Дисертації з теми "Cancer caregiving"
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Nijboer, Christine. "Caregiving to patients with colorectal cancer a longitudinal study on caregiving by partners /." [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2000. http://dare.uva.nl/document/81019.
Повний текст джерелаMazanec, Polly M. "Distance Caregiving of a Parent with Advanced Cancer." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1247250761.
Повний текст джерелаSteinwedel, Cynthia M. "The impact of cancer caregiving on cancer caregivers| Stories of lives in transition." Thesis, The University of Wisconsin - Milwaukee, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3602366.
Повний текст джерелаThe purpose of the study was to examine the impact of cancer caregiving on primary caregivers, exploring their personal narratives looking back on the entire experience from diagnosis, through treatment, and beyond. Caregiving is associated with exacerbation of stress-related disorders such as hypertension and heart disease and may also be associated with increased mortality rates. Transitions theory served as the conceptual framework for the study. Eleven adult caregivers, pre-retirement age, each participated in two semi-structured interviews. Caregivers were recruited from a community cancer resource center and were purposively selected to achieve maximum variation in terms of outcome of cancer treatment. The sample included 8 females and 3 males; there were 3 husbands, 6 wives, and 2 daughters. Caregivers provided care for patients with a variety of cancer types and a variety of treatment outcomes, from cancer free with sequelae to deceased. Each caregiver interview recording was transcribed, and preliminary examination of each transcript helped guide subsequent interviews. NVivo9 software was used to assist with data management. Data saturation was achieved. Narrative within-case analyses as well as thematic analysis were used to address research questions. Thematic analysis resulted in seven themes: Burden: The Load that Never Ends; Disconnectedness and Isolation: The Invisible Person; Helplessness and Loss of Control: Tied to This Ride; Dealing with the Healthcare System; Role Disruption: Spinning the Plates; Loss, Change, and Grief: Reaction to the Whole; and Carrying Forward with Scars: New Priorities and Permanent Change. All of the caregivers changed their employment or social responsibilities due to the demands of caregiving. Themes were present in different parts of the cancer trajectory and in differing intensities in all interviews. Findings included disconnectedness and isolation as a central feature of cancer caregiving, plus significant grief present through the cancer trajectory, especially in the post-treatment phase. Furthermore, the experience of cancer caregiving remained one of significant impact years after treatment had ended. Successful transitioning requires connectedness and mastery, but participants in this study identified that their caregiving trajectories were full of isolation, grief, burden, and helplessness. Many suggested the need for support, even though they tended to deny their own physical and emotional needs while caregiving. Healthcare professionals can help by providing information, support, listening, and grief counselling. Research is needed on interventions that may reduce isolation, helplessness, and burden for caregivers.
Stamataki, Zoe. "The Cancer Caregiving Experience : Testing a Model and Exploring Perceptions." Thesis, University of Kent, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.523641.
Повний текст джерелаAl, Awar Zeina. "Using HIT to Support Informal Caregivers of Cancer Patients at Home: a Needs Assessment." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34112.
Повний текст джерелаBernard, Lori Lynn. "Husband's and Daughter's Role Strain During Breast Cancer Hospice Patient Caregiving and Bereavement Adjustment." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2542/.
Повний текст джерелаEdmonds, Maura Fulham. "Managing Change| The Process of Caregiving for Informal Caregivers of Head and Neck Cancer Patients." Thesis, University of Maryland, Baltimore, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3563316.
Повний текст джерелаPurpose: The goal of this study was to gain a better understanding of the process undertaken by the informal caregivers of head and neck cancer (HNC), with an eye toward theory development. Although the development of a theory was beyond the scope of this project, it was meant to be a first step toward understanding the important categories and concepts that are part of this process.
Methods: This study used grounded theory methods and was conducted at a large urban National Cancer Institute (NCI)-designated cancer center in the Mid-Atlantic region of the US. Constant comparative analysis and theoretical sampling were used to gather and analyze data from six caregivers of HNC patients. Audio-recorded and transcribed, de-identified raw data were analyzed using Atlas ti Software™.
Results: The caregiving process was described in terms that yielded a core category and two other categories. Subcategories were identified as well as dimensions of some of the subcategories. The core category was entitled Managing Change and the two other categories were entitled Types of Change and Strategies for Managing Change. Types of Change encompassed the subcategories of Changes in Life Patterns, Witnessing Physical Changes, Relationship Changes, and Increased Uncertainty. Strategies for Managing Change included the subcategories of Controlling Life Pattern Changes, Utilizing the Quality of the Relationship, and Managing Stress. Key findings included the identification of many different types of change, variation in types and amounts of change over time, utilization of quality of the relationship between patient and caregiver as an important strategy for caregivers, and caregivers’ use of a variety of strategies to manage change.
