Effect of instructional guidelines on perceived social support level and caregivers' burden of patients having colorectal cancer

https://doi.org/10.53730/ijhs.v6nS10.10522

Authors

  • Wafaa N Besely Assistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University
  • Fathia Khamis Kassem Assistant professor of community health nursing, Faculty of Nursing Alexandria University, Egypt & Associate professor, Faulty of Nursing, Public health department, King Abdul-Aziz University, Saudi Arabia
  • Mona Mohamed Samir Lecturer of Nursing Education Department, Faculty of Nursing, Cairo University, Egypt
  • Eman Mohammed Helmiey Elshafiae Fellow of Medical-Surgical Nursing, Student Hospital, Mansoura University, Egypt
  • Zeinab Hussein Bakr Assistant Professor of Medical-Surgical Nursing, faculty of nursing, Ain shams University
  • Manal Mohamed Ahmed Ayed Assistant Professor of Pediatric Nursing, Faculty of Nursing, Sohag University
  • Eman Abdelazeem Mohammed Yousef Lecturer of Medical Surgical Nursing, Ain Shams University

Keywords:

Burden, Caregivers, Instructional guidelines, Patients having colorectal cancer, perceived social support

Abstract

Background: Colorectal cancer is a major health risk globally and ranks among the top causes of morbidity and mortality among cancer patients. The adverse impact experienced by caregivers, such as cancer caring burden, reduced free time, and insufficient rest time, could bring both physical and psychological burdens to cancer caregivers. Therefore, the study aimed to evaluate the effect of instructional guidelines on perceived social support level and caregivers' burden of patients having colorectal cancer. Design: To carry out this study a quasi-experimental design (pre and post-test one group) was used. Setting: This study was conducted at oncology outpatient clinics at the oncology institution Sohag City. Subject: A convenient sample of 200 (100 colorectal cancer patients and 100 of their caregivers) were enrolled in the current study. Data collection tools: Tool I: Participants’ demographic and disease-related characteristics assessment sheet, Tool II: Caregiver's knowledge about colorectal cancer, Tool III: Caregivers' reported practices, Tool IV: Zarit Caregiver Burden Interview (ZBI), and Tool V: Multidimensional Scale of Perceived Social Support. Results: The current study showed that, following instructional guidelines implementation, knowledge, practices, caregiver burdens, and perceived social support ' mean scores were improved with statistically significantly differences. 

Downloads

Download data is not yet available.

References

Adib-Hajbaghery, M., & Ahmadi, B. (2019): Caregiver Burden and Its Associated Factors in Caregivers of Children and Adolescents with Chronic Conditions. International Journal of Community-Based Nursing and Midwifery, 7(4), 258.

Akpan-Idiok, PA., &Anarado, A. (2019): Perceptions of the burden of caregiving by informal caregivers of cancer patients attending the University of Calabar Teaching Hospital, Calabar, Nigeria. Pan Afr Med. J; 18:159. DOI: https://doi.org/10.11604/pamj.2014.18.159.2995

Almoshantaf, S. Swed, H. Alibrahim et al. (2022): “Knowledge of colorectal cancer among Syrians: a cross-sectional study,” International Journal of Medical Students, vol. 10, p. S232, 2022. DOI: https://doi.org/10.5195/ijms.2022.1822

Barber, F. (2013): Effects of social support on physical activity, self-efficacy, and quality of life in adult cancer survivors and their caregivers oncology. Nursing Forum, 40, 481-9. DOI: https://doi.org/10.1188/13.ONF.481-489

Beaver, K., Williamson, S., & Sutton, C. (2019): Comparing hospital and telephone follow-up for patients treated for Stage-I endometrial cancer (ENDCAT trial): A randomized, multicentre, non-inferiority trial. BJOG; 124: 150–160. DOI: https://doi.org/10.1111/1471-0528.14000

Belongacem, A. (2019): Studied" A Caregivers Educational Program Improves Quality of Life and Burden for Cancer Patients and Their Caregivers: A Randomized Clinical Trial.

