Department of Psychology, The University of Utah Asia Campus, Incheon, Korea.
Department of Family Medicine/Supportive Care Center, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
Cancer Res Treat. 2019 Jan;51(1):141-149. doi: 10.4143/crt.2017.557. Epub 2018 Mar 21.
When it comes to cancer care, the psychological well-being of family caregivers has gotten its deserved attention. However, the specific roles that the family caregivers take have not been examined as much. The current study aimed to investigate the distribution of family caregivers' roles, particularly in a family-oriented culture, Korea.
A sample of 439 participants was recruited from 11 national and regional cancer centers in Korea. The participants who were 60 years old or above went through treatments for their gastric, colorectal, or lung cancer. The individual survey included questions regarding the family type, living arrangement, and the sources of support when it comes to their physical, emotional, financial, and decision-making needs.
The responses from the participants showed that cancer caregiving is shared by multiple family caregivers; the major source of support for elderly cancer patients on diverse domains was their spouse; patients' reliance on their daughter(s) increased for emotional support; and patients' reliance on their son(s) stood out for financial support and decision-making support. Also, the older the patients were, the heavier their reliance was on the adult children, including sons, daughters, and daughters-in-law.
Future support programs for elderly cancer patients are suggested to involve multiple family caregivers to encourage effective and efficient intervention. Also, the limitations of the current study and the suggestions for future research are discussed.
在癌症护理方面,家庭照顾者的心理健康已经得到了应有的关注。然而,家庭照顾者所扮演的具体角色并没有得到太多的研究。本研究旨在探讨家庭照顾者角色的分布情况,特别是在以家庭为导向的文化中,韩国。
从韩国 11 个国家和地区癌症中心招募了 439 名参与者。这些参与者年龄在 60 岁及以上,正在接受胃癌、结直肠癌或肺癌治疗。个人调查包括有关家庭类型、居住安排以及在身体、情感、经济和决策需求方面的支持来源的问题。
参与者的回答表明,癌症护理是由多个家庭照顾者共同承担的;配偶是老年癌症患者在多个领域的主要支持来源;患者对女儿的情感支持依赖增加;患者对儿子的经济支持和决策支持依赖突出;而且,患者年龄越大,对成年子女(包括儿子、女儿和儿媳)的依赖程度就越高。
建议为老年癌症患者制定未来的支持计划,以鼓励有效的干预措施,并涉及多个家庭照顾者。此外,还讨论了当前研究的局限性和未来研究的建议。