Conclusions: This study has attempted to broaden the understanding of the role of a caregiver of a patient with HNC using grounded theory methods. This work is the first step in developing a theory of caregiving related to this population which may also be applied to a broader population of caregivers.
Mori, Hiroko. "Characteristics of caregiver perceptions of end-of-life caregiving experiences in cancer survivorship: in-depth interview study." 京都大学 (Kyoto University), 2012. http://hdl.handle.net/2433/157856.
Повний текст джерелаLamanna, Jennifer. "A brief problem-solving intervention for caregivers of children with cancer." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2709.
Повний текст джерелаThomas, Sarah Nichole. "Decisions to Seek and Share: A Mixed Methods Approach to Understanding Caregivers Surrogate Information Acquisition Behaviors." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1595545894518707.
Повний текст джерелаDaly, Shauna. "Family Caregiver Experiences: A Case Study of Caregiving for an Advanced Cancer Patient Enrolled in a Palliative Rehabilitation Program." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34923.
Повний текст джерелаPetricone-Westwood, Danielle. "Caregiving for Patients Diagnosed with Ovarian Cancer: An Examination of Distress and Relationships with Healthcare Providers Using Attachment Theory." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/41449.
Повний текст джерелаAlblowi, Fahd Salem. "Understanding the impact of caregiving upon husbands of women with breast cancer in Saudi Arabia: a mixed-methods approach." Thesis, Ulster University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.674962.
Повний текст джерелаCheung, Margaret Mun-Yee. "Mending the broken heart: Using an ethnodrama to give voice to Hong Kong Chinese cancer caregivers." Thesis, Queensland University of Technology, 2016.
Знайти повний текст джерелаCagle, John Garland. "Informal Caregivers of Advanced Cancer Patients: The Impact of Geographic Proximity on Social Support and Bereavement Adjustment." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/1314.
Повний текст джерелаLewis, Adam Michael. "A terror management theory based intervention for anxiety in spouses of cancer patients: a multiple-baseline study." Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2235.
Повний текст джерелаMat, Saat Suzanie. "Information needs of children of a parent with cancer." Thesis, Loughborough University, 2016. https://dspace.lboro.ac.uk/2134/21546.
Повний текст джерелаEsterhuizen, Estelle Leonie. "Making meaning in anticipatory mourning : reflections by caregiving spouses of cancer patients." Diss., 2009. http://hdl.handle.net/10500/3384.
Повний текст джерелаPractical Theology
M. Th. ( Practical Theology, with Specialisation in Pastoral Therapy)
Shen, Yu-Chen, and 沈妤貞. "Caregiving Burden and Associated Factors among Caregivers of Postsurgery Colorectal Cancer Patients." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/31020467365081773981.
Повний текст джерела長庚科技大學
護理研究所在職專班
103
Cancer not only impact on patient’s life, but also effect on primary family caregivers. Nowadays, the treatment of cancer almost shift to out patient department, that means the family taking care of the patients majority. The tasks about caring may have positive and negative influence or experience for family caregivers. When caregivers face difficult situation, they may feel painfully sad that their lover meet cancer, and caregivers may not only have physical symptoms but also effect caregiver’s quality of life. This cross-sectional study was designed to understand the family caregivers care burden and associated factors among caregivers of postsurgery coloreatal cancer patients. 108 dyads of patients and families participated in this study. The results revealed that the caregivers included 51.9 % women , with a mean age of 56.2 years ( SD=13.33 ). The severity of care burden on the primary caregiver was in the order: impact on finances, impact on schedule, impact on health, lack of family support and caregiver’s self esteem. The caregivers’ education level had significant difference on caregivers’ esteem(P<.05 ) . The caregivers’ family income had significant difference impact on lack of family support (P<.05 ) . The caregivers had chronic disease or not had significant difference on caregivers’ age(P<.05 ) . The caregivers’ employment status had significant difference on caregivers’ age(P<.05 ) . There were significant positive correlations between caregiver’s social support and caregiver’s self esteem. There were significant negative correlations between social support and caregiver burden. The stepwise regression showed that the level of caregiver’s social support and caregiver’s education status could significantly predict the caregiver’s self esteem ( R^2=12.2﹪). The main predictors of lack of family support were caregiver’s social support and caregiver’s education status( R^2=16.8﹪), the main predictors of economics situation were family income, caregiver’s social support, patient’s education level and caregiver’s sex( R^2=41.6﹪). The main predictors of time arrangement burden were caregiver’s age and family income( R^2=12.6﹪). The main predictors of caregiver’s health impact were social support, caregiver’s sex and caregiver’s age( R^2=20.3﹪). The results suggest that the family caregivers whom care colorectal cancer surgery patients should be concerned and be supported to release their burden.
LI, CHIH-YI, and 李芷宜. "The Caregiving Burden and Related Factors Among Primary Caregivers of Cancer Patients." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/rj869m.
