Anxiety, Depressive Symptoms, Health-Related Quality of Life, and Their Associated Factors Among Caregivers of Children With Cancer: A Cross-section Study.

Autor:	Phiri L; Author Affiliations: The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong Special Administrative Region, China (Mrs L. Phiri, Drs Li, and Cheung); Institute of Applied Technology, Fatima College of Health Sciences, Al Ain, Abu Dhabi, United Arab Emirates (Dr P.G.M.C. Phiri); and Baylor College of Medicine Children Foundation, Global HOPE Project, Lilongwe, Malawi (Dr Wanda-Kalizang'oma)., Li WHC, Phiri PGMC, Cheung AT, Wanda-Kalizang'oma W
Jazyk:	angličtina
Zdroj:	Cancer nursing [Cancer Nurs] 2024 Nov-Dec 01; Vol. 47 (6), pp. E415-E424. Date of Electronic Publication: 2023 Oct 28.
DOI:	10.1097/NCC.0000000000001294
Abstrakt:	Background: A child's cancer diagnosis and treatment are stressful for family caregivers, who may experience anxiety, depressive symptoms, and poor health-related quality of life (HRQoL) related to the care they provide. Objective: This study assessed the prevalence of anxiety, depressive symptoms, HRQoL, and associated factors among caregivers of children with cancer. Methods: A cross-sectional study was conducted on 167 caregivers of children with cancer in Malawi. A multivariate analysis was conducted to identify the determinants of anxiety, depressive symptoms, and HRQoL. Results: All 167 caregivers who consented to participate in this study completed all the questionnaires. Severe anxiety and severe depressive symptoms accounted for 17.5% and 10.2%, respectively. Being Muslim (B = 7.800, P < .001) and Pentecostal (B = 3.067, P = .023) by religious denominations was more likely to be anxious, whereas Catholic caregivers (B = 3.702, P = .033) were more likely to be depressed. Being unemployed was more likely to result in lower anxiety (B = -4.080, P = .016). Furthermore, caregivers demonstrated a lower mental health component (mean, 39.33 [SD, 6.35]), whereas being a female and aged between 31 and 40 years was more likely to result in better physical health (B = 3.962 [P = .031] and B = 3.415 [P = .020], respectively). Conclusion: This study supports evidence that caregivers of children experience moderate and severe anxiety and depressive symptoms and poor HRQoL in Malawi. Implication for Practice: Nurses need to include psychological interventions for caregivers of children with cancer during childcare. Competing Interests: The authors have no funding or conflicts of interest to disclose. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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