Spiritual quality of life in family carers of patients with advanced cancer-a cross-sectional study.

Autor: Røen I; Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. ingebrigt.roen@stolav.no.; St. Olavs Hospital, Trondheim University Hospital, 4. etg. Kunnskapssenteret vest, St. Olavs Hospital, 7006, Trondheim, Norway. ingebrigt.roen@stolav.no.; Chaplaincy, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. ingebrigt.roen@stolav.no., Brenne AT; Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; St. Olavs Hospital, Trondheim University Hospital, 4. etg. Kunnskapssenteret vest, St. Olavs Hospital, 7006, Trondheim, Norway.; Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway., Brunelli C; Palliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy., Stifoss-Hanssen H; Center of diakonia and professional practice, VID Specialized University, Oslo, Norway., Grande G; Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, England., Solheim TS; Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.; St. Olavs Hospital, Trondheim University Hospital, 4. etg. Kunnskapssenteret vest, St. Olavs Hospital, 7006, Trondheim, Norway., Kaasa S; European Palliative Care Research Centre (PRC), Oslo University Hospital and University of Oslo, Oslo, Norway.; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.; Department of Oncology, Oslo University Hospital, Oslo, Norway.; University of Oslo, Oslo, Norway., Knudsen AK; European Palliative Care Research Centre (PRC), Oslo University Hospital and University of Oslo, Oslo, Norway.; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.; Department of Oncology, Oslo University Hospital, Oslo, Norway.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2021 Sep; Vol. 29 (9), pp. 5329-5339. Date of Electronic Publication: 2021 Mar 04.
DOI: 10.1007/s00520-021-06080-5
Abstrakt: Purpose: Caring affects carers' psychological and physical health, mortality, and quality of life (QoL) negatively. Lower spiritual QoL is associated with anxiety and depression, but the spiritual dimension is rarely investigated in carers. The present study aimed to explore which patient- and carer-related characteristics were associated with spiritual QoL in carers of patients with advanced cancer.
Methods: Secondary analyses were conducted using data from a prospective study investigating integration between oncology and palliative care. Adult patients with advanced cancer and their carers were included, and baseline data considering demographics, clinical characteristics, symptoms, social support, and religious meaning-making were registered. Spiritual QoL was measured using the Functional Assessment of Chronic Illness Therapy - Spiritual well-being (FACIT-Sp-12) questionnaire. Associations to spiritual QoL were explored by bivariate and multivariate regression models.
Results: In total, 84 carers were included, median age was 62.5 years, 52 (62%) were female, and the average spiritual QoL score was 23.3. In bivariate analyses, higher education, social support, and lower patients' symptom burden were significantly associated with higher spiritual QoL. The multivariate regression model (n=77) had an explained variance (R 2 ) = 0.34 and showed a significant association for social support, higher education, having children < 18 years living at home, and patient's age.
Conclusion: The study indicates that spiritual QoL in carers were low and were negatively affected by several factors related to both carers and patients. However, there could be other important factors not yet described. Health care professionals should be aware of the known associated factors, as carers who hold these may need extra support.
(© 2021. The Author(s).)
Databáze: MEDLINE
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