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Impact of family caregivers' awareness of the prognosis on their quality of life/depression and those of patients with advanced cancer: a prospective cohort study

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Abstract
Abstract
Purpose: A caregiver's prognostic awareness can affect clinical decisions for the patient. The purpose of this study was to examine the impact of family caregivers' prognostic awareness on the quality of life (QOL) and emotional state of both patients with advanced cancer and their caregivers.

Methods: This prospective cohort study was conducted from December of 2016 to January of 2018. A total of 159 patients with advanced cancer and an equal number of caregivers participated. The investigation tools used include the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C15-Palliative, the McGill Quality of Life Questionnaire, and the Patient Health Questionnaire-9, and evaluation was performed at baseline, 3 months, and 6 months. Covariance analysis with a general linear modeling was used to compare changes in quality of life scores according to the caregivers' awareness of the prognosis.

Results: Mean patient overall QOL score increased in the group of caregivers who were aware of prognosis and decreased in the caregivers who were not aware of the prognosis (p = 0.018). The changes over time in the patients' QOL scores associated with symptoms improved with caregiver awareness (pain, p = 0.017; dyspnea, p = 0.048; appetite loss, p = 0.045). The percentage of depressed patients was smaller after 3 months in the group with caregivers aware of the prognosis (baseline to 3 months p = 0.028). Caregivers who did not understand their patients' prognosis exhibited better existential well-being (p = 0.036), and the incidence of depression was lower in this group at 3 months (p = 0.024).

Conclusion: Caregivers' prognostic awareness may improve the quality of life and mood in patients with advanced cancer; however, this awareness may harm the quality of life and mood of the caregivers. These results may aid in developing in-depth interventions regarding prognosis for both patients and their caregivers.

Keywords: Advanced cancer patients; Caregiver’s awareness; Depression; Prognostic awareness; Quality of life.

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Author(s)
강윤교강정훈고수진김범석김유정류혜원심현정유신혜윤영호이나리이지혜정경해추지연
Issued Date
2021
Type
Article
Keyword
Advanced cancer patientsCaregiver’s awarenessDepressionPrognostic awarenessQuality of life.
DOI
10.1007/s00520-020-05489-8
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8473
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2399241200&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Impact%20of%20family%20caregivers%27%20awareness%20of%20the%20prognosis%20on%20their%20quality%20of%20life%2Fdepression%20and%20those%20of%20patients%20with%20advanced%20cancer:%20a%20prospective%20cohort%20study&offset=0&pcAvailability=true
Publisher
SUPPORTIVE CARE IN CANCER
Location
미국
Language
영어
ISSN
0941-4355
Citation Volume
29
Citation Number
1
Citation Start Page
397
Citation End Page
407
Appears in Collections:
Medicine > Medicine
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