Повний текст джерела長榮大學
護理學系碩士班
107
Background: The primary caregiver of cancer patients has to face the heavy patient care work and the adaptation of multiple roles, which is likely to cause a care load. The issue affecting the load of caring for the caregiver is very complex and diverse, and this issue is therefore taken seriously. Objective: To explore the caregiving burden and related factors among primary caregivers of cancer patients. Methods: This was a cross-sectional correlation study. Cancer patients and their primary caregivers at a medical center in southern Taiwan were recruited in the study. From January to May 2018, we used a structured questionnaire to collect information about caregiving burden of primary caregivers, and accessed medical records to obtain the basic characteristics and disease data of cancer patients. Descriptive statistics, t-test, and ANOVA were used to analyze the basic data and caregiving burden. The related factors among primary caregivers of cancer patients were explored with linear regression analysis. Results: A total of 137 pairs of subjects were recruited in the study. Most of patients were male (61.3%) with 20-64 years old (63.5%), and suffered from head and neck, and digestive tract cancer (57.7%). The stage of cancer was three to four (86.1%). The diagnosis time was more than 2 months (70.8%), and ECOG was below level 2 (86.1%). Most of caregivers were women(70.1%) with 45-64 years old(51.1%), and had a job(55.5%). Most of them took care of patients within 17-24 hours per day(40.1%), and there was rotation manpower(63.5%). The overall caregiving burden among primary caregivers of cancer patients was low to medium. The related factors of caregiving burden were sleep quality (β = .304, p <.001), high psychological burden (β= .354, p <.001), moderate psychological burden (β = .313, p <.001), rotation manpower (β= -.143, p= .029), and patients’ ECOG (β = .175, p= .008). Conclusion: This study showed the overall caregiving burden was low to medium, but there was diversity in different domains. In future, medical staff should provide related resources of care or referral medical assistance for the high-risk groups to reduce their caregiving burden.
Wang, Li-Chieh, and 王俐絜. "Caregiving Burden and Associated Factors among Caregivers of Terminally Ill Gastrointestinal Cancer Patients." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/30525911285815988472.
Повний текст джерела高雄醫學大學
護理學研究所
98
The study aimed to investigate the factors associated with caregiving burden among main caregivers of terminally ill patients with gastrointestinal cancer. The purposes of this study were (1) to explore the relationship of demographic and disease characteristics of both patients and caregivers to caregiving burden; (2) to explore the relationship of social support, fear of death, self-care efficacy, self-perceived symptom distress to caregiving burden; (3) to explore the important explanatory factors for caregiving burden. The study adopted a cross-sectional, descriptive and correlational research design with a convenience sampling and structured questionnaires. We recruited 178 family caregivers of terminally ill patients with gastrointestinal cancer (oral, esophageal, stomach, colorectal, liver, or pancreatic cancer) from four medical care institutions in Tainan and Chiayi areas. Structured questionnaires including demographic characteristics, Barthel Index, social support scale, fear of death scale, self-care efficacy scale, self-perceived symptom distress scale, and caregiving burden scale were used to collect data. Internal consistency, test-retest reliability, content validity, and surface validity were used to examine the reliability and validity of all scales. Data were analyzed using percentage, mean, standard deviation, independent samples t-test, One-way ANOVA, Pearson product-moment correlation, and stepwise regression analysis. Results showed that (1) the standardized score in total caregiving burden was 50.72, indicating a medium level of burden; (2) location of study subject recruitment, age, disease diagnosis, and physical activity function of patients existed significant differences with total caregiving burden; (3) the relationship with patient, self-perceived health status, and religion of caregivers showed significant differences with total caregiving burden; (4) the standardized score in social support of caregivers was 52.63, indicating a medium level of burden; the less social support the caregivers had, the more total caregiving burden they had (r = -.610, p < .01); (5) the standardized score in self-care efficacy of caregivers was 74.40, indicating a medium high level of burden; the better self-care efficacy the caregivers had, the less total caregiving burden they had (r = -.436, p < .01); (6) the standardized score in self-perceived symptom distress of caregivers was 37.40, indicating a medium low level of burden; the more severe symptom distress in patient the caregivers perceived, the more total caregiving burden they had (r = .555, p < .01); (7) the standardized score in fear of death of caregivers was 64.39, indicating a medium high level of burden ; the more fear of death the caregivers had, the more total caregiving burden they had (r = .460, p < .01); (8) social support, self-perceived symptom distress in patient, self-perceived health status, location of study subject recruitment, fear of death, and relationship with patient were the most important explanatory factors for total caregiving burden, which explained 63.8% of the variation.
"Laboratory-derived, Coded Communicative Behaviors among Individuals with Cancer and their Caregiving Partners." Master's thesis, 2020. http://hdl.handle.net/2286/R.I.57394.
