Burden, Depression and Quality of Life in Carers of Newly Diagnosed Advanced Cancer Patients in Egypt.

Autor: El-Sherif RAM; Department of Clinical Oncology, Faculty of Medicine (R.A.M.S., A.H.S., F.A.B.), Beni-Suef University, Beni-Suef, Egypt., Shaban AH; Department of Clinical Oncology, Faculty of Medicine (R.A.M.S., A.H.S., F.A.B.), Beni-Suef University, Beni-Suef, Egypt., Abbas FA; Department of Clinical Oncology, Faculty of Medicine (R.A.M.S., A.H.S., F.A.B.), Beni-Suef University, Beni-Suef, Egypt., Alsirafy SA; Palliative Medicine Unit, Department of Clinical Oncology and Nuclear Medicine, Kasr Al-Ainy Faculty of Medicine (S.A.A.), Cairo University, Cairo, Egypt. Electronic address: alsirafy@cu.edu.eg.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2024 May; Vol. 67 (5), pp. e403-e408. Date of Electronic Publication: 2024 Feb 23.
DOI: 10.1016/j.jpainsymman.2024.02.018
Abstrakt: Context: The goal of palliative care (PC) is to improve the quality of life (QoL) of patients with life-limiting illnesses as well as their families. Ideally, PC is integrated early in the course of life-limiting illnesses. Less attention has been paid to the need for early PC for family caregivers (FCs) in lower-income settings.
Objectives: This observational cross-sectional study was conducted to explore the burden experienced by FCs of newly diagnosed incurable cancer patients in Egypt and characterize its relation to depression and QoL.
Methods: Ninety-five adult FCs of adult patients with newly diagnosed incurable cancer completed the 22-item Zarit Burden Interview (ZBI-22), Patient Health Questionnaire (PHQ-9), and Short Form 12 (SF-12) to assess caregiving burden, depression, and QoL among FCs, respectively.
Results: The median (IQR) ZBI-22 score was 17(11-24) and 34% of FCs had significant burden (ZBI-22 score > 20). Assistance with late loss activities of daily living and availability for longer caregiving duration were associated significantly with higher caregiving burdens (P = 0.004 and 0.047, respectively). FCs with significant burden had significantly higher PHQ-9 scores (P = 0.0003). There was a significant negative correlation between ZBI-22 scores and the bodily pain, general health, mental health, physical function, role emotional, and social function subscales/items of SF-12.
Conclusions: A substantial proportion of Egyptian FCs of incurable cancer patients experience significant burden early in the course of the disease. This burden is associated with depressive symptoms and worse QoL dimensions, physical, psychological, and social. In a lower-income setting, early PC interventions for FCs of incurable cancer patients are needed.
(Copyright © 2024 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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