Volume 21, Issue 3 (June 2023)                   Nursing and Midwifery Journal 2023, 21(3): 195-205 | Back to browse issues page


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Eghtedar S, Almasi L, Jasemi M, Aparnak F, Habibzadeh H. FAMILY CAREGIVERS IN CANCER: EXPERIENCES, CAPACITIES, AND SOLUTIONS. Nursing and Midwifery Journal 2023; 21 (3) :195-205
URL: http://unmf.umsu.ac.ir/article-1-4205-en.html
1- Assistant Professor in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Master of Science in Nursing, Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
3- Associate Professor in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4- Master of Science in Midwifery, Department of Midwifery, Urmia Branch, Islamic Azad University, Urmia, Iran (Corresponding Author) , aparnaksara@gmail.com
5- Professor in Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (2569 Views)
Background & Aims: The cancer diagnosis affects the patients and significantly impacts the lives of family members. Family caregivers face multiple challenges that require empowerment and support from healthcare professionals. Therefore, identifying the caregiving experiences from the perspective of families is essential to empower them to cope with the disease and related problems. Due to the diverse cultures and beliefs in Eastern and Muslim societies, the caregiving experiences in these families may be different, and understanding these experiences is a vital issue due to the lack of transparency. Thus, this study aimed to explore the caregiving experiences and abilities of family members of cancer patients in Iran.
Materials & Methods: This qualitative study was conducted using purposive sampling and semi-structured interviews. Initially, participants were selected purposefully based on the study's objective, and then using theoretical sampling, samples that provided the most information were selected to enter the study. Finally, the collected data were analyzed using conventional content analysis.
Results: In this study, the caregiving experiences of family members in caring for a cancer patient were identified in the main categories and subcategories as follows: 1- Relief with spiritual support: "Submission to the will of God" - "Belief and reliance on spiritual beliefs.",
2- Change in perception and therapeutic thinking of family caregivers: "Hope for improvement and finding appropriate solutions" - "Changing attitudes and perspectives towards the disease based on the effectiveness of treatments and care.", and 3- Therapeutic social support: "Family and friends' support" - "Improving the quality of care for cancer patients in the family" - "Receiving feedback and motivation from the patient."
Conclusion: Family caregivers of cancer patients are looking for all possible solutions to gain the necessary skills and knowledge to care for the patient. Understanding the caregiving experiences of family members as informal caregivers can help plan, counsel, and evidence-based interventions, and make them stronger and more effective in facing cancer challenges. Therefore, understanding and paying attention to the experiences of these individuals can play an important role in improving the quality of care and support for the patients and their families.
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Type of Study: Qualitative | Subject: پرستاری

References
1. Chhikara BS, Parang K. Global Cancer Statistics 2022: the trends projection analysis. Chem Biol Lett 2023;10(1):451-. [URL]
2. Mahdavi M, Moghaddam SS, Abbasi‐Kangevari M, Mohammadi E, Shobeiri P, Sharifi G, et al. National and subnational burden of brain and central nervous system cancers in Iran, 1990-2019: Results from the global burden of disease study 2019. Cancer Medi 2023. [DOI:10.1002/cam4.5553] [PMID] [PMCID]
3. Nemati S, Saeedi E, Lotfi F, Nahvijou A, Mohebbi E, Ravankhah Z, et al. National surveillance of cancer survival in Iran (IRANCANSURV): Analysis of data of 15 cancer sites from nine population‐based cancer registries. Int J Cancer 2022;151(12):2128-35. [DOI:10.1002/ijc.34224] [PMID]
4. Sargazi N, Daroudi R, Zendehdel K, Hashemi FA, Tahmasebi M, Darrudi A, et al. Economic burden of gynecological cancers in Iran. Value Health Region Issue 2022;28:1-6. [DOI:10.1016/j.vhri.2021.02.005] [PMID]
5. Almasi Z, Rafiemanesh H, Salehiniya H. Epidemiology characteristics and trends of incidence and morphology of stomach cancer in Iran. Asian Pac J Cancer Preven 2015;16(7):2757-61. [DOI:10.7314/APJCP.2015.16.7.2757] [PMID]
