Volume 22, Issue 2 (5-2024)
Nursing and Midwifery Journal 2024, 22(2): 93-102 |
Back to browse issues page
Ethics code: IR.IUMS.REC.1400.1256
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shogi M, aliabadi Z, Mohammadi R. RELATIONSHIP BETWEEN RESILIENCE AND CAREGIVING BURDEN OF MOTHERS OF CHILDREN WITH CANCER UNDERGOING CHEMOTHERAPY. Nursing and Midwifery Journal 2024; 22 (2) :93-102
URL: http://unmf.umsu.ac.ir/article-1-5104-en.html
URL: http://unmf.umsu.ac.ir/article-1-5104-en.html
1- Department of Pediatric Nursing, Nursing and Midwifery Care Research Center, Health Management Research Institute, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- M.Sc. student, Faculty of Nursing and Midwifery, Tehran, Iran
3- Department of Pediatric Nursing, Nursing and Midwifery Care Research Center, Health Management Research Institute, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author)
2- M.Sc. student, Faculty of Nursing and Midwifery, Tehran, Iran
3- Department of Pediatric Nursing, Nursing and Midwifery Care Research Center, Health Management Research Institute, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author)
Abstract: (1634 Views)
Background & Aim: It is observed that crises such as a child suffering from cancer and chemotherapy can lead to a decline in mental cohesion and resilience in mothers, which in turn can affect their ability to care for their children. This study aimed to explore the relationship between resilience and the caregiving burden of mothers of children who have cancer and are undergoing chemotherapy in the teaching hospitals of the University of Iran.
Materials & Methods: In this descriptive, cross-sectional, and correlational study, 123 mothers of children with cancer undergoing chemotherapy were selected using convenience sampling in Hazrat Ali Asghar and Hazrat Rasool Akram educational centers. The data collection tools were the demographic questionnaire of mothers and children, the Connor and Davidson resilience measurement scale (2003), and the parental care burden questionnaire Zarit et al. (1980). After collecting the data, SPSS version 22.0 statistical software was used to analyze data using descriptive and inferential statistical tests (independent t-test, Pearson's correlation coefficient, and regression analysis). The significance level for all data was considered 0.05.
Results: The mean age of the mothers was 36.05 ± 7.56 years. The mean resilience total score of mothers was 21.19 ± 71.01, indicating the moderate resilience of the mothers. The burden of care in 43.9% of mothers was low, and 32.5% at an average level. The mothers' total care burden mean score was 27.05 ± 19.79. A statistically significant relationship existed between mothers' resilience mean score and the caring burden mean score (P < 0.001). Also, the findings showed a significant relationship between the mean resilience score and the education level of mothers (P=0.03) and an inverse relationship between the mean resilience score of mothers and the number of children (P=0.01). There was a significant relationship between the mean score of care burden of mothers and income level (P=0.009).
Conclusion: The study results indicate that the level of resilience in mothers who care for children undergoing chemotherapy due to cancer is average. Furthermore, based on mothers' and children's demographic factors related to resilience and caregiving burden, and the relation between the caregiving burden on mothers and the impact of resilience on their caregiving burden, the study suggests designing and implementing programs to educate and provide nursing services to these mothers. Such programs aim to reduce their care burden and promote resilience.
Materials & Methods: In this descriptive, cross-sectional, and correlational study, 123 mothers of children with cancer undergoing chemotherapy were selected using convenience sampling in Hazrat Ali Asghar and Hazrat Rasool Akram educational centers. The data collection tools were the demographic questionnaire of mothers and children, the Connor and Davidson resilience measurement scale (2003), and the parental care burden questionnaire Zarit et al. (1980). After collecting the data, SPSS version 22.0 statistical software was used to analyze data using descriptive and inferential statistical tests (independent t-test, Pearson's correlation coefficient, and regression analysis). The significance level for all data was considered 0.05.
