Informal Hospice Caregiving: The Toll on Quality of Life

被引:17
作者
Wilder, Heidi M. [1 ]
Oliver, Debra Parker [2 ]
Demiris, George [3 ]
Washington, Karla [4 ]
机构
[1] Brown Univ, Warren Alpert Med Sch, Box G 8309, Providence, RI 02912 USA
[2] Univ Missouri, Family & Community Med, Columbia, MO USA
[3] Univ Washington, Sch Med, Sch Nursing & Med Educ & Biomed Informat, Biobehav Nursing & Hlth Syst, Seattle, WA USA
[4] Univ Louisville, Social Work, Louisville, KY USA
关键词
Caregiver; hospice; longitudinal; palliative care; quality of life;
D O I
10.1080/15524250903081566
中图分类号
C916 [社会工作、社会管理、社会规划];
学科分类号
1204 ;
摘要
A primary goal in hospice philosophy is to enhance quality of life for both patients and families. Informal family caregivers are essential for the provision of hospice services, but past research has demonstrated a social, emotional, financial, and physical toll associated with this role. The present study investigated self-reported caregiver quality of life in four domains upon patient admission to hospice (n = 76) and 1 month later (n = 45). Significant decreases were found for emotional, social, and total quality of life. Average social quality of life was initially the highest domain but became the lowest after 1 month. Physical quality of life was lowest initially and decreased slightly. Interpretations and implications of results are given.
引用
收藏
页码:312 / 332
页数:21
相关论文
共 42 条
[1]   Systematic review of the problems and issues of accessing specialist palliative care by patients, carers and health and social care professionals [J].
Ahmed, N ;
Bestall, JC ;
Ahmedzai, SH ;
Payne, SA ;
Clark, D ;
Noble, B .
PALLIATIVE MEDICINE, 2004, 18 (06) :525-542
[2]   Health-related quality-of-life of care-givers as a predictor of nursing-home placement of patients with dementia [J].
Argimon, JM ;
Limon, E ;
Vila, J ;
Cabezas, C .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2005, 19 (01) :41-44
[3]   Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study [J].
Awadalla, Abdel W. ;
Ohaeri, Jude U. ;
Gholoum, Abdullah ;
Khalid, Ahmed O. A. ;
Hamad, Hussein M. A. ;
Jacob, Anila .
BMC CANCER, 2007, 7 (1)
[4]   Health related quality of life:: A changing construct? [J].
Bernhard, J ;
Lowy, A ;
Mathys, N ;
Herrmann, R ;
Hürny, C .
QUALITY OF LIFE RESEARCH, 2004, 13 (07) :1187-1197
[5]   Improving access to hospice care: Informing the debate [J].
Carlson, Melissa D. A. ;
Morrison, R. Sean ;
Bradley, Elizabeth H. .
JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (03) :438-443
[6]   Computerised assessment of quality of life in oncology patients and carers [J].
Carter, Gregory ;
Lewin, Terry ;
Rashid, Ghizala ;
Adams, Catherine ;
Clover, Kerrie .
PSYCHO-ONCOLOGY, 2008, 17 (01) :26-33
[7]  
Casey Michelle M, 2005, Am J Hosp Palliat Care, V22, P363, DOI 10.1177/104990910502200509
[8]   PSYCHOSOCIAL NEEDS OF FAMILY CAREGIVERS OF TERMINALLY ILL PATIENTS [J].
CHENG, WC ;
SCHUCKERS, PL ;
HAUSER, G ;
BURCH, J ;
EMMETT, JG ;
WALKER, B ;
LAW, E ;
WAKEFIELD, D ;
BOYLE, D ;
LEE, MY ;
THYER, BA .
PSYCHOLOGICAL REPORTS, 1994, 75 (03) :1243-1250
[9]  
Chentsova-Dutton Y, 2000, Ann Clin Psychiatry, V12, P19, DOI 10.1023/A:1009070826012
[10]   Conversion of the caregiver quality of life index to an interview instrument [J].
Courtney, K ;
Demiris, G ;
Oliver, DP ;
Porock, D .
EUROPEAN JOURNAL OF CANCER CARE, 2005, 14 (05) :463-464