Повний текст джерелаDissertation/Thesis
Masters Thesis Counseling Psychology 2020
Shepherd, Erin Jennifer Watt. "Caring for the child who has completed treatment for cancer: the lived experience of parents who do not live near their child's tertiary cancer centre." 2010. http://hdl.handle.net/1993/4060.
Повний текст джерелаSwift, Darci L. "Families of children with cancer caregiving and family demands, family hardiness, and parental coping /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/29420250.html.
Повний текст джерелаTypescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 68-74).
Yang, Hsiao-Wen, and 楊曉雯. "Factors associated with caregiving appraisal by primary caregivers of terminal ill cancer patients in hospice." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/26499078276207529337.
Повний текст джерела中國醫藥大學
醫務管理學研究所
96
Objectives:Although the number of terminal cancer patients increases year by year, few researchers have discussed caregivers’ burden in dealing with terminal cancer patients in palliative hospitals. Much research has discussed the subjective of caregiving subjective burden, but hasn’t measured the impact of caregiving, the levels of caregiving mastery, and satisfaction during caregiving. The purpose of this study was to measure caregiving appraisal and to find important factors in those who cared for terminal cancer patients in palliative hospitals. Methods:A cross-sectional survey was used to collect data by face to face interview from a convenience sampling of 72 caregivers who cared for terminal cancer patients in palliative hospitals. Questionnaires was interpreted from Lawton, published in 1989. The data was gathered from November 2007 to June 2008. The statistical analysis methods included descriptive statistics, independent t test, one way ANOVA, and stepwise multiple regression analysis. Results:Caregivers who cared for terminal cancer patients were agreeable to “caregiving satisfaction” and “caregiving mastery” than “subjective caregiving burden” and “impact of caregiving” for each domain of caregiving appraisal. The results found that it was higher scroes in positive caregiving experiences than in negative caregiving experiences for caregiving appraisal of caregivers. A stepwise multiple regression analysis indicated that predict variables included fatigue, diarrhea, edema, and Karnofsky Performance Scale(KPS) in patient’s characteristic aspect. In caregiver’s characteristic predict variables included education, relationship with patient, changing occupation, and other diseases. Conclusions:The findings of this study provide clinical nurses with an evidence basis while helping primary caregivers of cancer patients to make referrals of Taiwan’s palliative care models in the future. The results help multidisciplinary teams promote and maintain caregivers’ quality of life.
Olson, Rebecca Eileen. "Time to Feel: Understanding Cancer Carers: Emotions and Support Preferences." Phd thesis, 2010. http://hdl.handle.net/1885/8894.
Повний текст джерелаDworzanowski-Venter, Bronwyn Joan. "Emotional labour, black men and caregiving: cases from South Africa (1850-2010)." Thesis, 2013. http://hdl.handle.net/10210/8298.
Повний текст джерелаReid and Walker (2005) suggest that black South African men are ‘behaving differently’. Added to this Budlender (2008) has found that South African men are more likely to engage in unpaid community care work than conventional wisdom suggests. Part of this community work involves black men acting as AIDS caregivers. It is imperative to gain knowledge about masculine caregivers as the informal health care sector bears the brunt of the HIV pandemic. The fragmented and over-burdened public health system simply cannot absorb the 15-20% of HIV infected South Africans. Coovadia et.al. (2009) point to a lacuna in the scholarship regarding community health workers (CHW) in South Africa. My study of black masculine caregivers, located in the world of informal AIDS care, hopes to fill this gap. Yet, I do something more for I tackle the conventional wisdom that suggests South African men are different and exceptional if they conduct feminised care work. The emotions involved in care processes are the basis upon which society may feminise care work. My argument is also premised upon forging links between the past and the present. As such, I focus upon determining the extent to which emotional labour that may be exhibited by historical and contemporary black men. I make use of W.E.B. Du Bois’ (1903) notion of double-consciousness to show how the normalising society, surrounding masculine care, impacts this category of black men. In so doing, I not only forge links between past and present by means of doubleconsciousness, but I perform an intersectional analysis of emotional labour, and the context, in which it occurs. In so doing, I show how double-consciousness is an intersectionally-forged mechanism for Foucault’s (1978) biopower, and one that has become reinvented in present day South Africa. In this way I augment the works of Du Bois (1903) and Foucault (1978) for both did not give primacy to gender as a construct. It is essentially this view of black men, involved in AIDS care that contributes to the originality of this work. This historical-sociological investigation relied upon the linking of cases. I conducted historical research upon two cases: ‘houseboys’ in colonial Natal (1850 – 1928) and mine hospital ‘ward boys’ (1931 – 1959). Contemporary cases were constructed to reflect the world of AIDS and cancer care. The 13 original cases were compressed into seven case categories and based on triangulated survey and interview data (29 AIDS and 18 cancer caregivers were interviewed; while 195 community workers involved in AIDS care were surveyed in 2005/6; follow-up interviews were conducted with 11 caregivers across all case categories in 2010).
