Article (Scientific journals)
Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study
Libert, Y; Borghgraef, C; BEGUIN, Yves et al.
2017In Psycho-oncology, 26, p. 118-124
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Abstract :
[en] Objective: Although cancer patients frequently experience self-perceived burden to others, this perception has not been enough studied. The aim of this study was to investigate the prevalence of selfperceived burden to the primary caregiver (SPB-PC) and associated factors in an older patient population with hematologic malignancies at the time of chemotherapy initiation. Methods: In total, 166 consecutive patients with hematologic malignancies aged ≥65 years were recruited at the time of chemotherapy initiation. Patients’ SPB-PC was assessed using a 100-mm visual analogue scale (VAS). Characteristics potentially associated with SPB-PC, including sociodemographic and medical characteristics, physical functioning status (Karnofsky performance score, activities of daily living (ADL)/instrumental ADL), symptoms (fatigue, pain, nausea, quality of life), psychological distress (Hospital Anxiety and Depression Scale (HADS)), perceived cognitive function (Functional Assessment of Cancer Therapy Cognitive (FACT-Cog) Scale), and patients’/primary caregivers’ personal relationship characteristics (family tie, support), were assessed. Results: Thirty-five percent of patients reported moderate to severe SPB-PC (VAS ≥ 50 mm). Patients’ SPB-PC was associated with lower Karnofsky performance (β = 0.135, p = 0.058) and ADL (β = 0.148, p = 0.037) scores, and higher HADS (β = 0.283, p<0.001) and FACT-Cog perceived cognitive impairments subscale (β = 0.211, p = 0.004) scores. The proportion of explained variance was 23.5%. Conclusions: Health care professionals should be aware that about one third of older cancer patients experience moderate to severe SPB-PC at the time of chemotherapy initiation. They should adapt their support of patients who report such a feeling.
Disciplines :
Hematology
Author, co-author :
Libert, Y
Borghgraef, C
BEGUIN, Yves  ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'hématologie clinique
Delvaux, N
DEVOS, Martine ;  Centre Hospitalier Universitaire de Liège - CHU > Centre d'oncologie
Doyen, C
Dubruille, S
Etienne, Anne-Marie  ;  Université de Liège > Département de Psychologie > Psychologie de la santé
Lienard, A
Merckaert, I
Slachmuylder, JL
Straetmans, N
Van Den Neste, E
Bron, D
Razavi, D
More authors (5 more) Less
Language :
English
Title :
Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study
Publication date :
2017
Journal title :
Psycho-oncology
ISSN :
1057-9249
eISSN :
1099-1611
Publisher :
John Wiley & Sons, Inc, Chichester, United Kingdom
Volume :
26
Pages :
118-124
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 28 February 2017

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