Boostaneh, M., Zirak, M., & Fallah, R. (2021): Burden of Care and Its Relationship with Sleep Quality of Cancer Patients’ Caregivers. Research square; 1-15. DOI: https://doi.org/10.21203/rs.3.rs-839655/v1

Bradley, S. E., Sherwood, P. R., Kuo, J., Kammerer, C. M., Gettig, E. A., Ren, D., Donovan, H. S., Hricik, A., Newberry, A., & Given, B. (2019): Perceptions of economic hardship and emo- tional health in a pilot sample of family caregivers. Journal of Neuro-Oncology, 93(3), 333-342. [Crossref] DOI: https://doi.org/10.1007/s11060-008-9778-z

Chen, X., Wang, Z., Zhou, J., & Li, Q. (2022): Intervention and coping strategies for self-perceived burden of cancer patients: a systematic review. Asia Pac. J. Oncol. Nurs. 10:100231. doi: 10.1016/j.apjon.2023.100231 DOI: https://doi.org/10.1016/j.apjon.2023.100231

Chiou, C., Chang, H., Chen, P., & Wong, H. (2019): Social support and caregiving circumstances as predictors of caregiver burden in Taiwan. Arch Gerontol Geriat, 48, 419-24. DOI: https://doi.org/10.1016/j.archger.2008.04.001

Cooper, D., Powe, B., & Smith, T. (2013): Social support provided by and strain experienced by African-American cancer caregivers. Support Care Cancer, 21, 2719-25. DOI: https://doi.org/10.1007/s00520-013-1849-9

Daly, B. J., Douglas, S., Lipson, A., & Foley, H. (2019): Needs of older caregivers of patients with advanced cancer. Journal of the American Geriatric Society, 57, 293–295. [Crossref] DOI: https://doi.org/10.1111/j.1532-5415.2009.02516.x

De Lamaza., A. (2020): The Impact of A structured Educational Program for Caregivers of Children with Cancer on Parental Knowledge of The Disease and Clinical Outcomes”. DOI: https://doi.org/10.1111/ecc.13294

Demırtepe-Saygılı, D., & Bozo, Ö. (2021): Perceived social support as a moderator of the relationship between caregiver well-being indicators and psychological symptoms. J Health Psychol; 16(7):1091-100. https://doi. org/10.1177/135910531139948 DOI: https://doi.org/10.1177/1359105311399486

Dökmen ZY (2022). The relations between mental health and perceived social support of family caregivers. Ankara University J Institute Health Sci, 3, 3-37 (in Turkish).

Eker, D., Arkar, H., & Yaldiz, H. (2001): Reliability of revised form of the multidimensional scale of perceived social support. Turkish J Psychiatry, 12, 17-25 (in Turkish). DOI: https://doi.org/10.1037/t06536-000

El-Amin`n, O., EL-Sadingm., & Mohamed N. (2021): Knowledge, Attitudes, and Practices of Caregivers of Caregivers of Patients with Cancer in Sudan. Epilepsy &Behavior, 123, 108283. DOI: https://doi.org/10.1016/j.yebeh.2021.108283

Eliana L., Juliana F., Luiza H., Ana L., Sérgio J., Ilka L., & Bras P. (2019): "Caregiver Burden: The Burden of Caring for Lung Cancer Patients According to The Cancer Stage and Patient Quality of Life, Brazil" Jan-Feb; 43(1): 18–23. DOI: https://doi.org/10.1590/s1806-37562016000000177

Gabriel, I., Aluko, J., & Okeme, M. ( 2019): Caregiver Burden Among Informal Caregivers of Women with Breast Cancer. Biomed J Sci & Tech Res.; 15(3):11384-11392. DOI: https://doi.org/10.26717/BJSTR.2019.15.002704

Gok Metin, Z., Karadas, C., Balci, C., & Cankurtaran, M. (2019): The Perceived caregiver burden among Turkish fam- ily caregivers providing care for frail older adults. Journal of Transcultural Nursing, 30(3), 222-230. DOI: https://doi.org/10.1177/1043659618790041

Goldstein, N., Concato, J., & Fried, T. (2014): Factors associated with caregiver burden among caregivers of terminally ill patients with cancer. J Palliat Care, 20, 38-43. DOI: https://doi.org/10.1177/082585970402000108

Gray, T., Azizoddin, D., Nersesian, P. (2020): Loneliness among cancer caregivers: a narrative review. Palliative Supportive Care; 18(3):359–367. doi:10.1017/s1478951519000804 DOI: https://doi.org/10.1017/S1478951519000804

İnci, F. H., & Erdem, M. (2008): Validity and reliability of the Turkish version of the burden interview. Journal of Ataturk University School of Nursing, 11(4),85-95.