Witchard, Alison Monique. "The operations of the familial body: genes, family and hereditary cancer." Phd thesis, 2017. http://hdl.handle.net/1885/131790.
Повний текст джерелаSalvador, Ágata Cristiana Morgado. "Parent's perceptions about their chil's illness in pediatric cancer: links with caregiving burden and quality of life." Master's thesis, 2014. http://hdl.handle.net/10316/25697.
Повний текст джерелаO presente estudo teve por objetivo contribuir para a compreensão da qualidade de vida em pais de crianças com cancro.Especificamente, esta investigação examinou o papel das perceções dos pais acerca da doença em termos de gravidade e interferência na vida da criança na sua própria qualidade de vida (QdV) de forma direta e indireta através da sobrecarga percebida. Pretendeu-se ainda examinar se as referidas associações entre as variáveis em estudo diferiam de acordo com a fase de tratamento da criança. A amostra do presente estudo transversal foi constituída por 277 pais de crianças ou adolescentes com diagnóstico de cancro, divididos em dois grupos clínicos: 126 pais de crianças em tratamento e 151 pais de crianças fora de tratamento. Os participantes preencheram questionários de auto-resposta que avaliaram as suas perceções da gravidade e interferência da doença na vida da criança, a sua sobrecarga e sua QdV. A informação relativa ao diagnóstico, condição e intensidade de tratamento foi reportada pelo oncologista pediátrico que acompanhava a criança. Os resultados mostraram que os pais de crianças em tratamento reportavam perceções mais negativas acerca da doença (gravidade e interferência na vida da criança), níveis mais elevados de sobrecarga e pior QdV, quando comparados com os pais de crianças fora de tratamento. Para ambos os grupos, apenas a perceção de interferência da doença na vida da criança se mostrou negativamente associada à QdV. Por sua vez, a associação entre a perceção de gravidade e QdV não se mostrou significativa. Adicionalmente, as perceções dos pais acerca da doença (gravidade e interferência) mostraram estar negativamente associadas à QdV por meio da sobrecarga. Por fim, a associação entre a sobrecarga e a QdV foi moderada pela condição de tratamento, com associações mais fortes encontradas para os pais de crianças em tratamento. Os resultados deste estudo reforçam a relevância da investigação e intervenção com famílias no contexto do cancro pediátrico, no sentido de identificar as necessidades específicas dos pais em diferentes fases de tratamento, promover a sua adaptação nesta situação de adversidade e, consequentemente, promover também o bem-estar das próprias crianças.
This study examined the direct and indirect links, via the caregiving burden, between parents’ perceptions about the severity of their child’s illness and its interference in his or her life and the parents’ quality of life (QoL). The participants were 277 parents of children with malignant cancer, divided into two clinical groups according to treatment status: 126 parents of children on-treatment and 151 parents of children off-treatment. Self-reported questionnaires assessed parents’ perceptions of illness severity and interference in the child’s life, caregiving burden and QoL. Pediatric oncologists provided information about diagnosis, treatment status and intensity. Parents of children on-treatment reported more negative perceptions about the illness (severity and interference), higher levels of caregiving burden and worse QoL, when compared to parents of children off-treatment. Furthermore, parents’ perceptions about their child’s illness (severity and interference) were negatively linked to parents’ QoL through caregiving burden. Additionally, the link between caregiving burden and parents’ QoL was moderated by child treatment status, with stronger associations found for parents of children on-treatment. This study’s findings are discussed in terms of their relevant implications for intervention with families in the pediatric cancer context.
Chen, Yu-Yeh, and 陳玉葉. "The relationships between caregiving tasks loads,difficulties and caregiver burden for home care of terminal cancer patients." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/33623079296151230080.
Повний текст джерела輔英科技大學
護理系碩士班
95
Recently, for the last several years, the medical care system in Taiwan has focused on promoting home care for terminal cancer patients. However, home caregivers are facing many difficulties and stresses. The purpose of this study is to explore caregiving tasks, difficulties, caregiver burden, and related factors for home care of terminal cancer patients. A cross-sectional correlation research design was used in this study. Using purposive sampling, 110 home caregivers for terminal cancer patients were selected from a southern Taiwan medical center. The data was gathered using a structured questionnaire interview. Measures used in this study include ECOG Performance status, Barthel Index, Symptom Distress Scale, the caregiving tasks scale, and the caregiver burden scale. As a result, it is reported that assisting in transportation causes the most workload, offering information about cancer is the most difficult, and psychological strain results in the highest burden. In addition, younger and more educated caregivers have the larger care workload. Level of patient dependency, symptom distress, caregivers’ educational levels and caring hours per day explained 53.5% of the variance for caregiving tasks. Patients in the terminal stage period who are expected to live greater than 12 months, are more difficult than those who are expected to live in the terminal stage period equal to or less than 6 months. The significant difference is in the difficulty of offering information about the cancer(U=406.0,p= .046). The predicted factors for difficulty of caregiving tasks are patients’ dependency, symptom distress and caregivers’ age, which can only explain 23.7% of the variance. The caregivers burden was correlated with the caregiving tasks(r= .48,p= .000)and with the difficulty of caregiving tasks(r= .66,p= .000). The longer the period of care, the higher the burden of physical and personal time. The predicted factors of caregiver burden are the difficulty of caregiving tasks, caregiving tasks and times of care, which can explain 55% of the variance. The results of this study reveal that health professionals should understand the effect of caregiving tasks, difficulties and caregivers’ burdens on their physical and psychological stresses. Furthermore, future research by health professional could explore nursing intervention to develop ways to improve the care-giving difficulty situation and decrease caregivers’ stresses.
