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Journals / Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi / 2019 / Volume: 6 Issue: 3

Kanser Hastalarına Bakım Veren Aile Üyelerinin Sorunları, Yaşam Kalitesi ve Müdahaleler

Sevcan Toptaş Kılıç(HACETTEPE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, PSİKİYATRİ HEMŞİRELİĞİ ANABİLİM DALI)0000-0002-1476-9561
Fatma Öz(LOKMAN HEKİM ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK VE SAĞLIK HİZMETLERİ BÖLÜMÜ)0000-0002-1275-7743
Pages
195–203
Publication Date
2019-10-08
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Bu derlemede kanser hastasına bakım veren aile üyelerinin yaşam kalitelerinin bakım verme sürecinden nasıl etkilendiği açıklanmaya çalışılmış ve bakım verenlere yönelik müdahaleler sunulmuştur. 

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Kanser, hem dünyada hem de Türkiye’de ölüm sebeplerinin başında gelen, tedavi süreci uzun süren, hasta bakımının sadece hastanede değil evde de devam ettiği, hastanın olduğu kadar bakım verici olan aile üyelerinin de olumsuz etkilendiği bir hastalıktır.
📊
Key Findings & Data:Hastalığı yaşayan kişinin etkilenen yaşamı kadar bakım vermekle yükümlü kişi ve kişilerin de yaşamları fiziksel, duygusal, sosyal ve ekonomik yönden etkilenmektedir.
💡
Conclusion & Impact:Bu derlemede kanser hastasına bakım veren aile üyelerinin yaşam kalitelerinin bakım verme sürecinden nasıl etkilendiği açıklanmaya çalışılmış ve bakım verenlere yönelik müdahaleler sunulmuştur. 
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Bakım veren aile üyesi · müdahaleler · neoplazm

Özet

Kanser, hem dünyada hem de Türkiye’de ölüm sebeplerinin başında gelen, tedavi süreci uzun süren, hasta bakımının sadece hastanede değil evde de devam ettiği, hastanın olduğu kadar bakım verici olan aile üyelerinin de olumsuz etkilendiği bir hastalıktır. Hastalığı yaşayan kişinin etkilenen yaşamı kadar bakım vermekle yükümlü kişi ve kişilerin de yaşamları fiziksel, duygusal, sosyal ve ekonomik yönden etkilenmektedir. Bakım veren aile üyeleri hem kendi gereksinimleri ve istekleri ile hem de bakım rolünün sorumlulukları arasında denge kurmaya çalışmaktadırlar. Bunu yapmaya çalışırlarken de yaşam kaliteleri bu süreçten olumsuz olarak etkilenebilmektedir. Bu derlemede kanser hastasına bakım veren aile üyelerinin yaşam kalitelerinin bakım verme sürecinden nasıl etkilendiği açıklanmaya çalışılmış ve bakım verenlere yönelik müdahaleler sunulmuştur. 

🔖

Cite This Article

Kılıç, S. T., Öz, F. (2019). Kanser Hastalarına Bakım Veren Aile Üyelerinin Sorunları, Yaşam Kalitesi ve Müdahaleler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, Volume: 6 Issue: 3, 195–203. https://doi.org/10.31125/hunhemsire.630828

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References (136)

  1. Alptekin S. Charecteristics and quality of life analysis of caregivers of cancer patients. Medical Oncology. 2010; 27(3):607–617
  2. Grunfeld E, Cole D, Whelan T, Clinch J, Reyno L, Earle CC, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 2004;170:1795–1801
  3. Ye T, M and Zhu ML. Investigation of mental health of caregivers and patients of malignant gastrointestinal tumor. Chinese J. Health Psychol. 2005;13:38–39
  4. Silveira MJ, Given CW, Given B, Rosland AM, Piette JD. Patient-caregiver concordance in symptom assessment and improvement in outcomes for patients undergoing cancer chemotherapy. ChronicIllness. 2010;6(1):46–56
  5. Vrettos I, Kamposioras K, Kontodimopoulos N, Pappa E, Georgiadou E, Haritos D, et al. Comparing health-related quality of life of cancer patients under chemotherapy and of their caregivers. Scientific World Journal. 2012; Article ID 135283:1-9 doi:10.1100/2012/135283 6. Caruso R, Nanni MG, Riba MB, Sabato S, Grassi L. The burden of psychosocial morbidity related to cancer: patient and family issues. Int Rev Psychiatry. 2017;28:1-14