Results: The mean age of the mothers was 36.05 ± 7.56 years. The mean resilience total score of mothers was 21.19 ± 71.01, indicating the moderate resilience of the mothers. The burden of care in 43.9% of mothers was low, and 32.5% at an average level. The mothers' total care burden mean score was 27.05 ± 19.79. A statistically significant relationship existed between mothers' resilience mean score and the caring burden mean score (P < 0.001). Also, the findings showed a significant relationship between the mean resilience score and the education level of mothers (P=0.03) and an inverse relationship between the mean resilience score of mothers and the number of children (P=0.01). There was a significant relationship between the mean score of care burden of mothers and income level (P=0.009).
Conclusion: The study results indicate that the level of resilience in mothers who care for children undergoing chemotherapy due to cancer is average. Furthermore, based on mothers' and children's demographic factors related to resilience and caregiving burden, and the relation between the caregiving burden on mothers and the impact of resilience on their caregiving burden, the study suggests designing and implementing programs to educate and provide nursing services to these mothers. Such programs aim to reduce their care burden and promote resilience.
References
1. Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S. Care burden and its Related Factors in Parents of Children with Cancer. Iran J Nurs2018;31(111):e 40-51. [DOI:10.29252/ijn.31.111.40]
2. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin 2023;73(1):17-48. [DOI:10.3322/caac.21763] [PMID]
3. Johnston WT, Erdmann F, Newton R, Steliarova-Foucher E, Schüz J, Roman E. Childhood cancer: Estimating regional and global incidence. Cancer Epidemiol 2021;71(Pt B):101662. [DOI:10.1016/j.canep.2019.101662] [PMID]
4. Hatami F, Hojjati H, Mirbehbahani B. The Effect of ROY Compatibility Model on Care Resiliency in Mothers of Children Treated with Chemotherapy. Chemotherapy Iran J Psychiat Nurs 2018;6(5):64-9. [Google Scholar]
5. Kim MA, Yi J, Wilford A, Kim SH. Parenting changes of mothers of a child with cancer. J Fam Issues 2019;0192513X1988119. [Google Scholar]
6. Amani O, Mazaheri MA, Nejati V, Shamsian B. Effect of Cognitive Rehabilitation on Executive Functions in Adolescent Survivors of Leukemia: A Randomized and Controlled Clinical Trial. Jrehab 2017;18:73-82.. [DOI:10.21859/jrehab-180173]
7. Boztepe H, Çınar S, Ay A, Kerimoğlu Yıldız G, Kılıç C. Predictors of caregiver burden in mothers of children with leukemia and cerebral palsy. J Psychosoc Oncol 2019;37(1):69-78. [DOI:10.1080/07347332.2018.1489441] [PMID]
8. Rezende G, Gomes CA, Rugno FC, Eva G, Lima NKC, De Carlo MMRP. Burden on family caregivers of the elderly in oncologic palliative care. Eur Geriatr Med 2017;8(4):337-41. [DOI:10.1016/j.eurger.2017.06.001]
9. Al Qadire M, Aloush S, Alkhalaileh M, Qandeel H, Al-Sabbah A. Burden among parents of children with cancer in Jordan: Prevalence and predictors. Cancer Nurs 2020;43(5):396-401. [DOI:10.1097/NCC.0000000000000724] [PMID]
10. Götze H, Friedrich M, Brähler E, Romer G, Mehnert A, Ernst J. Psychological distress of cancer patients with children under 18 years and their partners-a longitudinal study of family relationships using dyadic data analysis. Support Care Cancer 2017;25(1):255-64. [DOI:10.1007/s00520-016-3411-z] [PMID]
11. Mordhaseli M, Yarmohammadi Vasel M. Effect of Schematic Therapy on Resilience, Loneliness and Emotional Independence of Quasi-Family Children. Clin Psychol Personal 2017;15(1):e25-17. [URL]