Hu, Lin-Jean, and 胡綾真. "The Caregiving Burden、Depression and Quality of Life of Primary Caregivers of Metastatic Cancer Patients Receiving Home Care." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/42396508227927244283.
Повний текст джерела長庚大學
護理學研究所
87
The purpose of this study was to (1) describe the change of caregivers'' burden, depression and quality of life during the 4 weeks following hospital discharge; (2) to examine the relationship of patient, caregiver and home care characteristics to caregivers'' burden, depression and quality of life over time; and (3) to determine the relationship between caregivers'' burden, depression and quality of life. Data were collected through longitudinal correlation survey. A convenience sample of forty-one family caregivers of cancer patients from a medical center of northern Taiwan was obtained. The Caregiver Strain Index (CSI) , the Center for Epidemiological Studies of Depression (CES-D) and Caregiver Quality of Life Index (CQOL) were administered within 48 hours of discharging to hospital (T0) and 1, 2 and 4 weeks post-discharge (T1-T3). Patients'' symptom distress and functional status, caregivers'' depression and quality of life remained stable from discharging to week 4. The mean score of caregivers'' burden at discharging was higher than that of week 1, 2 and 4. Patients'' symptom distress and functional status, caregivers'' job and income change, daily caring hours had significant effect on caregivers'' burden, depression and quality of life. Higher levels of caregivers'' burden was associated with higher levels of caregivers'' depression and lower levels of quality of life. The findings suggest that the changes of life before and after taking care of patient may be the main reason for increasing caregivers'' burden, depression and decreasing quality of life.
CHIU, YA-RING, and 邱雅鈴. "The Association Between Caregiving Burden,Depression,And Quality Of Life Of Primary Caregivers For Advanced Liver Cancer Patients." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/vnd32x.
Повний текст джерела長庚科技大學
健康照護研究所
106
Caregiver burden has been an important issue that it would affect the role of caregiver and caregiving quality. In this study, we included primary caregivers of intermediate to advanced liver cancer patients from a gastroenterology ward of medical center in northern Taiwan. Structured questionnaires, including Caregiver Reaction Assessment (CRA), Center for Epidemiology Studies Depression (CES-D), Taiwan concise version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), and basic data of the primary caregivers and their patients were used to evaluate the relationship between burden, depressive symptom and quality of life (QOL) in total 116 respondents. Descriptive and inferential statistical methods used in this study include student t-test and one-way ANOVA, Pearson correlation and stepwise multiple regression analysis. The result revealed that caregivers were mostly women (62.9%) who were married (69.8%) and aged between 20 and 76 (Avg. = 48.17) with more than 8 hours of caregiving per day (47.7%). The average overall burden score of primary caregivers was 77.13 (SD= 8.44), with the highest burden level of health impact followed by financial impact, schedule impact and family impact. The burden of primary caregivers is related to overall QOL, social category, environmental category and especially physiological category. The higher the overall caregiver burden, the worse the QOL. The average overall depression score was 19.22 (SD= 9.17). Sixty-four point six percent of caregivers suffered from depressive symptom (CES-D score >16), and 46.6% of them experienced mild depression. The average score of overall QOL was 44.32 (SD= 7.52). In summary, depressive symptom of caregiver was significantly associated with QOL in every aspect, including physiological, psychological, social, environmental category and overall QOL. It is recommended to provide primary caregivers supporting measures in order to reduce burden and improve caregiving quality. Key Words:Advanced Liver Cancer, Primary Caregiver, Caregiving Burden, Depression, Quality of Life
"The Contradictions of Caregiving, Loss, and Grief during Emerging Adulthood: An Autoethnography and Qualitative Content Analysis." Master's thesis, 2010. http://hdl.handle.net/2286/R.I.8788.
Повний текст джерелаDissertation/Thesis
M.A. Communication 2010
Liao, Chin Yun, and 廖謹筠. "The Relations among Positive Aspects of Caregiving, Posttraumatic growth and Stress Coping Process in Female Head and Neck Cancer Family Caregivers." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/57275424565671187871.
