Year 2019, Volume 4 , Issue 3, Pages 120 - 125 2019-12-31

Palyatif bakım hastasına bakım verenlerde depresyon, anksiyete ve stres düzeyi: tanımlayıcı-kesitsel tipte bir çalışma
Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study

Songül DURAN [1] , Serap KAYNAK [2] , Ayse KARADAS [3]


Giriş: Palyatif hastasına bakım vermek stresli ve zorlayıcı bir durum olup bakım verenin fiziksel, duygusal, psikolojik ve sosyal refahını etkilemektedir. Bu çalışmanın amacı palyatif bakım hastasına bakım verenlerin depresyon, anksiyete ve stres düzeylerinin ve bunları etkileyen faktörlerin incelenmesidir.

Yöntem: Kesitsel tipteki bu çalışma Balıkesir ve Edirne ilinde yer alan birer hastanenin palyatif bakım ünitesinde yatan hastaların bakım verenleri (n=234) ile yürütülmüştür. Çalışma Nisan 2018 ve Ocak 2019 tarihleri arasında yürütülmüştür. Veriler sosyo-demografik veri toplama formu ve Depresyon Anksiyete Stres Ölçeği (DASÖ) ile toplanmıştır.

Bulgular: Çalışmada da palyatif hastasına bakım verenlerin %20,1’inde ileri ve çok ileri düzeyde depresyon saptanmıştır. Bu değer  anksiyete  için %32, stres için %12,4 düzeyindedir. Kronik hastalığı olan ve hasta ile aynı yerde ikamet edenlerde DASÖ puanı daha yüksek düzeyde bulunmuştur.

Sonuç: Palyatif hastasına bakım verenlere psikososyal destek sağlanması hem hasta hem de bakım verenin yaşam kalitesini arttırabilir. Sadece hastaya değil bakım verene de gerekli müdahalelerin yapılması önerilmektedir.

Introduction: Caregiving of the palliative patient is a stressful and challenging condition, affecting the caregiver’s physical, emotional, psychological, and social well-being. This study aimed to determine depression, anxiety, and stress levels of the caregivers of palliative care patients.

Methods: This cross-sectional study was conducted with caregivers (n=234) in a palliative care unit of a hospital in Balıkesir and Edirne between April 2018 and January 2019. The data were collected by a socio-demographic questionnaire and the Depression Anxiety Stress Scale (DASS).

Results: Severe and extremely severe depression was detected in 20.1% of the caregivers of palliative patients. Anxiety and stress were found in 32% and 12.4% of the respondents, respectively. The DASS score was higher in participants who had a chronic disease or were living with the patients.

Conclusions: Providing psychosocial support to caregivers of palliative patients may improve the quality of life of both the patients and the caregivers. Necessary interventions are recommended not only to the patients but also to the caregivers.