12. Rosenberg A, Wolfe J, Bradford MC, Shaffer M L, Yi-Frazier JP, Curtis JR, et al. Resilience and psychosocial outcomes in parents of children with cancer. Pediatrics Blood Cancer 2013;61:e552-7. [DOI:10.1002/pbc.24854] [PMID] []
13. Toledano-Toledano F, Moral de la Rubia J, Reyes R, González Betanzos F, Villavicencio Guzmán L, Salazar M. The Social Support Networks Scale (SSNS) for Family Caregivers of Children with Cancer: A Psychometric Evaluation. Int J Environ Res Public Health 2020;17(21):e7820. [DOI:10.3390/ijerph17217820] [PMID] []
14. Mezgebu E, Berhan E, Deribe L. Predictors of Resilience Among Parents of Children with Cancer: Cross-Sectional Study. Cancer Manag Res 2020;12:e11611. [DOI:10.2147/CMAR.S276599] [PMID] []
15. Connor K M, Davidson J R. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depress Anxiety 2003;18(2):e76-82. [DOI:10.1002/da.10113] [PMID]
16. Zarit S H, Reever K E, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 1980;20:e649-55. [DOI:10.1093/geront/20.6.649] [PMID]
17. Jamali A, Ghaljaei F, Keikhaei A, Jalalodini A. Effect of peer education on the resilience of mothers of children with leukemia: A clinical trial. Med Surg Nurs J 2019;8(2):e92686. [DOI:10.5812/msnj.92686]
18. Hamano J, Morita T, Igarashi N, Shima Y, Miyashita M.The association of family functioning and psychological distress in the bereaved families of patients with advanced cancer: a nationwide survey of bereaved family members. Psycho-Oncol 2021;30(1):e74-83. [DOI:10.1002/pon.5539] [PMID]
19. Schuler TA, Zaide TI, Li Y, McDonnell GA, Hichenberg S, Loeb R, Kissane DW. Perceived family functioning predicts baseline psychosocial characteristics in U.S. Participants of a family focused grief therapy trial. J Pain Symptom Manage 2017;54(1):126-31. [DOI:10.1016/j.jpainsymman.2017.03.016] [PMID]
20. Mishra S, Gulia A, Satapathy S, Gogia A, Sharma A, Bhatnagar S. Caregiver burden and quality of life among family caregivers of cancer patients on chemotherapy: A prospective observational study. Indian J Palliat Care 2021;27(1):109-12. [DOI:10.4103/IJPC.IJPC_180_20] [PMID] []
21. Mirsoleymani SR, Rohani C, Matbouei M, Nasiri M, Vasli P. Predictors of caregiver burden in Iranian family caregivers of cancer patients. J Educ Health Promot 2017;6(1):e91. [DOI:10.4103/jehp.jehp_137_16] [PMID] []
22. Li Y, Wang K, Yin Y, Li Y, Li S. Relationships between family resilience, breast cancer survivors' individual resilience, and caregiver burden: A cross-sectional study. Int J Nurs Stud 2018;88:79-84. [DOI:10.1016/j.ijnurstu.2018.08.011] [PMID]
23. Tao L, Hu X, H., Xiao, S, Zhang X. Factors influencing the burden on spousal caregivers of breast cancer survivors. Support Care Cancer 2022;30(9):7789-99. [DOI:10.1007/s00520-022-07130-2] [PMID] []
24. Cui P, Shi J, Li S, Getu M A, Wang R, Chen C. Family resilience and its influencing factors among advanced cancer patients and their family caregivers: a multilevel modeling analysis. BMC Cancer 2023;23(1):623. [DOI:10.1186/s12885-023-11101-z] [PMID] []
25. Chang L, Zhang S, Yan Z, Li C, Zhang Q, Li Y. Symptom burden, family resilience, and functional exercise adherence among postoperative breast cancer patients. Asia Pac J Oncol Nurs 2022;9(11):100129. [DOI:10.1016/j.apjon.2022.100129] [PMID] []
26. Üzar-Özçeti̇n Y S, Dursun S İ. Quality of life, caregiver burden, and resilience among the family caregivers of cancer survivors. Eur J Oncol Nurs 2020;48:e101832. [DOI:10.1016/j.ejon.2020.101832] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir