Demircioğlu-Karagöz Arzu, Güven Zeynep, Yıldız-Kabak Vesile, Dağ Osman, Düger Tülin, Atasavun-Uysal Songül
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Department of Biostatistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
J Eval Clin Pract. 2025 Aug;31(5):e70184. doi: 10.1111/jep.70184.
The caregiving burden is defined as problems experienced by caregivers related with the care of patient and may have some impacts on caregiver's quality of life.
This study was aimed to determine caregiving burden and quality of life in caregivers of adults with cancer, and to investigate associations with sociodemographic characteristics of patient and caregiver, and clinical information and functional level of patients.
In this cross-sectional study, a total of 322 participants were included, comprising 161 hospitalized adult cancer patients and 161 caregivers. Patients' comorbidities were assessed with the Modified Charlson Comorbidity Index, functional impairments were evaluated with Karnofsky Performance Scale, participation of daily life activities were assessed with the Barthel Index, and functional mobility were assessed with Rivermead Mobility Index. In addition, Pittsburgh Sleep Questionnaire was used to assess sleep experience in caregiver. Zarit Caregiver Burden Scale was used to evaluate caregiver burden, and City of Hope-Quality of Life-Family Version was used to assess quality of life of the caregiver.
Caregivers reported moderate level care burden. Caregiver's quality of life was negatively associated with cancer duration (p = 0.048) and caregiver burden (p < 0.001). In addition, it was positively associated with male gender (p = 0.001), sleep quality (p < 0.001) and functional mobility (p < 0.001) of the patients.
This study demonstrates that male gender, increased sleep quality and functional mobility of the patient affect the caregiver's quality of life positively, while prolonged cancer duration and higher level of care burden affect negatively. Considering these factors may be important to reduce the burden and increase the quality of life of caregiver family members.
照护负担被定义为照护者在照顾患者过程中所经历的问题，可能会对照护者的生活质量产生一些影响。
本研究旨在确定成年癌症患者照护者的照护负担和生活质量，并调查其与患者和照护者的社会人口学特征、患者的临床信息及功能水平之间的关联。
在这项横断面研究中，共纳入322名参与者，包括161名住院成年癌症患者及其161名照护者。采用改良查尔森合并症指数评估患者的合并症，用卡氏功能状态评分评估功能损害，用巴氏指数评估日常生活活动参与度，用Rivermead运动指数评估功能移动性。此外，使用匹兹堡睡眠问卷评估照护者的睡眠体验。用Zarit照护者负担量表评估照护者负担，用希望之城-家庭版生活质量量表评估照护者的生活质量。
照护者报告称照护负担处于中等水平。照护者的生活质量与癌症病程（p = 0.048）和照护负担（p < 0.001）呈负相关。此外，它与患者的男性性别（p = 0.001）、睡眠质量（p < 0.001）和功能移动性（p < 0.001）呈正相关。
本研究表明，患者的男性性别、睡眠质量提高和功能移动性对照护者的生活质量有积极影响，而癌症病程延长和照护负担加重则有负面影响。考虑这些因素对于减轻照护者家庭成员的负担和提高其生活质量可能很重要。