  6. Ayabakan-Cot D, Ates E, Kurt B, Nazlican E, Akbala M. Investigation of depression and quality of life factors in cancer patients' caregivers. J BUON. 2017;22(2):524-529 8. Aubin M, Vézina L, Verreault R, Simard S, Desbiens JF, Tremblay L, et al. Effectiveness of an intervention to improve supportive care for family caregivers of patients with lungcancer: study protocolfor a randomized controlled trial. 2017;18(1):304
  7. Çivici S, Kutlu R, Çelik HH. Kanserli hasta yakınlarında depresyon ve yaşam kalitesini etkileyen faktörler. Gülhane Tıp Dergisi, 2011;53:248-253
  8. Chen ML, Chu L, Chen HC. Impact of cancer patients' quality of life on that of spouse caregivers. Support Care Cancer, 2004;12:469-75
  9. Fleming D, Sheppard V, Mangan P, Taylor K, Tallarico, Adams I, et al. Caregiving at the end of life: Perceptions of health care quality and quality of life among patients and caregivers. Journal of Painand Symptom Management. 2006;31(5):407-420
  10. Given CW, Sikorskii A, Given BA, Cease KB, Piette JD. A web-based program to engage informal caregivers to support patients through chemotherapy. J Clin Oncol. 2015; 10;33(29_suppl):90
  11. Xia XY, Luo XW, Wang, Y. Source of burden and its effect on caregiver of advanced cancer patients. West China Med. J. 2014;29:1384–1386
  12. Given BA, Given CW, Sherwood PR. Family and caregiver needs over the course of the cancer trajectory. J Support Oncol. 2012;10:57–64
  13. National Alliance for Caregiving. Cancer caregiving in the U.S.: An intense, episodic, and challenging care experience [İnternet]. 2016. Erişim adresi:
  14. Uğur Ö, Fadıloğlu ZÇ. Kanser hastasına bakım verenlerde uygulanan planlı eğitimin bakım veren yükü üzerine etkisi. Cumhuriyet Üniversitesi Hemşirelik Dergisi. 2012;53-58
  15. Hacıalioğlu N, Özer N, Yılmaz E, Erdem N, Erci B. The quality of life of family caregivers of cancer patients in the east of Turkey. European Journal of Oncology Nursing. 2010; 14(3):211-217
  16. Cohen, J. Social, emotional, ethical and academic education: Creating a climate for learning, participation in democracy andwell-being. Harvard Educational Review. 2006;76 (2): 201-237
  17. Doumit MA, Huijer HA-S, Kelley JH, Nassar N. The lived experience of Lebanese family caregivers of cancer patients. Cancer Nurs. 2008;31: E36–42
  18. Yeh PM, Wierenga M, Yuan SC. Influences of psychological well-being, quality of caregiver-patient relationship, and family support on the health of family caregivers for cancer patients in Taiwan. Asian Nursing Research. 2009;3(4):154-166
  19. Karabulutlu E, Akyıl R, Karaman S, Karaca M. Kanser hastalarına bakım verenlerin uyku kalitesi ve psikolojik sorunlarının incelenmesi. Türk Onkoloji Dergisi. 2013;28(1):1-9
  20. Given BA, Given CW, Sherwood P. The Challenge of Quality Cancer Care for Family Caregivers. Semin OncolNurs. 2012;30:205–212
  21. Chun-Yi Lee, Yu Lee, Liang-JenWang, Chih-Yen Chien, Fu-MinFang, Pao-Yen Lin. Depression, anxiety, quality of life, and predictors of depressive disorders in caregivers of patients with head and neck cancer: A six-month follow-upstudy. 2017;100:29-34 24. Kızılcı S. Kemoterapi alan kanserli hastalar ve yakınlarının yaşam kalitesi ve yaşam kalitesini etkileyen faktörler. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1999; 3:19-22
  22. Öksüz E, Barış N, Arslan F, Ateş MA. Kemoterapi alan hastalara bakım verenlerin psikiyatrik semptom düzeyleri ve bakım verme yükleri. Anatolian Journal of Clinical Investigation. 2013;7(1):24-30
  23. Li Q, Lin Y, Xu Y, Zhou H. The impact of depression and anxiety on quality of life in Chinese cancer patient-family caregiver dyads, a cross-sectional study. Health Qual Life Outcomes. 2018;16:230
  24. Chen SC, Tsai MC, Liu CL, Yu WP, Liao CT, Chang JTC. Support needs of patients with oral cancer and burden to their family caregivers. Cancer Nursing. 2009; 32(6), 473-481