Jite, I., Adetunji, A., Folasire, A., Akinyemi, J., & Bello, S. (2021): Caregiver burden and associated factors amongst carers of women with advanced breast cancer attending a radiation oncology clinic in Nigeria. Afr J Prm Health Care Fam Med.; 13(1): a2812. DOI: https://doi.org/10.4102/phcfm.v13i1.2812

Kim, Y., Shaffer, K., Carver, C., Cannady, R. (2014): Prevalence and predictors of depressive symptoms among cancer caregivers 5 years after the relative’s cancer diagnosis. J Consulting Clin Psychol; 82(1):1–8. doi:10.1037/a0035116 DOI: https://doi.org/10.1037/a0035116

Kuscu, M., Dural, U., & Onen, P. (2019): The association between individuals attachment patterns, the perceived social support and the psychological wellbeing of Turkish informal caregiver. Psycho-Oncology, 18, 927-35. DOI: https://doi.org/10.1002/pon.1441

Maguire, R., Hanly, P., Hyland, P., & Sharp, L. (2018): Understanding burden in caregivers of colorectal cancer survivors: what role do patient and caregiver factors play? Eur. J. Cancer Care 27. https://doi.org/10.1111/ecc.12527. DOI: https://doi.org/10.1111/ecc.12527

Mirsoleymani, S., Rohani, C., Matbouei, M., Nasiri, M., & Vasli, P. (2019): Predictors of caregiver burden in Iranian family caregivers of cancer patients. J Edu Health Promot; 6:91:1-6. DOI: https://doi.org/10.4103/jehp.jehp_137_16

Mohamed, N.E., Shah, Q.N., Kata, H.E., Sfakianos, J., & Given, B. (2021): Dealing with the unthinkable: bladder and colorectal cancer patients’ and informal caregivers’ unmet needs and challenges in life after ostomies. Semin. Oncol. Nurs. 37, 151111 https:// doi.org/10.1016/j.soncn.2020.151111. DOI: https://doi.org/10.1016/j.soncn.2020.151111

Oboh, A., & Adaonfo, S. (2019): Cancer Informal Caregivers' Burden at Int J Innovat Adv Stud 2017; 4:14-9. Back to Cited Text No. 17the University College Hospital, Ibadan, Nigeria.

Ogunyemi, A., Umoru, A., Alabi, A., Adegboyega, B., & Otokpa, E. (2021): Caregiving Burden among Informal Caregivers of Cancer Patients in Lagos, Nigeria. Research Square;1- 24. DOI: https://doi.org/10.21203/rs.3.rs-769222/v1

Oksuz, E., Baris, N., Arslan, F., Ates, M. (2013): Psychiatric symptom levels and burden care of caregivers of patients receiving chemotherapy. Anatolian J Clin Investigation, 7, 24-30 (in Turkish).

Ong, H., Vaingankar, J., Abdin, E., Sambasivam, R., Fauziana, R., Tan, M. (2018): Resilience and burden in caregivers of older adults: moderating and mediating effects of perceived social support. BMC Psychiatry; 18:27. https://doi. org/10.1186/s12888-018-1616-z DOI: https://doi.org/10.1186/s12888-018-1616-z

Onyeneho, A., & Hesanmi, S. (2021): Burden of Care and Perceived Psycho-Social Outcomes among Family Caregivers of Patients Living with Cancer., Asia-Pacific Journal of Oncology Nursing. 8(3), 330. DOI: https://doi.org/10.4103/2347-5625.308678

Preksha, M., & Kaur, M. R. (2016): Perceived social support and burden among family caregivers of cancer patients. In- ternational Journal of Health Sciences and Research, 6, 304- 314.

Ramasubbu, A. (2020): Quality of Life and The Factors Affecting It in Adult Cancer Patients Undergoing Cancer Chemotherapy in A Tertiary Care Hospital. India" 18(1),1-11.