Повний текст джерела長庚大學
職能治療學系
101
This article aims to explore the influence of positive aspects of caregiving (positive care experience) and posttraumatic growth of head and neck cancer female caregivers toward stress, coping style and quality of life. In addition, the relationships among pressure, coping style and quality of life are also studied. In this study, 123 primary female caregivers of head and neck cancer patients are recruited to complete questionnaire surveys. The returned questionnaires were analyzed by means of descriptive statistics analysis, reliability analysis, correlation analysis, t test, analysis of variance, structural equation modeling, hierarchy regression analysis, and stepwise regression analysis. The study results show that: (1) During coping with stress, female caregivers use approach coping and avoidance coping to relieve it. The more the use of approach coping, the effect of reducing the impact of stress on quality of life is more obvious. However, the impact of using avoidance coping is not significant. (2)The posttraumatic growth of female caregivers has significant positive influence to approach coping and avoidance coping. That is, the more the posttraumatic growth of female caregivers, the more approach coping and avoidance coping are used to alleviate their pressure. (3) Positive care experience and pressure feelings are important variables for predicting the life quality of female caregivers. (4) Female caregivers’ economic burden and mental load related to disease have significant negative influence to quality of life; the self of posttraumatic growth and life aspects of positive care experience have significant positive influence to quality of life. (5) In the influence of caregivers’ pressure versus quality of life, the intermediary effect of approach coping is significant. From these study results, we know that in the process of coping pressure generated from head and neck cancer female caregivers, coping, positive care experience and posttraumatic growth play important roles. Therefore, clinical practice in the future, except medical assistance, the focus on the positive psychological development of female caregivers can also improve their quality of life.
Chang, Tzu-Ting, and 張紫婷. "Development and initial evaluation of reliability and validity of the Caregiving Self-Efficacy of Family Caregiver in Taiwanese Outpatients with Oral Cancer." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/q5gr68.
Повний текст джерела國立臺北護理健康大學
護理研究所
105
In recent years, the number of deaths resulted from oral cancer has a significant increase. The disease ranked No.5 of the top ten cancer deaths in 2010 and the number of deaths of males is twice more than females. The factors resulted from this cancer include smoking, drinking, betel nut chewing, etc. The image of the patient is damaged but to the change of the facial structure, and the oral functions such as speaking, swallowing, and chewing are affected. The patient also has a sense of uncertainty due to side effects of treatment about the development of the disease, which has a considerable degree of psychological impact. When the patient is discharged from the hospital, the heavy responsibility of caring relies entirely on the family. Although traditional education strategies can improve the knowledge and attitude of the patient and caregiver, they fail to enhance their judgment on the matter or problem-solving behavior. Therefore, whether the main caregiver has the ability and confidence in caring the patient well or not is the issue to be treated seriously. Bandura (1997) suggested that beliefs would affect an individual's health behavior. When people face difficult situations, self-efficacy beliefs affect the extent and duration of personal effort. In addition, self-efficacy measurements need to be specific as correct measurement so that results can be obtained only when different self-efficacy scales were used to measure different health care behaviors. Therefore, the purpose of this study is to develop and evaluate the "caregiving self-efficacy scale for care of patients with oral cancer" and to test reliability and validity of this scale. The study was divided into two stages. In the first stage, the initial scale with 28 items in 6 major dimensions are based on the findings of the qualitative research by Liang (2013) and the results of the literatures for the family members of oral cancer patients, which went through expert validity test by the five experts, the CVI value is 0.93 to 0.97. Thirty research subjects were collected as the objects of study. The test-retest reliability of the caregiving self-efficacy scale used after two weeks was tested with Pearson's plot of the correlation coefficient. The original scale total score and the re-measured scale total score were highly correlated (r = .83, p <.001). In the second stage, the samples were collected from 107 caregivers of patients with oral cancer. Item analysis and factor analysis were used to analyse the data. For the factor load, 0.45 was taken as the breakpoint and the four factors were extracted. Three items were deleted for not meeting the standard, and finally 25 items were retained, of which the factor load was higher than 0.45. Four factors together explained 71.33% of the variance of the caregiving self-efficacy scale, showing the scale developed by this study to have good construction validity. The four factors were re-named as "dealing with patients’ sudden and uncertain circumstances", "issue of access to resource handling ", "issues of eating handling and attitudes" and "exploration and decision-making on patient care " based on the test results and items content for further analysis of the correlation between the subscale and the total score. The results showed that total scale of the caregiving self-efficacy scale was highly correlated with each of the scales (r = 0.807 ~ 0.929). There was also a high positive correlation among the subscales (r = 0.667 ~ 0.803). Therefore, the scale of developed by this study is a single dimension one and can be used as the evaluation tool of the self-efficacy ofcaregivers of patients with oral cancer. This scale helps health professionals to understanding the degree of self-confidence of the caregivers in the care of oral cancer patients. As well, this scale can be a care guidance that can be reinforced for the items with lower scores to enhance self-confidence of the families in caring the patients for improved care quality. There is not yet a belief assessment tool for the care abilitiy of the caregivers of patients with oral cancer both home and abroad. It is recommended that future research can conduct a confirmatory analysis to re-verify the reliability and validity of this scale.
YUAN, JUNG-HUA, and 苑容華. "The experience of early adulthood’s in caring their mothers with cancer in the terminal stage – the balance of individual development and caregiving responsibility." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8jtg8m.
Повний текст джерела輔仁大學
兒童與家庭學系碩士班
107
Thesis Title: The experience of early adulthood’s in caring their mothers with cancer in the terminal stage-the balance of individual development and caregiving responsibility. The origin of this research came from my own experience. When my mother suffered cancer, I served as the primary caregiver. At that time, I was ready to show my talent and stepped on the dream journey but all original plans were stopped due to taking care of my mother. For me who is in state of pre-adulthood, what a torment and contradiction! Hence, I begin to be concerned with people who have the same experience as mine and hope to know whether they faced the same unfavorable as mine. Therefore, the research journey begins with this curiosity. This research takes the qualitative research method and collects the information via deep interview. There is total one research participant who accepts the interview and also refers to the experience from the researcher herself. During my research, I find Jane consider that her younger brother will be more inconvenient to take care of their mother so she actively takes as the primary caregiver. In this decision, she doesnt think over self-feeling a bit but only take her mother as priority. For the three categories (Career planning, Peer relationship, Intimate relationship) of personal development, career planning is the most emphasized; then, the care responsibility could be demarcate as primary caregiver, economic supplier, coordinator, the person who takes responsibility to condense. If putting the personal development and the care responsibility on the scale, the care responsibility is tremendously more important than the personal development. Next, this research shows the corresponding experience and difference between the researcher and Jane. We are in the similar background but the behind reason unexpectedly exists extremely discrepancy. However, the discrepancy comes from our own different personal believe. Jane focuses on the family. If the family could be complete with happiness, to put her in the last position is acceptable. But I take myself as first consideration and afraid to marked on the unfilial label. In additionally, the researcher found filial piety imperceptibly influences both of Jane and me indeed. Our devotion for our mother also stands for taking a part of filial. Yet, the relationship between my families and I and between Jane and her families are gradually changed with different period. For Jane, the family relationship is constantly in close and even closer status. Only when her mother passes away, it causes temporarily become alienated. On the contrary, my family relationship has more variability. From pre-cancerous to pos-carcinoma, the family relationship change from having slight connection to close but along with passing away of my mother, the quarrel makes my father, my second elder brother and I alienated. None the less, the talk with my first elder brother and elder sister during the mourning period, it pulls each other to become closer. Keyword: Pre-adulthood daughter, personal development, cares responsibility.
Adams, Rebecca Nichole. "Do health behaviors mediate the relationships between loneliness and health outcomes in caregivers of cancer patients?" Thesis, 2013. http://hdl.handle.net/1805/3649.
Повний текст джерелаGreater levels of loneliness have shown consistent associations with poorer mental and physical health; however, the reason for these relationships is unknown. Engagement in poorer health behaviors among individuals with higher levels of loneliness is one potential explanation for this relationship. Self-regulation theory suggests that coping with feelings of loneliness may impair attempts to control health behaviors. Caregivers of cancer patients have been found to have poor health behaviors (e.g., inadequate exercise) and high levels of loneliness. Thus, the aim of the study is to examine whether health behaviors mediate the relationships between loneliness and mental and physical health outcomes among caregivers of cancer patients. Methods: A secondary data analysis was conducted using data from a longitudinal study of cancer patients and their family caregivers who were staying at the American Cancer Society’s Hope Lodge. Participants completed self-report questionnaires measuring levels of loneliness, engagement in health behaviors (i.e., exercise and fruit and vegetable consumption), mental and physical health, and demographic and medical characteristics at three time points over a 4-month period. A bootstrapping macro was used to examine the indirect effect of loneliness on mental and physical health via health behaviors. Results: Contrary to hypotheses, exercise and fruit and vegetable consumption did not mediate the relationships between loneliness and physical and mental health among cancer patients’ caregivers. Additional research is needed to determine whether health behaviors partially account for the relationships between loneliness and health outcomes or whether alternate explanations for these relationships should be considered.
Allard, Emilie. "Un modèle du processus de préparation à la perte d’un conjoint : une théorisation ancrée constructiviste auprès de conjointes de personnes vivant avec un cancer." Thèse, 2018. http://hdl.handle.net/1866/22587.
Повний текст джерела