  25. Fridriksdóttir N, Sævarsdóttir P, Halfdánardóttir SI, Jónsdóttir A, Magnúsdóttir H, Ólafsdóttir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncol. 2011;50:252–258 29. Park B, Kim SY, Shin JY, Sansonfishe RW, Shin DW, Cho J, et al. Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient-family caregiver dyads in Korea. Support Care Cancer. 2013;21:2799–2807
  26. Fletcher BS, Miaskowski C, Given B,Schumacher K. The cancer family caregiving experience: an updated and expanded con-ceptual model. Eur J Oncol Nurs. 2012;16(4):387–398
  27. Iconomou G, Vagenakis AG, Kalofonos HP. The informational needs, satisfaction with communication, and psychological status ofprimary caregivers of cancer patients receiving chemotherapy. Support Care Cancer. 2001;9(8):591–596
  28. Dumont S, Turgeon J, Allard P, Gagnon P, Charbonneau C, Vezina L. Caring for a love done with advanced cancer: determinantsof psychological distress in family caregivers. J Palliat Med. 2006;9(4):912–921
  29. Tang ST, Li CY, Liao YC. Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliat Med. 2007;21(3):249–257
  30. Lee YH, Liao YC, Liao WY, Shun SC, Liu YC, Chan JC, et al. Anxiety, depression and related factors in family caregivers of newly diagnosed lung cancer patients before first treatment. Psycho-Oncology. 2013;22:2617-2623 35. Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psycho‐Oncology. 2010;19(10): 1013–1025
  31. Deshields TL, Rihanek A, Potter P, Zhang Q, Kuhrik M, Kuhrik N, et al. Psychosocial aspects of caregiving: Perceptions of cancer patients and family caregivers. Supportive Care in Cancer. 2012;20(2):349–356
  32. Li Y, Qiao Y, Luan X, Li S, Kefang Wang K. Family resilience and psychological well‐being among Chinese breast cancer survivors and their caregivers. European journal of cancer care. 2019; 28(2):e12984
  33. Edwards B, Clarke V, The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients’ illness characteristics on depression and anxiety. Psycho-Oncology. 2004;13:562-756
  34. Lim HA, Griva K, Yoong RK, Chua J, Leow MQ, Chan MF, et al. Do caregivers of cancer patients receiving care in home hospice services have better quality of life? An exploratory investigation in Singapore. Psychooncology. 2015;25(4):471-474 40. Fridriksdottir N, Sævardottir P, Halfdanardottir SI, Jonsdottir A, Magnusdottir H, Olafsdottir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica.2011;50: 252-258
  35. Matthews BA, Baker F, Spillers R. Family caregivers’ quality of life: influence of health protective stance and emotional strain. Psychology and Health 2004;19:625-641
  36. Fu F, Zhao H, Tong F, Chi I. A Systematic Review of Psychosocial Interventions to Cancer Caregivers. Front Psychol. 2017;8:834 43. Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? Am J Nurs. 2008;108:28–34
  37. Potter P, Perry AG. Fundamentals of Nursing USA: ElsevierCompany, 2005
  38. Mitchell GK, Girgis A, Jiwa M, Sibbritt D, Burridge LH, Senior HE. Providing general practice needs-based care for carers of people with advanced cancer: a randomised controlled trial. Br. J. Gen. Practice. 2013;63:683–690
  39. Görgülü Ü, Akdemin N, İleri evre kanser hastalarına bakım verenlerin yorgunluk ve uyku kalitesinin değerlendirilmesi. Genel Tıp Derg. 2010;20(4):125-132 47. Orak OS, Sezgin S. Kanser hastasına bakım veren aile bireylerinin bakım verme yüklerinin belirlenmesi. Psikiyatri Hemşireliği Dergisi. Journal of Psychiatric Nursing 2015;6(1):33-39
  40. Yıldız E, Dedeli Ö, Pakyüz SÇ. Kanser Hastalarına Bakım Veren Aile Üyelerinin Bakım Yükü ve Yaşam Kalitesinin İncelenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2016;13 (3):216-225
  41. Kaynar GÖ, Vural F. Kolorektal Kanserli Hastalara Bakım Verenlerin Bakım Yükünün İncelenmesi. Turk J Colorectal Dis. 2018;28:164-171
  42. Karabuğa-Yakar H, Pınar R. Kanserli hastalara bakım veren aile üyelerinin yaşam kalitesi ve yaşam kalitesini etkileyen faktörlerin değerlendirilmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2013;15(2):1-16
  43. Yıldız KM, Ekinci M. Kanserli hastaya bakım veren aile üyelerinin bakım yükleri ve öfke ifade tarzları arasındaki ilişki ve etkileyen faktörler. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2017;14 (3):176-184
  44. Çubukçu M. Evaluation of quality of life in caregivers who are providing home care to cancer patients. Support Care Cancer. 2018;26(5):1457-1463
  45. Ferrell B, Wittenberg E. A review of family caregiving intervention trials in oncology. CA Cancer J Clin. 2017; 67(4):318-325
  46. Shan M, Swami N, Pope A, Rodin G, Hannon B, Nissim R, et al. I didn't want to be in charge and yet I was: “bereaved caregivers' accounts of providing home care for family members with advanced cancer. Psycho-Oncology. 2018; 27(4):1229-1236
  47. Jia L, Wang D, Jia L, Han J, Wang Y, Gao F, et al. Impact of psychological intervention to compliance and quality of life for cancer patients and their primary caregivers. Cancer Res Clin. 2012;12:828–830
  48. Chen J. Effect of nursing intervention on quality of life of breast cancer patients and their families during the same period. Youjiang Med. J 2012;40:209–210
  49. Applebaum JA, Breitbart W. Care for the cancer caregiver: a systematic review. Palliat. Support. Care. 2013;11:231–1252
  50. Fegg MJ, Brandstatter M, Kogler M, Hauke G, Rechenberg-Winter P, Fensterer V, et al. Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial. Psychooncology. 2013;22: 2079–2086
  51. Shaw JM, Young JM, Butow PN, Badgery-Parker T, Durcinoska I, Harrison JD et al. Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect). Support. Care in Cancer. 2016;24:585–595
  52. Lai H, Li Y, Li L. Effects of music intervention with nursing presence and recorded music on psycho-physiological indices of cancer patient caregivers. J. Clin. Nurs. 2012;21:745–56
  53. Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–339
  54. Waldron EA, Janke EA, Bechtel CF, Ramirez M, Cohen A. A systematic review of psychosocial interventions to improve cancer caregiver quality of life. Psychooncology. 2013;22(6):1200–1207
  55. Leow M, Chan S, Chan MF. A pilot randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with advanced cancer. Oncol. Nurs. Forum. 2015;42:E63–E72
  56. Olatunji Gabriel I, Mayers Pat M. Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer. European Journal of Oncology Nursing. 2019;38: 85–91 65. Belgacem B, Auclair C, Christine Fedor, Brugnon D, Blanquet M, Tournilhac O, et al. A caregiver educational program improves quality of life and burden for cancer patients and their caregivers: A randomised clinical trial. European Journal of Oncology Nursing. 2013;17:870-876
  57. Kozachik SL, Given CW, Given BA, Pierce SJ, Azzouz F, Rawl SM, et al. Improving depressive symptoms among caregivers of patients with cancer: results of a randomized clinical trial. Oncology Nursing Forum. 2001;28:1149-57
  58. Kurtz ME, Kurtz JC, Given CW, Given B. A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. Journal of Pain and Symptom Management. 2005;30:112-22
  59. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. Western Journal of Nursing Research 2013; 35:590-610
  60. Northouse LL, Mood DW, Schafenacker A, Montie JE, Sandler HM, Forman JD, et al. Randomized clinical trial of a family intervention for prostate cancer patients and their spouses. Cancer. 2007;110:2809-18
  61. Malcarne VL, Ko CM, Roesch SC, Banthia R, Sadler GR Efficacy of problem-solving therapy for spouses of men with prostate cancer: A randomized controlled trial. Psychooncology. 2019; 28(3):497-504
  62. Harden J, Falahee M, Bickes J, Schafenacker A, Walker J, Mood D, et al. Factors associated with prostate cancer patients’ and their spouses’ satisfaction with a family-based intervention. Cancer Nurs. 2009;32:482–492
  63. Milbury K, Liao Z, Shannon V, Mallaiah S, Nagarathna R, Li Y, et al. Dyadic Yoga Program for Patients Undergoing Thoracic Radiotherapy and their Family Caregivers: Results of a Pilot Randomized Controlled Trial. Psychooncology. 2019;28(3):615-621
