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ISSN 1405-8871 (Print)

2022, Number 2

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Aten Fam 2022; 29 (2)

Overload of the Primary Caregiver of Patients with Terminal Cancer

Soriano-Ursúa IG, Castrejón-Salgado R, Ávila-Jiménez L, León-Mazón MA, Toledano-Jaimes CD, Albavera-Hernández C, Medina-Galicia CN, Espín-Paredes E

Language: Spanish
References: 23
Page: 85-90
PDF size: 143.81 Kb.


ABSTRACT

Objective: to identify associated factors and level of primary caregiver overload in patients with terminal cancer. Methods: cross-sectional analytical study, 151 primary caregivers of patients with terminal cancer were assessed, from May to November 2018, attending the Regional General Hospital No. 1 with Family Medicine of the Mexican Institute of Social Security in Cuernavaca, Morelos, Mexico. Overload was assessed using the Zarit Scale. Frequencies, percentages, medians and limits were calculated for the analysis. Variables were compared using the χ2 or Fisher’s exact and the statistical Mann-Whitney U test. Inferential statistics were performed by fitting a logistic regression model. Results: 33.77% of the primary caregivers had overload. Urologic and gynecologic cancer were related to greater overload of the caregiver. In the multivariate analysis it was found that when the primary caregiver is a child, the possibility of overburden increases 4.45 times more, as well as the fact of being a second and third degree relative (4.37 times); basic-high school and bachelor’s degree schooling reduce the possibility of overburden by 89% and 93%, respectively. Conclusions: a significant number of primary caregivers presented overload, the associated factor was kinship, such overburden decreases when there is a higher academic preparation.


REFERENCES

  1. Organizacion Mundial de la Salud. Cancer: Datos y cifras Ginebra: 2021. [Internet]. [Citado 2021 Nov 22]. Disponible en: https://www.who.int/es/newsroom/ fact-sheets/detail/cancer

  2. Caqueo-Urízar A, Segovia-Lagos P, Urrutia-Urritia U, Castillo C, Navarro-Lechuga E. Impacto de la relación de ayuda de cuidadores primarios en la calidad de vida de pacientes con cáncer avanzado. Psicooncología. 2013;10(1)(1696-7240):95-108.

  3. International Agency for Research on Cancer. Cancer Today Francia 2020 [Internet]. [Citado 2021 Nov 22]. Disponible en: https://gco.iarc.fr/today/home

  4. Instituto Nacional de Estadística y Geografía. Estadísticas a propósito del día mundial contra el Cáncer. [Internet]. [Citado 2021 Nov 22]. Disponible en: https://www.inegi.org.mx/contenidos/ saladeprensa/aproposito/2021/cancer2021_Nal. pdf

  5. Areia NP, Fonseca G, Major S, Relvas AP. Psychological morbidity in family caregivers of people living with terminal cancer: Prevalence and predictors. Palliative & supportive care. 2019;17(3):286-93.

  6. Palacio C, Krikorian A, Limonero JT. The influence of psychological factors on the burden of caregivers of patients with advanced cancer: Resiliency and caregiver burden. Palliative & supportive care. 2018;16(3):269-77.

  7. Galindo-Vázquez Ó, Meneses-Garcia A, Herrera- Gomez A, Caballero-Tinoco MdR, Aguilar-Ponce J. Escala Hospitalaria de Ansiedad y Depresión (HADS) en cuidadores primarios informales de pacientes con cáncer: propiedades psicométricas. Psicooncología. 2015;10(2-3):383-292.

  8. Maltby KF, Sanderson CR, Lobb EA, Phillips JL. Sleep disturbances in caregivers of patients with advanced cancer: A systematic review. Palliative and Supportive Care. 2017;15(1):125-40.

  9. St-Onge M, Lavoie F. The Experience of Caregiving Among Mothers of Adults Suffering from Psychotic Disorders: Factors Associated with Their Psychological Distress. American Journal of Community Psychology. 1997;25(1):73-94.

  10. Kim H-H, Kim S-Y, Kim J-M, Kim S-W, Shin I-S, Shim H-J, et al. Influence of caregiver personality on the burden of family caregivers of terminally ill cancer patients. Palliative and Supportive Care. 2016;14(1):5-12.

  11. Spatuzzi R, Giulietti MV, Ricciuti M, Merico F, Fabbietti P, Raucci L, et al. Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients. Palliative and Supportive Care. 2019;17(3):294-9.

  12. Covarrubias Gomez Alfredo et al. Atención paliativa al final de la vida. Corporativo Intermédica, Ciudad de México, 2014.

  13. Ramírez VJA. Validez de la Entrevista de Carga de Zarit en una muestra de cuidadores primarios informales. Psicología y salud. 2008;18:10-17.

  14. Aguilar-Navarro SG, Mimenza-Alvarado AJ, Palacios- García AA, Samudio-Cruz A, Gutiérrez-Gutiérrez LA, Ávila-Funes JA. Validez y confiabilidad del MoCA (Montreal Cognitive Assessment) para el tamizaje del deterioro cognoscitivo en México. Revista Colombiana de Psiquiatría. 2018;47(4):237-43.

  15. Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999;282(23):2215-9.

  16. Partida Bush V. La transición demográfica y el proceso de envejecimiento en México. Papeles de población. 2005;11:9-27.

  17. Arredondo Garcia J, Carranza Rodríguez N, Vázquez Cruz M. Transicion epidemiológica. Acta Pediatr Mex. 2003;24(1):46-56.

  18. Vera Bolaños M. Revisión crítica a la teoría de la transición epidemiológica. Papeles de población. 2000;6:179-206.

  19. Valencia M, Meza O, Peéez C, Cortés C, Hernández O, Hernández P. Factores que interviene en la sobrecarga del cuidador primario del paciente con cáncer. Rev Calid Asist. 2017;32(4):221-5.

  20. Akpan-Idiok PA, Anarado AN. Perceptions of burden of caregiving by informal caregivers of cancer patients attending University of Calabar Teaching Hospital, Calabar, Nigeria. Pan Afr Med J. 2014;18:159.

  21. Yeh PM, Chang Y. Use of Zarit Burden Interview in analysis of family caregivers’ perception among Taiwanese caring with hospitalized relatives. International journal of nursing practice. 2015;21(5):622-34.

  22. Gonzalez Guerra A, Fonseca Fernandez M, Valladares Gonzalez A, López Angulo L. Factores moduladores de resiliencia y sobrecarga en cuidadores principales de pacientes oncológicos avanzados. Revista Finlay. 2017;7:26-32.

  23. Chua CK, Wu JT, Wong YY, Qu L, Tan YY, Neo PS, et al. Caregiving and Its Resulting Effects-The Care Study to Evaluate the Effects of Caregiving on Caregivers of Patients with Advanced Cancer in Singapore. Cancers. 2016;8(11):105. Soriano-Ursúa IG y cols. Aten Fam. 2022;29(2):85-90. http://dx.doi.org/10.22201/fm.14058871p.2022.2.82030




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