Rasul, A., & Amen, M. (2022): Caregiving Burdens among Family Caregivers of Cancer Patients Undergoing Chemotherapy at Hiwa Cancer Hospital in Sulaimani – Iraq. Mosul J Nur; 10(2):290-301. DOI: https://doi.org/10.33899/mjn.2022.175716

Rezaei H., Niksima H., & Ghanei Gheshlagh R, (2020): Burden Of Care in Caregivers of Iranian Patients with Chronic Disorders: A Systematic Review And Meta-Analysis. Health and Quality of Life Outcomes, 18(1), 1-11. DOI: https://doi.org/10.1186/s12955-020-01503-z

Sahin, Z., Tan, M. (2022): Loneliness, depression, and social support of patients with cancer and their caregivers. Clin J Oncol Nurs, 16, 145-9. DOI: https://doi.org/10.1188/12.CJON.145-149

Saji, A., Oishi, A., & Harding, R. (2021): Self-perceived burden for people with lifethreatening illness: a qualitative systematic review. J. Pain Symptom Manag. 65, e207– e217. doi: 10.1016/j.jpainsymman.2022.10.016 DOI: https://doi.org/10.1016/j.jpainsymman.2022.10.016

Sanjeevani, G., Ramakanth, P., & Chaitanya, A. (2022): A cross-sectional study of psychopathology, quality of life and caregiver burden in caregivers of cancer patients. Science Rise: Med Sci; 5(50):57-64. DOI: https://doi.org/10.15587/2519-4798.2022.265395

Seo, Y. J., & Park, H. (2019): Factors influencing care- giver burden in families of hospitalized patients with lung cancer. Journal of Clinical Nursing, 28(9-10), 1979-1989. [Crossref] DOI: https://doi.org/10.1111/jocn.14812

Shaffer, K., Kim, Y., & Carver, C. (2019): Physical and mental health trajectories of cancer patients and caregivers across the year post-diagnosis: a dyadic investigation. Psychol Health; 31(6):655–674. doi:10.1080/08870446.2015.1131826 DOI: https://doi.org/10.1080/08870446.2015.1131826

Shieh, S. C., Tung, H.S., & Liang, S. Y. (2022): Social support as influencing primary family caregiver burden in Taiwanese patients with colorectal cancer. Journal of Nursing Scholar- ship, 44(3), 223–231 DOI: https://doi.org/10.1111/j.1547-5069.2012.01453.x

Shim, V., & Ng, G. (2019): Burden in Family Caregivers of Cancer Patients: The Association with Depression, Religiosity and Religious Coping. Asian Pac J Cancer Care; 4(4):171- 182. DOI: https://doi.org/10.31557/apjcc.2019.4.4.171-182

Stamataki, Z., Ellis, J., Costello, J., Fielding, J., Burns, M., & Molassiotis, A. (2019): Chronicles of informal caregiving in cancer: using ‘The Cancer Family Caregiving Experience’ model as an explanatory framework. Support Care Cancer; 2 (2):435-444. DOI: https://doi.org/10.1007/s00520-013-1994-1

Sung, H., Ferla, J., Siegel, R., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021): Global cancer statistics: GLOBOCAN estimates of incidence and mortality, worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin; 71(3):209-249.

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., & Jemal, A. (2021). Global Cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 71, 209–249. doi: 10.3322/ caac.21660 DOI: https://doi.org/10.3322/caac.21660

Swartz K., & Collins L., (2019): Caregiver Care. Am Fam Physician. 2019”99(11):699- 706.

Tran, B., Pham, N., & Nguyen, T. (2020): Measurement of Health-Related Quality of Life Among Colorectal Cancer Patients Using the Vietnamese Value Set of the EQ-5D-5L. Patient Preference Adherence; 14:2427–2437. doi:10.2147/ppa.S281500 DOI: https://doi.org/10.2147/PPA.S281500

Turkoglu, N., Kilic, D. (2012). Effects of care burdens of caregivers of cancer patients on their quality of life. Asian Pac J Cancer Prev, 13, 4141-5. DOI: https://doi.org/10.7314/APJCP.2012.13.8.4141

Wadhwa, D., Burman, D., Swami, N., Rodin, G., Lo, C., & Zimmermann, C. (2019): Quality of life and mental health in caregivers of outpatients with advanced cancer. Psycho-Oncology; 22(2):403–410. doi:10.1002/pon.2104 DOI: https://doi.org/10.1002/pon.2104

Wang, H., Cao, M.D., Liu, C.C., Yan, X.X., Huang, H.Y., Zhang, Yue, Chen, H.D., Ren, J.S., Li, N., Chen, W.Q., Dai, M., & Shi, J.F. (2020): . The burden of colorectal cancer in the Chinese population: has it changed in recent years? (in Chinese with abstract). Chin. J. Epidemiol. 41, 1633–1642. https://doi.org/10.3760/cma.j.cn112338-20200306- 00273.