  64. Martin AC, Keats MR. The impact of yoga on quality of life and psychological distress in caregivers for patients with cancer Oncol Nurs Forum. 2014;41(3):257-264
  65. Richards-Jones S, Mihalopoulos C, Heckel L, Gunn KM, Tan M, Livingston PM. An economic evaluation of a telephone outcall intervention for informal carers of cancer patients in Australia: An assessment of costs and quality-adjusted-life-years. Psycho‐Oncology. 2019;1–8
  66. Sherwood PR, Given BA, Given CW, Sikorskii You M, Prince, J. The impact of a problem-solving intervention on increasing caregiver assistance and improving caregiver health. Supportive Care in Cancer. 2012; 20:1937–1947
  67. Ledderer L, la Cour K, Hansen HP. Feasibility of a psychosocial rehabilitation intervention to enhance the involvement of relatives in cancer rehabilitation: pilot study for a randomized controlled trial. Patient 2013;6:201–212
  68. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. West. J. Nurs. Res. 2013;35:590–610
  69. Alptekin S. Charecteristics and quality of life analysis of caregivers of cancer patients. Medical Oncology. 2010; 27(3):607–617
  70. Grunfeld E, Cole D, Whelan T, Clinch J, Reyno L, Earle CC, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 2004;170:1795–1801
  71. Ye T, M and Zhu ML. Investigation of mental health of caregivers and patients of malignant gastrointestinal tumor. Chinese J. Health Psychol. 2005;13:38–39
  72. Silveira MJ, Given CW, Given B, Rosland AM, Piette JD. Patient-caregiver concordance in symptom assessment and improvement in outcomes for patients undergoing cancer chemotherapy. ChronicIllness. 2010;6(1):46–56
  73. Vrettos I, Kamposioras K, Kontodimopoulos N, Pappa E, Georgiadou E, Haritos D, et al. Comparing health-related quality of life of cancer patients under chemotherapy and of their caregivers. Scientific World Journal. 2012; Article ID 135283:1-9 doi:10.1100/2012/135283 6. Caruso R, Nanni MG, Riba MB, Sabato S, Grassi L. The burden of psychosocial morbidity related to cancer: patient and family issues. Int Rev Psychiatry. 2017;28:1-14
  74. Ayabakan-Cot D, Ates E, Kurt B, Nazlican E, Akbala M. Investigation of depression and quality of life factors in cancer patients' caregivers. J BUON. 2017;22(2):524-529 8. Aubin M, Vézina L, Verreault R, Simard S, Desbiens JF, Tremblay L, et al. Effectiveness of an intervention to improve supportive care for family caregivers of patients with lungcancer: study protocolfor a randomized controlled trial. 2017;18(1):304
  75. Çivici S, Kutlu R, Çelik HH. Kanserli hasta yakınlarında depresyon ve yaşam kalitesini etkileyen faktörler. Gülhane Tıp Dergisi, 2011;53:248-253
  76. Chen ML, Chu L, Chen HC. Impact of cancer patients' quality of life on that of spouse caregivers. Support Care Cancer, 2004;12:469-75
  77. Fleming D, Sheppard V, Mangan P, Taylor K, Tallarico, Adams I, et al. Caregiving at the end of life: Perceptions of health care quality and quality of life among patients and caregivers. Journal of Painand Symptom Management. 2006;31(5):407-420
  78. Given CW, Sikorskii A, Given BA, Cease KB, Piette JD. A web-based program to engage informal caregivers to support patients through chemotherapy. J Clin Oncol. 2015; 10;33(29_suppl):90
  79. Xia XY, Luo XW, Wang, Y. Source of burden and its effect on caregiver of advanced cancer patients. West China Med. J. 2014;29:1384–1386
  80. Given BA, Given CW, Sherwood PR. Family and caregiver needs over the course of the cancer trajectory. J Support Oncol. 2012;10:57–64
  81. National Alliance for Caregiving. Cancer caregiving in the U.S.: An intense, episodic, and challenging care experience [İnternet]. 2016. Erişim adresi:
  82. Uğur Ö, Fadıloğlu ZÇ. Kanser hastasına bakım verenlerde uygulanan planlı eğitimin bakım veren yükü üzerine etkisi. Cumhuriyet Üniversitesi Hemşirelik Dergisi. 2012;53-58