6. Kazeminia M, Salari N, Hosseinian-Far A, Akbari H, Bazrafshan M-R, Mohammadi M. The prevalence of breast cancer in Iranian women: a systematic review and meta-analysis. Indian J Gynecol Oncol 2022;20(1):14. [DOI:10.1007/s40944-022-00613-4]
7. Salehiniya H, Bahadori M, Ghanizadeh G, Raei M. Epidemiological Study of Lung Cancer in Iran: A Systematic Review. Iran J Pub Health 2022;51(2):306. [DOI:10.18502/ijph.v51i2.8683] [PMID] [PMCID]
8. Eghtedar S, Rostamzadeh S, Parizad N, Ahmadzadeh J. Investigating the effect of distance self-care education through whatsapp application on the quality of life of stomach cancer survivors. Nurs Midwifery J 2023;20(10):819-29. [DOI:10.52547/unmf.20.10.819]
9. Hassankhani H, Eghtedar S, Rahmani A, Ebrahimi H, Whitehead B. A Qualitative Study on Cancer Care Burden: Experiences of Iranian Family Caregivers. Holistic Nurs Pract 2019;33(1):17-26. [DOI:10.1097/HNP.0000000000000309] [PMID]
10. Kenny K, Veazey LW, Broom A, Peterie M, Page A, Prainsack B, et al. Hope in the era of precision oncology: a qualitative study of informal caregivers' experiences. BMJ Open 2023;13(5):e065753. [DOI:10.1136/bmjopen-2022-065753] [PMID] [PMCID]
11. Hassankhani H, Eghtedar S, Rahmani A, Ebrahimi H. Going Forward Lightening the Shadow of Cancer: Experiences of Family Caregivers Toward Empowerment. Holistic Nurs Pract 2018;32(4):202-9. [DOI:10.1097/HNP.0000000000000272] [PMID]
12. Ferrell B, Wittenberg E. A review of family caregiving intervention trials in oncology. CA: Cancer J Clinicians 2017;67(4):318-25. [DOI:10.3322/caac.21396] [PMID]
13. Rassouli M, Sajjadi M. Cancer care in countries in transition: The Islamic Republic of Iran. Cancer Care in Countries and Societies in Transition: Springer; 2016. p. 317-36. [DOI:10.1007/978-3-319-22912-6_20]
14. Eghtedar S, Jasemi M, Habibzadeh H. The Role of Beliefs and Psychological Factors in Caring of Patients With Cancer: The Lived Experiences of Informal Caregivers. Holistic Nurs Pract 2021;35(5):248-56. [DOI:10.1097/HNP.0000000000000468] [PMID]
15. Dakessian Sailian S, Salifu Y, Saad R, Preston N. Dignity of patients with palliative needs in the Middle East: an integrative review. BMC Palliative Care 2021;20(1):1-18. [DOI:10.1186/s12904-021-00791-6] [PMID] [PMCID]
16. Teteh DK, Love M, Ericson M, Chan M, Phillips T, Toor A, et al. Social determinants of health among family caregiver centered outcomes in lung cancer: a systematic review. J Thorac Dis 2023;15(5):2824. [DOI:10.21037/jtd-22-1613] [PMID] [PMCID]
17. Hamedani B, Alavi M, Taleghani F, Moghadam MF. Requirements for promoting help-seeking behaviors in family caregivers of cancer patients: A qualitative study. J Edu Health Prom 2023;12. [DOI:10.5812/ijcm-127060]
18. Tay DL, Iacob E, Reblin M, Cloyes KG, Jones M, Hebdon MCT, et al. What contextual factors account for anxiety and depressed mood in hospice family caregivers? Psycho‐Oncol 2022;31(2):316-25. [DOI:10.1002/pon.5816] [PMID] [PMCID]
19. Alessy SA, Alhajji M, Rawlinson J, Baker M, Davies EA. Factors influencing cancer patients' experiences of care in the USA, United Kingdom, and Canada: A systematic review. Eclin Med 2022;47:101405. [DOI:10.1016/j.eclinm.2022.101405] [PMID] [PMCID]
20. Rassouli M, Zamanzadeh V, Ghahramanian A, Abbaszadeh A, Alavi-Majd H, Nikanfar A. Experiences of patients with cancer and their nurses on the conditions of spiritual care and spiritual interventions in oncology units. Iran J Nurs Midwifery Res 2015;20(1):25. [Google Scholar]
21. Cloyd JM, Hyman S, Huwig T, Monsour C, Santry H, Wills C, et al. Patient experience and quality of life during neoadjuvant therapy for pancreatic cancer: a systematic review and study protocol. Support Care Cancer 2021;29:3009-16. [DOI:10.1007/s00520-020-05813-2] [PMID]
22. Bijnsdorp FM, Onwuteaka-Philipsen BD, Boot CR, van der Beek AJ, Pasman HRW. Caregiver's burden at the end of life of their loved one: insights from a longitudinal qualitative study among working family caregivers. BMC Palliat Care 2022;21(1):1-22. [DOI:10.1186/s12904-022-01031-1] [PMID] [PMCID]
23. Dyar KL, editor Qualitative inquiry in nursing: Creating rigor. Nursing Forum; 2022: Wiley Online Library. [DOI:10.1111/nuf.12661] [PMID]
24. Denzin NK, Lincoln YS, Giardina MD, Cannella GS. The Sage handbook of qualitative research: Sage publications; 2023. [URL]
25. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Edu Today 2004;24(2):105-12. [DOI:10.1016/j.nedt.2003.10.001] [PMID]
26. Lincon Y, Guba E. Naturalistic inquir. Newbury Park, CA: Sage; 1985. [URL]
27. Brant JM, Isozaki AB. The influence of spirituality on quality of life during cancer, United States. Global Perspectives in Cancer Care: Religion, Spirituality, and Cultural Diversity in Health and Healing. 2022:173. [DOI:10.1093/med/9780197551349.003.0017]
28. Kelly EP, Paredes AZ, Tsilimigras DI, Hyer JM, Pawlik TM. The role of religion and spirituality in cancer care: An umbrella review of the literature. Surg Oncol 2022;42:101389. [DOI:10.1016/j.suronc.2020.05.004] [PMID]
29. Abdoli S, Ashktorab T, Ahmadi F, Parvizy S, Dunning T. Religion, faith and the empowerment process: Stories of Iranian people with diabetes. Int J Nurs Pract 2011;17(3):289-98. [DOI:10.1111/j.1440-172X.2011.01937.x] [PMID]
30. Nemati S, Rassouli M, Baghestani AR. The spiritual challenges faced by family caregivers of patients with cancer: A qualitative study. Holist Nurs Pract 2017;31(2):110-7. [DOI:10.1097/HNP.0000000000000198] [PMID]
31. Wang Y, Feng W. Cancer-related psychosocial challenges. Gen Psychiatr 2022;35(5):e100871. [DOI:10.1136/gpsych-2022-100871] [PMID] [PMCID]
32. Utne I, Miaskowski C, Paul SM, Rustøen T. Association between hope and burden reported by family caregivers of patients with advanced cancer. Support Care Cancer 2013;21(9):2527-35. [DOI:10.1007/s00520-013-1824-5] [PMID]
33. Mosher CE, Adams RN, Helft PR, O'Neil BH, Shahda S, Rattray NA, et al. Family caregiving challenges in advanced colorectal cancer: patient and caregiver perspectives. Support Care Cancer 2016;24(5):2017-24. [DOI:10.1007/s00520-015-2995-z] [PMID] [PMCID]
34. Bulkley J, McMullen CK, Hornbrook MC, Grant M, Altschuler A, Wendel CS, et al. Spiritual well‐being in long‐term colorectal cancer survivors with ostomies. Psycho‐Oncol 2013;22(11):2513-21. [DOI:10.1002/pon.3318] [PMID] [PMCID]
35. Khalil RB. Attitudes, beliefs and perceptions regarding truth disclosure of cancer-related information in the Middle East: a review. Palliat Support Care 2013;11(1):69. [DOI:10.1017/S1478951512000107] [PMID]
36. Al-Amri AM. Ethical issues in disclosing bad news to cancer patients: Reflections of an oncologist in Saudi Arabia. New Challenges in Communication with Cancer Patients: Springer; 2013. p. 39-50. [DOI:10.1007/978-1-4614-3369-9_4]
37. Chittem M, Norman P, Harris PR. Relationships between perceived diagnostic disclosure, patient characteristics, psychological distress and illness perceptions in Indian cancer patients. Psycho‐Oncol 2013;22(6):1375-80. [DOI:10.1002/pon.3149] [PMID]
38. Cepeda-Trujillo LM, Mosquera-Aguirre JM, Rojas-Atehortua DY, Perdomo-Romero AY. Coping and adaptation of adults with cancer: the art of nursing care. Aquichan 2022;22(1). [DOI:10.5294/aqui.2022.22.1.7]
39. Boot JS, Holcombe C, Salmon P. Positive adjustment to breast cancer: development of a disease‐specific measure and comparison of women diagnosed from 2 weeks to 5 years. Psycho‐Oncol 2010;19(11):1187-94. [DOI:10.1002/pon.1672] [PMID]
40. Gabriel I, Creedy D, Coyne E. A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers. Nurs Open 2020;7(5):1299-312. [DOI:10.1002/nop2.543] [PMID] [PMCID]
41. Sebri V, Mazzoni D, Triberti S, Pravettoni G. The impact of unsupportive social support on the injured self in breast cancer patients. Front Psychol 2021;12:722211. [DOI:10.3389/fpsyg.2021.722211] [PMID] [PMCID]
42. Gibbons SW, Ross A, Wehrlen L, Klagholz S, Bevans M. Enhancing the cancer caregiving experience: building resilience through role adjustment and mutuality. Eur J Oncol Nurs 2019;43:101663. [DOI:10.1016/j.ejon.2019.09.004] [PMID] [PMCID]
43. Johnson SB, King AJ, Warner EL, Aneja S, Kann BH, Bylund CL. Using ChatGPT to evaluate cancer myths and misconceptions: artificial intelligence and cancer information. JNCI Cancer Spectr 2023;7(2):pkad015. [DOI:10.1093/jncics/pkad015] [PMID] [PMCID]
44. Zhao YC, Zhao M, Song S. Online health information seeking behaviors among older adults: systematic scoping review. J Med Internet Res 2022;24(2):e34790. [DOI:10.2196/34790] [PMID] [PMCID]
45. Verma R, Saldanha C, Ellis U, Sattar S, Haase KR. eHealth literacy among older adults living with cancer and their caregivers: A scoping review. J Geriatric Oncol 2022;13(5):555-62. [DOI:10.1016/j.jgo.2021.11.008] [PMID]

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