Weis, A., Pohlmann, S., Poss-Doering, R., Strauss, B., Ullrich, C., Hofmann, H., Ose, D., Winkler, E., Szecsenyi, J., & Wensing, M. (2021): Caregivers Role in using a personal Electronic Health Record: A Qualitative Study of Cancer Patients and Caregivers in Germany. Available at: https://bmcmedinformdecismak.biomedcentral.c om/ articles/10.1186/s12911-020-01172-4. Accessed On:22-10-2021. DOI: https://doi.org/10.1186/s12911-020-01172-4

Wenhao, F., Jiajia Li, Corresponding, Feng, F., Dan Zhao, Wenting H., & Shixue L. (2021): Subjective Burdens Among Informal Caregivers of Critically Ill Patients: A Cross- Sectional Study in Rural Shandong, China30(6):892-900.Doi:10.1002/Pon.5667pub2021marg.

Wong, M.C.S., Huang, J., Lok, V., Wang, J., Fung, F., Ding, H., & Zheng, Z.-J. (2021): Differences in incidence and mortality trends of colorectal cancer worldwide based on sex, age, and anatomic location. Clin. Gastroenterol. Hepatol. 19, 955–966.e61. https://doi.org/10.1016/j.cgh.2020.02.026. DOI: https://doi.org/10.1016/j.cgh.2020.02.026

World Health Organization (2021): Cancer. Available at: https://www.who.int/news- room/fact- sheets/detail/cancer. Accessed on 23

Yang, Z., Tian, Y., Fan, Y., Liu, L., Luo, Y., Zhou, L., & Hongmei, Y. (2019): The mediating roles of caregiver social support and self-efficacy on caregiver burden in Parkinson’s disease. Jour- nal of Affective Disorders, 256, 302-308. DOI: https://doi.org/10.1016/j.jad.2019.05.064

Yaşar, B., & Terzioğlu, F. (2022): Factors affecting the burden and quality of life of caregivers for gynecological cancer patients. Arch Health Sci Res; 9:51-54. DOI: https://doi.org/10.5152/ArcHealthSciRes.2021.21024

Yesilbalkan, O., Ozer, S., & Ruzkar, U. (2019): Cancer Pain: Knowledge and Experiences from The Perspective of The Patients and Their Family Caregivers, Turkey”. ARC Journal of Nursing and Health care, Volume-3Issue-3, Pp. 62-34, DOI:http://dx.doi.org/10.20431/2455-4323.0303004

Yigitalp, G., Surucu, H. A., Gumus, F., & Evince, E. (2017): Predictors of caregiver burden in primary caregivers of chronic patients. International Journal of Caring Scienc- es, 10(3), 1168.

Yildirim, S., Engin, E., & Baskaya, V. (2013): The burden of caregivers of stroke patients and the factors affecting the burden. Arch Neuropsychiatry, 50, 169-74 (in Turkish).

Zarit, S., & Zarit, J. (1990): The memory and behavior problems checklist and the Burden Interview. university park, PA: pennsylvania state university gerontology center.

Zhang, Y., Ding, Y., Liu, C., Li, J., Wang, Q., Li, Y., &Hu, X. )2022:( Relationships among perceived social support, family resilience, and caregiver burden in lung cancer families: a mediating model. Semin. Oncol. Nurs. 151356. https://doi.org/10.1016/ j.soncn.2022.151356. DOI: https://doi.org/10.1016/j.soncn.2022.151356

Zuo, Y., Luo, B., Peng, W., Liu, X., He,Y., & Zhang, J. (2020): Informal caregiver burden and influencing factors in gynecological oncology patients hospitalized for chemotherapy: a cross-sectional study. J Int Med Res; 48(11): 300060520974927. DOI: https://doi.org/10.1177/0300060520974927

Published

09-04-2022

How to Cite

Besely, W. N., Kassem, F. K., Samir, M. M., Elshafiae, E. M. H., Bakr, Z. H., Ayed, M. M. A., & Yousef, E. A. M. (2022). Effect of instructional guidelines on perceived social support level and caregivers’ burden of patients having colorectal cancer. International Journal of Health Sciences, 6(S10), 2326–2349. https://doi.org/10.53730/ijhs.v6nS10.10522

Issue

Section

Peer Review Articles

Most read articles by the same author(s)