  83. Hacıalioğlu N, Özer N, Yılmaz E, Erdem N, Erci B. The quality of life of family caregivers of cancer patients in the east of Turkey. European Journal of Oncology Nursing. 2010; 14(3):211-217
  84. Cohen, J. Social, emotional, ethical and academic education: Creating a climate for learning, participation in democracy andwell-being. Harvard Educational Review. 2006;76 (2): 201-237
  85. Doumit MA, Huijer HA-S, Kelley JH, Nassar N. The lived experience of Lebanese family caregivers of cancer patients. Cancer Nurs. 2008;31: E36–42
  86. Yeh PM, Wierenga M, Yuan SC. Influences of psychological well-being, quality of caregiver-patient relationship, and family support on the health of family caregivers for cancer patients in Taiwan. Asian Nursing Research. 2009;3(4):154-166
  87. Karabulutlu E, Akyıl R, Karaman S, Karaca M. Kanser hastalarına bakım verenlerin uyku kalitesi ve psikolojik sorunlarının incelenmesi. Türk Onkoloji Dergisi. 2013;28(1):1-9
  88. Given BA, Given CW, Sherwood P. The Challenge of Quality Cancer Care for Family Caregivers. Semin OncolNurs. 2012;30:205–212
  89. Chun-Yi Lee, Yu Lee, Liang-JenWang, Chih-Yen Chien, Fu-MinFang, Pao-Yen Lin. Depression, anxiety, quality of life, and predictors of depressive disorders in caregivers of patients with head and neck cancer: A six-month follow-upstudy. 2017;100:29-34 24. Kızılcı S. Kemoterapi alan kanserli hastalar ve yakınlarının yaşam kalitesi ve yaşam kalitesini etkileyen faktörler. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1999; 3:19-22
  90. Öksüz E, Barış N, Arslan F, Ateş MA. Kemoterapi alan hastalara bakım verenlerin psikiyatrik semptom düzeyleri ve bakım verme yükleri. Anatolian Journal of Clinical Investigation. 2013;7(1):24-30
  91. Li Q, Lin Y, Xu Y, Zhou H. The impact of depression and anxiety on quality of life in Chinese cancer patient-family caregiver dyads, a cross-sectional study. Health Qual Life Outcomes. 2018;16:230
  92. Chen SC, Tsai MC, Liu CL, Yu WP, Liao CT, Chang JTC. Support needs of patients with oral cancer and burden to their family caregivers. Cancer Nursing. 2009; 32(6), 473-481
  93. Fridriksdóttir N, Sævarsdóttir P, Halfdánardóttir SI, Jónsdóttir A, Magnúsdóttir H, Ólafsdóttir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncol. 2011;50:252–258 29. Park B, Kim SY, Shin JY, Sansonfishe RW, Shin DW, Cho J, et al. Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient-family caregiver dyads in Korea. Support Care Cancer. 2013;21:2799–2807
  94. Fletcher BS, Miaskowski C, Given B,Schumacher K. The cancer family caregiving experience: an updated and expanded con-ceptual model. Eur J Oncol Nurs. 2012;16(4):387–398
  95. Iconomou G, Vagenakis AG, Kalofonos HP. The informational needs, satisfaction with communication, and psychological status ofprimary caregivers of cancer patients receiving chemotherapy. Support Care Cancer. 2001;9(8):591–596
  96. Dumont S, Turgeon J, Allard P, Gagnon P, Charbonneau C, Vezina L. Caring for a love done with advanced cancer: determinantsof psychological distress in family caregivers. J Palliat Med. 2006;9(4):912–921
  97. Tang ST, Li CY, Liao YC. Factors associated with depressive distress among Taiwanese family caregivers of cancer patients at the end of life. Palliat Med. 2007;21(3):249–257
  98. Lee YH, Liao YC, Liao WY, Shun SC, Liu YC, Chan JC, et al. Anxiety, depression and related factors in family caregivers of newly diagnosed lung cancer patients before first treatment. Psycho-Oncology. 2013;22:2617-2623 35. Stenberg U, Ruland CM, Miaskowski C. Review of the literature on the effects of caring for a patient with cancer. Psycho‐Oncology. 2010;19(10): 1013–1025
  99. Deshields TL, Rihanek A, Potter P, Zhang Q, Kuhrik M, Kuhrik N, et al. Psychosocial aspects of caregiving: Perceptions of cancer patients and family caregivers. Supportive Care in Cancer. 2012;20(2):349–356