  • 1. Elcigil A. [Palliative care nursing] (in Turkish). Gulhane Tip Derg 2012;54:329-34. https://doi.org/10.5455/gulhane.30582
  • 2. Koç M, Okan I. [Psychosocial problems in families of patients receiving palliative care] (in Turkish). Turkiye Klinikleri J Psychiatr Nurs-Special Topics 2017;3(1):69-75.
  • 3. McCorkle R, Pasacreta JV. Enhancing caregiver outcomes in palliative care. Cancer Control 2001;8(1):36-45. https://doi.org/10.1177/107327480100800106
  • 4. Ozdemir, F. [Investigation of the relationship between psychosocial problems of relatives of patients receiving palliative care and religious coping styles] (in Turkish). Master’s thesis, İstanbul Medipol University, Health Sciences Institute, Department of Nursing, Istanbul; 2016.
  • 5. Atagun MI, Balaban OD, Atagun Z, Elagoz M, Ozpolat, YA. [Burden of caregivers in chronic diseases] (in Turkish). Current Approaches in Psychiatry 2011;3(3):513-52. https://doi.org/10.5455/cap.20110323
  • 6. Antony L, George LS, Jose TT. Stress, coping, and lived experiences among caregivers of cancer patients on palliative care: A mixed method research. Indian J Palliat Care 2018;24(3):313-9. https://doi.org/10.4103/IJPC.IJPC_178_17
  • 7. Paiva BS, Carvalho AL, Lucchetti G, Barroso EM, Paiva CE. "Oh, yeah, I'm getting closer to god": Spirituality and religiousness of family caregivers of cancer patients undergoing palliative care. Support Care Cancer 2015;23(8):2383-9. https://doi.org/10.1007/s00520-015-2604-1
  • 8. Hudson P, Quinn K, Kristjanson L, Thomas T, Braithwaite M, Fisher J, et al. Evaluation of a psycho-educational group programme for family caregivers in home-based palliative care. Palliat Med 2008;22(3):270-80. https://doi.org/10.1177/0269216307088187
  • 9. Kristjanson LJ, Aoun S. Palliative care for families: Remembering the hidden patients. Can J Psychiatry 2004;49(6):359-65. https://doi.org/10.1177/070674370404900604
  • 10. Harding R, List S, Epiphaniou E, Jones H. How can informal caregivers in cancer and palliative care be supported? An updated systematic literature review of interventions and their effectiveness. Palliat Med 2012;26:7-22. https://doi.org/10.1177/0269216311409613
  • 11. Hudson P, Payne S. Family caregivers and palliative care: Current status and agenda for the future. J Palliat Med 2011;14(7):864-9. https://doi.org/10.1089/jpm.2010.0413
  • 12. Hudson PL, Remedios C, Thomas KA. Systematic review of psychosocial interventions for family careers of palliative care patients. BMC Palliat Care 2010;9:2-6. https://doi.org/10.1186/1472-684X-9-17
  • 13. Aoun S, Deas K, Toye C, Ewing G, Grande G, Stajduhar K. Supporting family caregivers to identify their own needs in end-of life care: Qualitive findings from a stepped wedge clustral trial. Palliat Med 2004;29(6):508-17. https://doi.org/10.1177/0269216314566061
  • 14. Akin A, Cetin B. [Depression Anxiety Stress Scales: Validity and reliability study] (in Turkish). Kuram ve Uygulamada Eğitim Bilimleri 2007;7(1);241-68.
  • 15. Grov EK, Dahl AA, Moum T, Fossa SD. Anxiety, depression, and quality of life in caregivers of patients with cancer in late palliative phase. Ann Oncol 2005;16(7):1185–91. https://doi.org/10.1093/annonc/mdi210
  • 16. Oechsle K, Goerth K, Bokemeyer C, Mehnert A. Anxiety and depression in caregivers of terminally ill cancer patients: impact on their perspective of the patients' symptom burden. J Palliat Med 2013;16(9):1095-101. https://doi.org/10.1089/jpm.2013.0038
  • 17. Götze H, Brähler E, Gansera L, Schnabel A, Gottschalk-Fleischer A, Köhler N. Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient’s death. Eur J Cancer Care 2018;27(2):e12606. https://doi.org/10.1111/ecc.12606
  • 18. Palacio C, Krikorian A, Limonero JT. The influence of psychological factors on the burden of caregivers of patients with advanced cancer: Resiliency and caregiver burden. Palliat Support Care 2017;16(3):269-77. https://doi.org/10.1017/S1478951517000268
  • 19. Park B, Kim SY, Shin JY, Sanson-Fisher RW, Shin DW, Cho J, et al. Prevalence and predictors of anxiety and depression among family caregivers of cancer patients:a nationwide survey of patient-family caregiver dyads in Korea. Support Care Cancer 2013;21(10):2799-807. https://doi.org/10.1007/s00520-013-1852-1
  • 20. Perez-Ordóñez F, Frías-Osuna A, Romero-Rodríguez Y, Del-Pino-Casado R. Coping strategies and anxiety in caregivers of palliative cancer patients. Eour J Cancer Care 2016;25(4):600-7. https://doi.org/10.1111/ecc.12507
  • 21. Daştan NB, Buzlu S. [Psychosocial problems and psychosocial care in families of cancer patients] (İn Turkish). Türkiye Klinikleri 2018;4(1):67-73.
  • 22. Geng HM, Chuang M, Yang F, Yang Y, Liu W, Liu L, et al. Prevalence and determinants of depression in caregivers of cancer patients: A systematic review and meta-analysis. Medicine [Baltimore] 2018;97(39):e11863. https://doi.org/10.1097/MD.0000000000011863
  • 23. Zyad F, Sheta M, Degwi HE, Saad R. Anxiety, depression, and strain among caregivers of terminally ill patients. Egyptian J Psychiatr 2013;34:77-84. https://doi.org/10.7123/01.EJP.0000419667.93575.14
  • 24. Laidlaw TM, Coverdale JH, Falloon IRH, Kydd RR. Caregivers’ stresses when living together or apart from patients with chronic schizophrenia. Community Ment Health J 2002;38(4):303-10. https://doi.org/10.1023/A:1015949325141
Primary Language en
Subjects Medicine
Published Date Dec 2019
Journal Section Original Research
Authors

