mild-to-moderate burden compared to moderate-to-severe burden but not statistically significant except for social relations ( P = 0.053). We did not find any difference in burden scores or QOL between male and female caregivers.

          Conclusion:

          Mild-to-moderate burden was seen in 70.22% of caregivers and 21.38% had moderate-to-severe burden.

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          Most cited references18

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          One-Year Outcomes in Caregivers of Critically Ill Patients.

          Few resources are available to support caregivers of patients who have survived critical illness; consequently, the caregivers' own health may suffer. We studied caregiver and patient characteristics to determine which characteristics were associated with caregivers' health outcomes during the first year after patient discharge from an intensive care unit (ICU).
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            Reported burden on informal caregivers of ICU survivors: a literature review

            Background Critical illness and the problems faced after ICU discharge do not only affect the patient, it also negatively impacts patients’ informal caregivers. There is no review which summarizes all types of burden reported in informal caregivers of ICU survivors. It is important that the burdens these informal caregivers suffer are systematically assessed so the caregivers can receive the professional care they need. We aimed to provide a complete overview of the types of burdens reported in informal caregivers of adult ICU survivors, to make recommendations on which burdens should be assessed in this population, and which tools should be used to assess them. Method We performed a systematic search in PubMed and CINAHL from database inception until June 2014. All articles reporting on burdens in informal caregivers of adult ICU survivors were included. Two independent reviewers used a standardized form to extract characteristics of informal caregivers, types of burdens and instruments used to assess these burdens. The quality of the included studies was assessed using the Newcastle-Ottawa and the PEDro scales. Results The search yielded 2704 articles, of which we included 28 in our review. The most commonly reported outcomes were psychosocial burden. Six months after ICU discharge, the prevalence of anxiety was between 15 % and 24 %, depression between 4.7 % and 36.4 % and post-traumatic stress disorder (PTSD) between 35 % and 57.1 %. Loss of employment, financial burden, lifestyle interference and low health-related quality of life (HRQoL) were also frequently reported. The most commonly used tools were the Hospital Anxiety and Depression Scale (HADS), Centre for Epidemiological Studies-Depression questionnaire, and Impact of Event Scale (IES). The quality of observational studies was low and of randomized studies moderate to fair. Conclusions Informal caregivers of ICU survivors suffer a substantial variety of burdens. Although the quality of the included studies was poor, there is evidence that burden in the psychosocial field is most prevalent. We suggest screening informal caregivers of ICU survivors for anxiety, depression, PTSD, and HRQoL using respectively the HADS, IES and Short Form 36 and recommend a follow-up period of at least 6 months. Electronic supplementary material The online version of this article (doi:10.1186/s13054-016-1185-9) contains supplementary material, which is available to authorized users.
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              Family caregivers' strains: comparative analysis of cancer caregiving with dementia, diabetes, and frail elderly caregiving.

              This study aimed to investigate the impact of cancer from family caregivers' perspective, based on a comparative analysis of caregiving burden and distress, among four types of caregivers. The sample included caregivers of persons with cancer, dementia, diabetes, or frail elderly from a nationally representative sample of 606 caregivers. Although the four different types of caregivers were comparable in most sociodemographic characteristics, caregiving involvement and caregiving outcomes differed among the caregiving groups. Both cancer and dementia caregivers reported greater levels of physical burden and psychological distress than other caregivers, after controlling for sociodemographic and caregiving involvement (i.e., level of burden and caregiving duration) factors. The comparative analysis provided a systematic review of cancer caregiving in the context of three other types of caregiving. Given the high levels of burden and distress, greater emphasis should be placed on developing social service policy and practice for cancer caregivers.
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                Author and article information

                Journal
                Indian J Palliat Care
                Indian J Palliat Care
                IJPC
                Indian Journal of Palliative Care
                Wolters Kluwer - Medknow (India )
                0973-1075
                1998-3735
                Jan-Mar 2021
                17 February 2021
                : 27
                : 1
                : 109-112
                Affiliations
                [1]Department of Onco-Anaesthesia and Palliative Medicine, Dr. B. R. Ambedkar IRCH, All India Institute of Medical Sciences, New Delhi, India
                [1 ]Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
                [2 ]Department of Medical Oncology, Dr. B. R. Ambedkar IRCH, All India Institute of Medical Sciences, New Delhi, India
                Author notes
                Address for correspondence: Dr. Seema Mishra, Dr. B. R. Ambedkar IRCH, All India Institute of Medical Sciences, New Delhi, India. E-mail: seemamishra2003@ 123456gmail.com
                Article
                IJPC-27-109
                10.4103/IJPC.IJPC_180_20
                8121224
                34035627
                20d5f824-1aa0-4366-841a-7cb525830f39
                Copyright: © 2021 Indian Journal of Palliative Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 24 May 2020
                : 02 October 2020
                Categories
                Original Article

                Anesthesiology & Pain management
                cancer,caregiving burden,family caregiver
                Anesthesiology & Pain management
                cancer, caregiving burden, family caregiver

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