  100. Li Y, Qiao Y, Luan X, Li S, Kefang Wang K. Family resilience and psychological well‐being among Chinese breast cancer survivors and their caregivers. European journal of cancer care. 2019; 28(2):e12984
  101. Edwards B, Clarke V, The psychological impact of a cancer diagnosis on families: the influence of family functioning and patients’ illness characteristics on depression and anxiety. Psycho-Oncology. 2004;13:562-756
  102. Lim HA, Griva K, Yoong RK, Chua J, Leow MQ, Chan MF, et al. Do caregivers of cancer patients receiving care in home hospice services have better quality of life? An exploratory investigation in Singapore. Psychooncology. 2015;25(4):471-474 40. Fridriksdottir N, Sævardottir P, Halfdanardottir SI, Jonsdottir A, Magnusdottir H, Olafsdottir KL, et al. Family members of cancer patients: needs, quality of life and symptoms of anxiety and depression. Acta Oncologica.2011;50: 252-258
  103. Matthews BA, Baker F, Spillers R. Family caregivers’ quality of life: influence of health protective stance and emotional strain. Psychology and Health 2004;19:625-641
  104. Fu F, Zhao H, Tong F, Chi I. A Systematic Review of Psychosocial Interventions to Cancer Caregivers. Front Psychol. 2017;8:834 43. Given B, Sherwood PR, Given CW. What knowledge and skills do caregivers need? Am J Nurs. 2008;108:28–34
  105. Potter P, Perry AG. Fundamentals of Nursing USA: ElsevierCompany, 2005
  106. Mitchell GK, Girgis A, Jiwa M, Sibbritt D, Burridge LH, Senior HE. Providing general practice needs-based care for carers of people with advanced cancer: a randomised controlled trial. Br. J. Gen. Practice. 2013;63:683–690
  107. Görgülü Ü, Akdemin N, İleri evre kanser hastalarına bakım verenlerin yorgunluk ve uyku kalitesinin değerlendirilmesi. Genel Tıp Derg. 2010;20(4):125-132 47. Orak OS, Sezgin S. Kanser hastasına bakım veren aile bireylerinin bakım verme yüklerinin belirlenmesi. Psikiyatri Hemşireliği Dergisi. Journal of Psychiatric Nursing 2015;6(1):33-39
  108. Yıldız E, Dedeli Ö, Pakyüz SÇ. Kanser Hastalarına Bakım Veren Aile Üyelerinin Bakım Yükü ve Yaşam Kalitesinin İncelenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2016;13 (3):216-225
  109. Kaynar GÖ, Vural F. Kolorektal Kanserli Hastalara Bakım Verenlerin Bakım Yükünün İncelenmesi. Turk J Colorectal Dis. 2018;28:164-171
  110. Karabuğa-Yakar H, Pınar R. Kanserli hastalara bakım veren aile üyelerinin yaşam kalitesi ve yaşam kalitesini etkileyen faktörlerin değerlendirilmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2013;15(2):1-16
  111. Yıldız KM, Ekinci M. Kanserli hastaya bakım veren aile üyelerinin bakım yükleri ve öfke ifade tarzları arasındaki ilişki ve etkileyen faktörler. Hemşirelikte Eğitim Ve Araştırma Dergisi. 2017;14 (3):176-184
  112. Çubukçu M. Evaluation of quality of life in caregivers who are providing home care to cancer patients. Support Care Cancer. 2018;26(5):1457-1463
  113. Ferrell B, Wittenberg E. A review of family caregiving intervention trials in oncology. CA Cancer J Clin. 2017; 67(4):318-325
  114. Shan M, Swami N, Pope A, Rodin G, Hannon B, Nissim R, et al. I didn't want to be in charge and yet I was: “bereaved caregivers' accounts of providing home care for family members with advanced cancer. Psycho-Oncology. 2018; 27(4):1229-1236
  115. Jia L, Wang D, Jia L, Han J, Wang Y, Gao F, et al. Impact of psychological intervention to compliance and quality of life for cancer patients and their primary caregivers. Cancer Res Clin. 2012;12:828–830
  116. Chen J. Effect of nursing intervention on quality of life of breast cancer patients and their families during the same period. Youjiang Med. J 2012;40:209–210
  117. Applebaum JA, Breitbart W. Care for the cancer caregiver: a systematic review. Palliat. Support. Care. 2013;11:231–1252
  118. Fegg MJ, Brandstatter M, Kogler M, Hauke G, Rechenberg-Winter P, Fensterer V, et al. Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial. Psychooncology. 2013;22: 2079–2086
