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KMID : 0605720140200030227
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Journal of the Korean Society of Biological Therapies in Psychiatry
2014 Volume.20 No. 3 p.227 ~ p.237
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Factors Associated with Quality of Life of Family Caregivers in Terminally Ill Cancer Patients
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Kim Seon-Young
Kim Jae-Min
Kim Sung-Wan
Kang Hee-Ju
Lee Ju-Yeon
Shin Il-Seon
Shim Hyun-Jeong
Yoon Jin-Sang
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Abstract
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Objectives：The primary purpose of the present study was to assess the factors associated with quality of life(QoL) of the family caregivers of terminally ill cancer patients.
Methods：A broad range of factors related to the patient-family caregiver dyad was investigated in a palliative care setting using a cross-sectional design. Caregiver QoL was assessed by the EuroQoL-5 dimensions-visual analog scale (EQ-VAS). The independent variables included patient- and caregiver-related sociodemographic and psychological factors such as depressive symptoms, subjective burden, and coping style. The clinical data of the patients were also obtained from their medical charts or gathered using measurements on face-to face interview. Multivariate linear regression analyses were conducted to identify the influences of individual factors on caregiver QoL.
Results：Of 304 analyzed dyads, multivariate analyses revealed that the psychological factors of the caregivers were significantly related to their QoL. Greater levels of depressive symptoms and subjective burden in the caregiver were significantly associated with a lower QoL, but an active coping style was associated with a higher QoL. Caregivers with a physical illness reported a lower QoL than those without an illness. However, patient-related factors were not related to caregiver QoL.
Conclusions：Caregiver’s psychological factors rather than patient’s factors are significantly related with caregiver’s QoL. Providing psychiatric screening and intervention for depression and caregiver support programs for burden and coping style are recommended for enhancing QoL in caregivers of terminally ill cancer patients.
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KEYWORD
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Quality of life, Caregiver, Depression, Burden, Coping style, Cancer
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