Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients

암 환자 가족원의 소진 관련 변인들 간의 관계 구조

  • Received : 2013.08.12
  • Accepted : 2013.11.22
  • Published : 2013.12.31
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Abstract

Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

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References

  1. Ahn, E. J., & Lee, Y. S. (2005). Burnout and burden of family care-givers for caring of terminal patients with cancer. Journal of Korean Oncology Nursing, 5(1), 40-51.
  2. Benzein, E. G., & Berg, A. C. (2005). The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care. Palliative Medicine, 19(3), 234-240. https://doi.org/10.1191/0269216305pm1003oa
  3. Choi, Y. S. (2011). Suffering experience of the family with cancer patients: Applied parse's human becoming research methodology. Unpublished master's thesis, Konyang University, Daejeon.
  4. Duggleby, W., Bally, J., Cooper, D., Doell, H., & Thomas, R. (2012). Engaging hope: The experiences of male spouses of women with breast cancer. Oncology Nursing Forum, 39(4), 400-406. http://dx.doi.org/10.1188/12.onf.400-406
  5. Feldman, D. B., & Snyder, C. R. (2005). Hope and the meaningful life: Theoretical and empirical associations between goal-directed thinking and life meaning. Journal of Social and Clinical Psychology, 24(3), 401-421. http://dx.doi.org/10.1521/jscp.24.3.401.65616
  6. Given, B. A., & Northouse, L. (2011). Who cares for family caregivers of patients with cancer? Clinical Journal of Oncology Nursing, 15(5), 451-452. http://dx.doi.org/10.1188/11.cjon.451-452
  7. Herth, K. (1991). Development and refinement of an instrument to measure hope. Scholarly Inquiry for Nursing Practice, 5(1), 39-51.
  8. Hill, R. (1958). Generic features of families under stress. Social Casework, 39, 139-150.
  9. Honea, N. J., Brintnall, R., Given, B., Sherwood, P., Colao, D. B., Somers, S. C., et al. (2008). Putting evidence into practice: Nursing assessment and interventions to reduce family caregiver strain and burden. Clinical Journal of Oncology Nursing, 12(3), 507-516. http://dx.doi.org/10.1188/08.cjon.507-516
  10. Hong, M. J., Tae, Y. S., & Noh, M. Y. (2012). Relationships between stress, ways of coping and burnout of family caregivers of cancer patients. Asian Oncology Nursing, 12(1), 92-99. http://dx.doi.org/10.5388/aon.2012.12.1.92
  11. Kang, K. A., & Kim, S. J. (2005). Content analysis of difficulties in families with terminal cancer patients. Journal of Korean Academy of Community Health Nursing, 16(3), 270-281.
  12. Keefe, F. J., Ahles, T. A., Porter, L. S., Sutton, L. M., McBride, C. M., Pope, M. S., et al. (2003). The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life. Pain, 103(1-2), 157-162. https://doi.org/10.1016/S0304-3959(02)00448-7
  13. Kim, M. G., Park, H. S., & Hong, H. S. (2012). Perceived family support in patients with chronic liver disease and burnout in primary family caregivers. Global Health Nursing, 2(1), 8-17.
  14. Kim, Y. L., & Yoo, M. S. (2008). A study on the relationship between the burden and the social support of family caregivers of breast cancer patients. Korean Journal of Family Welfare, 13(2), 5-24.
  15. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer Publishing Company.
  16. McDaniel, K. R., & Allen, D. G. (2012). Working and care-giving: The impact on caregiver stress, family-work conflict, and burnout. Journal of Life Care Planning, 10(4), 21-32.
  17. Ministry of Health & Welfare, Korea Central Cancer Registry, & National Cancer Center. (2012). Annual report of cancer statistics in Korea in 2010. Seoul: Ministry of Health & Welfare.
  18. Moon, S. B. (2009). Basic concepts and applications of structural equation modeling: With AMOS 17.0. Seoul: Hakjisa.
  19. Northouse, L. L. (2012). Helping patients and their family caregivers cope with cancer. Oncology Nursing Forum, 39(5), 500-506. http://dx.doi.org/10.1188/12.onf.500-506
  20. Ong, A. D., Edwards, L., & Bergeman, C. S. (2006). Hope as a source of resilience in later adulthood. Personality and Individual Differences, 41(7), 1263-1273. http://dx.doi.org/10.1016/j.paid.2006.03.028
  21. Park, J. W. (1985). A study to development a scale of social support. Unpublished doctoral dissertation, Yonsei University, Seoul.
  22. Pines, A. M., Aronson, E., & Kafry, D. (1981). Burnout: From tedium to personal growth. New York, NY: Free Press.
  23. Rhee, Y. S. (2009). A study of effect on quality of life of cancer patient's caregiver: Focusing on the mediating effect of feeling of burden and growth. Korean Jounal of Social Welfare, 61(2), 325-348. https://doi.org/10.20970/kasw.2009.61.2.013
  24. Shin, G. Y. (2002). Adaptation model for family caregiver of cancer patient. Journal of Korean Oncology Nursing, 2(1), 5-16.
  25. Shin, G. Y., & Kim, M. J. (2002). Factors influencing stress appraisal of cancer patients' primary caregivers. Journal of Korean Academy of Adult Nursing, 14(4), 125-134.
  26. Song, M. S., Lee, E. O., Park, Y. S., Hah, Y. S., Shim, Y. S., & Yu, S. J. (2000). The concept analysis of hope: Among cancer patients undergoing chemotherapy. Journal of Korean Academy of Nursing, 30(5), 1279-1291. https://doi.org/10.4040/jkan.2000.30.5.1279
  27. Suh, S. H. (2003). A study of the meaning and the change of familism in Korea. Journal of Korean Home Management Association, 21(4), 93-101.
  28. Sung, M. R., Kim, K. A., & Lee, D. Y. (2012). Factors influencing burnout in primary family caregivers of elders with dementia. Journal of Korean Gerontological Nursing, 14(3), 200-208.
  29. Swore Fletcher, B. A., Dodd, M. J., Schumacher, K. L., & Miaskowski, C. (2008). Symptom experience of family caregivers of patients with cancer. Oncology Nursing Forum, 35(2), E23-E44. http://dx.doi.org/10.1188/08.onf.e23-e44
  30. Tae, Y. S., Heitkemper, M., & Kim, M. Y. (2012). A path analysis: A model of depression in Korean women with breast cancer-mediating effects of self-esteem and hope. Oncology Nursing Forum, 39(1), E49-E57. http://dx.doi.org/10.1188/12.onf.e49-e57
  31. Teschendorf, B., Schwartz, C., Ferrans, C. E., O'Mara, A., Novotny, P., & Sloan, J. (2007). Caregiver role stress: When families become providers. Cancer Control, 14(2), 183-189. https://doi.org/10.1177/107327480701400212
  32. van Oostrom, I., Meijers-Heijboer, H., Duivenvoorden, H. J., Brocker-Vriends, A. H., van Asperen, C. J., Sijmons, R. H., et al. (2007). Family system characteristics and psychological adjustment to cancer susceptibility genetic testing: A prospective study. Clinical Genetics, 71(1), 35-42. http://dx.doi.org/10.1111/j.1399-0004.2007.00731.x
  33. Yang, K. H., Song, M. R., & Kim, E. K. (1998). The stress and adaptation in family caregiver of chemotherapy patients. The Seoul Journal of Nursing, 12(1), 118-132.

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