  119. Shaw JM, Young JM, Butow PN, Badgery-Parker T, Durcinoska I, Harrison JD et al. Improving psychosocial outcomes for caregivers of people with poor prognosis gastrointestinal cancers: a randomized controlled trial (Family Connect). Support. Care in Cancer. 2016;24:585–595
  120. Lai H, Li Y, Li L. Effects of music intervention with nursing presence and recorded music on psycho-physiological indices of cancer patient caregivers. J. Clin. Nurs. 2012;21:745–56
  121. Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–339
  122. Waldron EA, Janke EA, Bechtel CF, Ramirez M, Cohen A. A systematic review of psychosocial interventions to improve cancer caregiver quality of life. Psychooncology. 2013;22(6):1200–1207
  123. Leow M, Chan S, Chan MF. A pilot randomized, controlled trial of the effectiveness of a psychoeducational intervention on family caregivers of patients with advanced cancer. Oncol. Nurs. Forum. 2015;42:E63–E72
  124. Olatunji Gabriel I, Mayers Pat M. Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer. European Journal of Oncology Nursing. 2019;38: 85–91 65. Belgacem B, Auclair C, Christine Fedor, Brugnon D, Blanquet M, Tournilhac O, et al. A caregiver educational program improves quality of life and burden for cancer patients and their caregivers: A randomised clinical trial. European Journal of Oncology Nursing. 2013;17:870-876
  125. Kozachik SL, Given CW, Given BA, Pierce SJ, Azzouz F, Rawl SM, et al. Improving depressive symptoms among caregivers of patients with cancer: results of a randomized clinical trial. Oncology Nursing Forum. 2001;28:1149-57
  126. Kurtz ME, Kurtz JC, Given CW, Given B. A randomized, controlled trial of a patient/caregiver symptom control intervention: effects on depressive symptomatology of caregivers of cancer patients. Journal of Pain and Symptom Management. 2005;30:112-22
  127. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. Western Journal of Nursing Research 2013; 35:590-610
  128. Northouse LL, Mood DW, Schafenacker A, Montie JE, Sandler HM, Forman JD, et al. Randomized clinical trial of a family intervention for prostate cancer patients and their spouses. Cancer. 2007;110:2809-18
  129. Malcarne VL, Ko CM, Roesch SC, Banthia R, Sadler GR Efficacy of problem-solving therapy for spouses of men with prostate cancer: A randomized controlled trial. Psychooncology. 2019; 28(3):497-504
  130. Harden J, Falahee M, Bickes J, Schafenacker A, Walker J, Mood D, et al. Factors associated with prostate cancer patients’ and their spouses’ satisfaction with a family-based intervention. Cancer Nurs. 2009;32:482–492
  131. Milbury K, Liao Z, Shannon V, Mallaiah S, Nagarathna R, Li Y, et al. Dyadic Yoga Program for Patients Undergoing Thoracic Radiotherapy and their Family Caregivers: Results of a Pilot Randomized Controlled Trial. Psychooncology. 2019;28(3):615-621
  132. Martin AC, Keats MR. The impact of yoga on quality of life and psychological distress in caregivers for patients with cancer Oncol Nurs Forum. 2014;41(3):257-264
  133. Richards-Jones S, Mihalopoulos C, Heckel L, Gunn KM, Tan M, Livingston PM. An economic evaluation of a telephone outcall intervention for informal carers of cancer patients in Australia: An assessment of costs and quality-adjusted-life-years. Psycho‐Oncology. 2019;1–8
  134. Sherwood PR, Given BA, Given CW, Sikorskii You M, Prince, J. The impact of a problem-solving intervention on increasing caregiver assistance and improving caregiver health. Supportive Care in Cancer. 2012; 20:1937–1947
  135. Ledderer L, la Cour K, Hansen HP. Feasibility of a psychosocial rehabilitation intervention to enhance the involvement of relatives in cancer rehabilitation: pilot study for a randomized controlled trial. Patient 2013;6:201–212
  136. Hendrix CC, Landerman R, Abernethy AP. Effects of an individualized caregiver training intervention on self-efficacy of cancer caregivers. West. J. Nurs. Res. 2013;35:590–610.