lIFE QUALITY OF CAREGIVERS WHO ARE RELATIVES OF PATIENTS WITH TERMINAL DISEASES, PARTICIPATING IN A HOME-PALLIATIVE CARE PROGRAM

Authors

  • Silvia Mercedes Coca Universidad de la Sierra Sur

DOI:

https://doi.org/10.31052/1853.1180.v21.n3.17386

Keywords:

Life quality, End-Stage Care, Palliative Care, Palliative Medicine

Abstract

Abstract: Introduction: Life quality of caregivers of patients in end stage diseases can be seriously affected. Some authors state that spouses of patients with terminal diseases can spend up to 100 hours a week taking care of them; this situation may damage the physical and psychosocial health of the caregiver as well as their spiritual wellbeing. This dimension is extremely important to manage the care of patients with terminal diseases in an integral way. Objective: To analyze the life quality of caregivers, relatives of patients with terminal diseases, under a program of home-palliative care depending from a private hospital in the city of Cordoba in the period December 2015- April 2017. Methodology: A descriptive cross-sectional study was carried out in caregivers, relatives of patients registered in the Home Care Program, depending from “Hospital Privado” of Cordoba. No probability sampling of 310 patients and their relative caregivers was used. SF-36 was the instrument applied to measure life quality related to health. Exploratory descriptive analysis and multivariate inferential models were used. Results:The identified profile is a woman, over 60 years old, patient’s wife or daughter who, on average, takes care of the patient for a year. Caregivers over 60 are less aware of life quality than caregivers under 60 in the following dimensions: physical role, vitality, pain, general health, physical function and finally in the two essential components of the scale: physical and mental. Conclusion: It can be stated that independently of the disease and the time the patient can be under home care, the age of caregivers (over 60 years old) is and important factor that affects the dimensions of life quality mentioned above.

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Author Biography

  • Silvia Mercedes Coca, Universidad de la Sierra Sur

    Instituto de Investigacion sobre la Salud Pública, Licenciatura en Enfermería.

    Docente investigador, asociado B

References

1. Tejeda Dilou Y. La familia como agente terapéutico en los cuidados paliativos. MEDISAN. 2011; 15(2): 197-203.

2. Figueredo Villa K. Cuidados paliativos: una opción vital para pacientes con cáncer de mama. Rev haban cienc méd 2008;7(4).

3. Fonseca J, Rebelo T. Necessidades de cuidados de enfermagem do cuidador da pessoa sob cuidados paliativos. Rev. bras. enferm. 2011; 64(1): 180-184.

4. Grant M. Family Caregiver Burden, Skills Preparedness, and Quality of Life in Non-Small-Cell Lung Cancer. Oncol Nurs Forum. 2013 July 1; 40(4): 337–346.

5. Monis C. Sobrecarga do cuidador informal. Informar 2005; 11(35): 49-56.

6. Tallman K, Greenwald R, Reidenouer A, Pantel L. Living With Advanced Illness: Longitudinal Study of Patient, Family, and Caregiver Needs. Perm J. 2012; 16(3).

7. Haley W, LaMonde L, Han B, Narramore S, Schonwetter R. Family caregiving in hospice: effects on psychological and health functioning among spousal caregivers of hospice patients with lung cancer or dementia. Hosp J. 2001; 15(4):1-18.

8. González Pérez U. El concepto de calidad de vida y la evolución de los paradigmas de las ciencias de la salud. Rev Cubana Salud Pública. 2002; 28(2).

9. Fitzpatrick R, Fletcher A, Gore S, Jones D, Spiegelhalter D, Cox D. Quality of life measures in health care. I: Applications and issues in assessment. British Medical Journal. 1992; 305, 1074–1077.

10. Zubritsky C, Abbott K, Hirschman K, Bowles K, Foust J, Naylor M. Health-related Quality of Life: Expanding a Conceptual Framework to Include Older Adults Who Receive Long-term Services and Supports. The Gerontologist. 2012; 53(2): 205–210

11. Muñoz Cobos F, Espinosa Almendro J, Portillo Strempel J, Rodríguez González G. La familia en la enfermedad terminal. Medicina de Familia. 2002; 3(3).

12. Hebert R, Arnold R, Schulz R. Improving Well-Being in Caregivers of Terminally Ill Patients. Making the Case for Patient Suffering as a Focus for Intervention Research J Pain Symptom Manage. 2007; 34(5): 539–546.

13. UK Department of Health: End of Life Care Strategy: Quality Markers and Measures for End of Life Care. London: Department of Health; 2009.

14. Cabrera C. Perfil del cuidador principal del enfermo atendido por equipos de cuidados paliativos. Medicina paliativa. 2000; 7(4).

15. Luxardo, N. Perfil de cuidadores de enfermos en cuidados paliativos. Medicina Bs As. 2009; 69(5):519-525.

16. Ware J, Sherbourne C. The MOS 36-item Short-Form Health-Survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30:473-483.

17. Alonso J, Prieto L, Antó J. La versión española del SF-36 Health Survey (Cuestionario de Slaud SF-36): Un instrumento para la medida de los resultados clínicos. Med clin 1995; 104:771-776.

18. Ware J. SF-36 Physical and Mental Health Summary Scales: A user’s manual. Boston: The Health Institute, New England Medical Center, 1994.

19. IMSERSO. Situación y evolución del apoyo informal a los mayores en España. Informe de resultados. Instituto de Mayores y Servicios Sociales. 2004. Disponible en: http://www.imsersomayores.csic.es

20. López Gil M, Orueta Sánchez R, Gómez Caro S, Sánchez Oropesa A, Cormona de la Morera J, Alonso Moreno F. El rol de Cuidador de personas dependientes y sus repercusiones sobre su calidad de Vida y su Salud. Revista Clínica Medicina Familiar. 2009; 2(7): 332-334.

21. Moreno Gaviño L, Bernabeu W, Álvarez Tellob M, Rincón Gómeza M, Bohórquez Colombo M, Cassani Garzaa P, Ollero Baturonea M, García Morilloa M. Sobrecarga sentida por la figura del cuidador principal en una cohorte de pacientes pluripatológicos. Atención Primaria. 2008; 40(4):193-198.

22. Esandi N, Nolan M, Alfaro C, Canga-Armayor A. Keeping Things in Balance: Family Experiences of Living With Alzheimer's Disease. Gerontologist. 2017 Jun 15.

23. Dueñas E, Martínez M, Morales B, Muñoz C, Viáfara A, Herrera J. Síndrome del cuidador de adultos mayores discapacitados y sus implicaciones psicosociales. Colomb Med 2006;37(2, Supl.1):31-8.

24. Wawrziczny E, Berna G, Ducharme F, Kergoat MJ, Pasquier F, Antoine P. Characteristics of the spouse caregiving experience: Comparison between early- and late-onset dementia. Aging Ment Health. 2017 Jun 20:1-9..

25. Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA 1999; 282:2215-2219.

26. Benavides O, Alburquerque D, Chaná-Cuevas P. Evaluación de la sobrecarga en los cuidadores de los pacientes con enfermedad de Parkinson ambulatorios y sus factores de riesgo. Rev. méd. Chile. 2013; 141( 3 ): 320-326.

27. Seven M, Yilmaz S, Sahin E, Akyüz A. Evaluation of the Quality of Life of Caregivers in Gynecological Cancer Patients. JCancEduc. 2014; 29(2):325-32

28. Glajchen M. Physical well-being of oncology caregivers: an important quality-of-life domain. Semin Oncol Nurs. 2012; 28(4):226–235

29. Wadhwa D, Burman D, Swami N. Quality of life and mental health in caregivers of outpatients with advanced cancer. Psychooncology. 2013; 22:403–410

30. Northouse L, Katapodi M, Schafenacker A, Weiss D. The impact of caregiving on the psychological well-being of family caregivers and cancer patients. Semin Oncol Nurs. 2012; 28(4):236–245

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Published

2017-12-15

Issue

Section

Scientific Articles

How to Cite

1.
lIFE QUALITY OF CAREGIVERS WHO ARE RELATIVES OF PATIENTS WITH TERMINAL DISEASES, PARTICIPATING IN A HOME-PALLIATIVE CARE PROGRAM. Rev. Salud Pública (Córdoba) [Internet]. 2017 Dec. 15 [cited 2024 Dec. 18];21(3):22-34. Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/17386