Orcid: 0000-0002-2565-7784
Author: Songül DURAN (Primary Author)
Institution: Program of Care for the Elderly, Vocational School of Health Services, Izmir Demokrasi University, Izmir
Country: Turkey


Orcid: 0000-0001-9482-5254
Author: Serap KAYNAK
Institution: Department of Nursing, Faculty of Health, Balikesir University, Balıkesir, Turkey
Country: Turkey


Orcid: 0000-0003-3955-2980
Author: Ayse KARADAS
Institution: Department of Nursing, Faculty of Health, Balikesir University, Balıkesir, Turkey
Country: Turkey


Dates

Application Date : February 26, 2019
Acceptance Date : July 29, 2019
Publication Date : December 31, 2019

Bibtex @research article { fppc532571, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2019}, volume = {4}, pages = {120 - 125}, doi = {10.22391/fppc.532571}, title = {Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study}, key = {cite}, author = {Duran, Songül and Kaynak, Serap and Karadas, Ayse} }
APA Duran, S , Kaynak, S , Karadas, A . (2019). Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study . Family Practice and Palliative Care , 4 (3) , 120-125 . DOI: 10.22391/fppc.532571
MLA Duran, S , Kaynak, S , Karadas, A . "Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study" . Family Practice and Palliative Care 4 (2019 ): 120-125 <http://www.fppc.com.tr/en/pub/issue/50274/532571>
Chicago Duran, S , Kaynak, S , Karadas, A . "Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study". Family Practice and Palliative Care 4 (2019 ): 120-125
RIS TY - JOUR T1 - Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study AU - Songül Duran , Serap Kaynak , Ayse Karadas Y1 - 2019 PY - 2019 N1 - doi: 10.22391/fppc.532571 DO - 10.22391/fppc.532571 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 120 EP - 125 VL - 4 IS - 3 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.532571 UR - https://doi.org/10.22391/fppc.532571 Y2 - 2019 ER -
EndNote %0 Family Practice and Palliative Care Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study %A Songül Duran , Serap Kaynak , Ayse Karadas %T Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study %D 2019 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 4 %N 3 %R doi: 10.22391/fppc.532571 %U 10.22391/fppc.532571
ISNAD Duran, Songül , Kaynak, Serap , Karadas, Ayse . "Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study". Family Practice and Palliative Care 4 / 3 (December 2020): 120-125 . https://doi.org/10.22391/fppc.532571
AMA Duran S , Kaynak S , Karadas A . Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study. Fam Pract Palliat Care. 2019; 4(3): 120-125.
Vancouver Duran S , Kaynak S , Karadas A . Depression, anxiety and stress levels in caregivers of palliative patients: a descriptive, cross-sectional study. Family Practice and Palliative Care. 2019; 4(3): 120-125.