Cited by 10Palliative Care and End-of-Life IssuesPalliative and Oncologic CareNursing care and research

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Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study

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Ghazwani, Eisa Y, Al-Shehri, Abdullah A, Alghamdi, Faizah A·2021·Cureus

Abstract

Background As the burden of cancer in Saudi Arabia has increased, the number of terminally ill patients is growing. In parallel, family caregivers' burden has emerged as an escalating problem within the field of palliative medicine. In this study, we aimed to explore the prevalence and types of burden experienced by caregivers of terminally ill patients and the associated risk factors. Methodology A cross-sectional study was conducted from March 2019 to February 2020 at Najran University Hospital in southern Saudi Arabia. The study included all caregivers of terminal Saudi patients receiving palliative care. A three-part study questionnaire was used for data collection: socio-demographic characteristics, the Arabic version of Zarit Burden Interview to quantify the caregivers' burden, and the Caregiver Distress Scale to identify and rank the different types of burden among caregivers Results The study included 78 caregivers of terminally ill cancer patients. Their ages ranged between 19 and 70 years, with an arithmetic mean of 39.5 years and a standard deviation of 12.9 years. The caregiver burden was reported among the majority of the participants (96.2%); the burden was mild among 46.2%, moderate among 38.5%, and severe among 11.5% of the participants. The age of caregivers who expressed moderate-to-severe burden was significantly higher than those who expressed little-to-moderate burden (44.5 ± 13.7 versus 34.5 ± 9.8 years, respectively; p < 0.001). Moderate-to-severe burden was more observed among mothers/brothers [12 (80%)] than sons [21 (53.8%)] and daughters [six (25.0%)] (p = 0.003). Regarding caregiver distress, caregivers with shorter caregiving (≤three months) and mother/brother relation to the patient had significantly higher relationship distress scores (p < 0.001). In addition, relation to the patient was significantly associated with emotional burden score (p <0.001), social impact score (p < 0.007), and personal cost score (p < 0.001). Conclusion Caregiving to terminally ill cancer patients is a considerably hidden problem leading to caregiver's burden and stress.

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Figure 1 Severity of burden among caregivers of terminally ill patients.
Figure 1 Severity of burden among caregivers of terminally ill patients.CC BY · PubMed Central

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  1. Ibrahim E, Bin SBM, Banjar L, Awadalla S, Abomelha MS. Current and future cancer burden in Saudi Arabia: meeting the challenge. Hematol Oncol Stem Cell Ther. 2008, 1:210-215. 10.1016/s1658-3876(08)50006-9 · DOI
  2. Lee J, Cha C. Unmet needs and caregiver burden among family caregivers of hospice patients in South Korea. J Hosp Palliat Nurs. 2017, 19:323-331. 10.1097/NJH.0000000000000350 · DOI
  3. Song JI, Shin DW, Choi JY, et al.. Quality of life and mental health in the bereaved family members of patients with terminal cancer. Psychooncology. 2012, 21:1158-1166. 10.1002/pon.2027 · DOI
  4. Yoo J-S, Lee J, Chang SJ. Family experiences in end-of-life care: a literature review. Asian Nurs Res (Korean Soc Nurs Sci). 2008, 2:223-234. 10.1016/S1976-1317(09)60004-9 · DOI
  5. Ge L, Mordiffi SZ. Factors associated with higher caregiver burden among family caregivers of elderly cancer patients: a systematic review. Cancer Nurs. 2017, 40:471-478. 10.1097/NCC.0000000000000445 · DOI
  6. Hsu T, Loscalzo M, Ramani R, et al.. Factors associated with high burden in caregivers of older adults with cancer. Cancer. 2014, 120:2927-2935. 10.1002/cncr.28765 · DOI
  7. Chua CK, Wu JT, Wong YY, Qu L, Tan YY, Neo PS, Pang GS. Caregiving and its resulting effects-the care study to evaluate the effects of caregiving on caregivers of patients with advanced cancer in Singapore. Cancers (Basel). 2016, 8:105. 10.3390/cancers8110105 · DOI
  8. Almoajel A. Quality of palliative care: perspective of healthcare providers at a tertiary hospital in Riyadh, Saudi Arabia. J Relig Health. 2020, 59:2442-2457. 10.1007/s10943-020-00998-6 · DOI
  9. Arai Y, Kudo K, Hosokawa T, Washio M, Miura H, Hisamichi S. Reliability and validity of the Japanese version of the Zarit Caregiver Burden interview. Psychiatry Clin Neurosci. 1997, 51:281-287. 10.1111/j.1440-1819.1997.tb03199.x · DOI
  10. Maksoud AAHA. Burden of mother and wife caregivers of psychiatric and non-psychiatric patients and its relation to psychiatric disorders. Psychiatry Department Al Azhar University. 2008, 2008:160-160.
  11. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 1980, 20:649-655. 10.1093/geront/20.6.649 · DOI · Paper page
  12. Cousins R, Davies AD, Turnbull CJ, Playfer JR. Assessing caregiving distress: a conceptual analysis and a brief scale. Br J Clin Psychol. 2002, 41:387-403. 10.1348/014466502760387506 · DOI
  13. Verhaeghe S, Defloor T, Van Zuuren F, Duijnstee M, Grypdonck M. The needs and experiences of family members of adult patients in an intensive care unit: a review of the literature. J Clin Nurs. 2005, 14:501-509. 10.1111/j.1365-2702.2004.01081.x · DOI
  14. Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999, 282:2215-2219. 10.1001/jama.282.23.2215 · DOI · Paper page
  15. Lim HA, Tan JY, Chua J, Yoong RK, Lim SE, Kua EH, Mahendran R. Quality of life of family caregivers of cancer patients in Singapore and globally. Singapore Med J. 2017, 58:258-261. 10.11622/smedj.2016083 · DOI
  16. Goren A, Gilloteau I, Lees M, DaCosta Dibonaventura M. Quantifying the burden of informal caregiving for patients with cancer in Europe. Support Care Cancer. 2014, 22:1637-1646. 10.1007/s00520-014-2122-6 · DOI
  17. Hebert RS, Schulz R. Caregiving at the end of life. J Palliat Med. 2006, 9:1174-1187. 10.1089/jpm.2006.9.1174 · DOI
  18. Lee KC, Chang WC, Chou WC, Su PJ, Hsieh CH, Chen JS, Tang ST. Longitudinal changes and predictors of caregiving burden while providing end-of-life care for terminally ill cancer patients. J Palliat Med. 2013, 16:632-637. 10.1089/jpm.2012.0499 · DOI
  19. Turkoglu N, Kilic D. Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pac J Cancer Prev. 2012, 13:4141-4145. 10.7314/APJCP.2012.13.8.4141 · DOI
  20. Kim Y, Spillers RL. Quality of life of family caregivers at 2 years after a relative's cancer diagnosis. Psychooncology. 2010, 19:431-440. 10.1002/pon.1576 · DOI
  21. Kim Y, Spillers RL, Hall DL. Quality of life of family caregivers 5 years after a relative's cancer diagnosis: follow-up of the national quality of life survey for caregivers. Psychooncology. 2012, 21:273-281. 10.1002/pon.1888 · DOI
  22. Doorenbos AZ, Given B, Given CW, Wyatt G, Gift A, Rahbar M, Jeon S. The influence of end-of-life cancer care on caregivers. Res Nurs Health. 2007, 30:270-281. 10.1002/nur.20217 · DOI
  23. Lowenstein A, Gilbar O. The perception of caregiving burden on the part of elderly cancer patients, spouses and adult children. Families Systems Health. 2000, 18:337-346. 10.1037/h0091862 · DOI
  24. Gilbar O. Gender as a predictor of burden and psychological distress of elderly husbands and wives of cancer patients. Psychooncology. 1999, 8:287-294. 10.1002/(SICI)1099-1611(199907/08)8:4<287::AID-PON385>3.0.CO;2-W · DOI
  25. Yoon SJ, Kim JS, Jung JG, Kim SS, Kim S. Modifiable factors associated with caregiver burden among family caregivers of terminally ill Korean cancer patients. Support Care Cancer. 2014, 22:1243-1250. 10.1007/s00520-013-2077-z · DOI
  26. Lee JE, Shin DW, Cho J, et al.. Caregiver burden, patients' self-perceived burden, and preference for palliative care among cancer patients and caregivers. Psychooncology. 2015, 24:1545-1551. 10.1002/pon.3827 · DOI
  27. Otis-Green S, Juarez G. Enhancing the social well-being of family caregivers. Semin Oncol Nurs. 2012, 28:246-255. 10.1016/j.soncn.2012.09.007 · DOI

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Metadata

Authors
Ghazwani, E. Y., Al-Shehri, A. A., & Alghamdi, F. A.
Affiliations
Najran University (SA)
Corresponding author
Ghazwani, Eisa Y
Venue
Cureus
Published
2021-03-31
Volume
13
Issue
3
Pages
e14215-e14215
ISSN
2168-8184 (ISSN-L)
OpenAlex
W3142346603
Cited by
10
References
1
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 1
FWCI
1.73
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Cureus (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords
caregiver burden, caregiver stress, family caregivers, dying patients, cancer patients, palliative care, Zarit Burden Interview, caregiver distress, relationship distress, emotional burden, social impact, personal cost, caregiver age

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Ghazwani, E. Y., Al-Shehri, A. A., & Alghamdi, F. A. (2021). Assessment of Burden and Stress Among Caregivers of Terminally Ill Patients in a Saudi University Hospital: A Cross-Sectional Study. Cureus. https://doi.org/10.7759/cureus.14215