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Determinants of quality of life among Omani family caregivers of adult patients with cancer pain

Published online by Cambridge University Press:  06 December 2022

Joshua K. Muliira*
Affiliation:
School of Nursing, Ball State University, Muncie, IN, USA
Irene B. Kizza
Affiliation:
School of Nursing, University of Wisconsin – Madison, Madison, WI, USA
Sumaiya N. Al-Kindi
Affiliation:
Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman
*
Author for correspondence: Joshua K. Muliira, School of Nursing, Ball State University, 2000 W University Ave, Muncie, IN 47306, USA. Email: joshua.muliira@bsu.edu

Abstract

Objectives

The study aimed to explore the determinants of quality of life (QoL) among Omani family caregivers (FCGs) of adult patients with cancer pain.

Methods

A descriptive cross-sectional design, measures of caregiver reaction, knowledge about cancer pain, self-efficacy for cancer pain and other symptom management, QoL, and patient functional status were used to collect data from 165 FCGs and patients. Descriptive, correlation, and regression analyses were performed.

Results

Most patients had intermittent (83%) and severe (50.9%) cancer pain. The FCGs had low QoL (58.44 ± 17.95), and this mostly impacted support and positive adaptation (55.2%). Low QoL was associated with low self-rated health, low confidence in the ability to control the patient’s pain, low self-efficacy, high perceived distress due to patient pain, and a high impact of caregiving on physical health. The level of caregiver distress due to the patient’s pain (p < 0.01), patient’s functional status (p < 0.01), and perceived impact of caregiving on health (p < 0.05) were significant predictors of overall QoL.

Conclusion

Omani FCGs of patients with cancer pain suffer a negative impact on their QoL, and this is related to the patient’s level of pain and functional status, caregiver’s health, and self-efficacy in cancer pain and symptom management. The FCGs’ QoL may be enhanced by augmenting their skills and self-efficacy in cancer pain and symptom management and by health promotion programs.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press.

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References

Abdullah, NN, Idris, IB, Shamsuddin, K, et al. (2019) Health-related quality of life (HRQOL) of gastrointestinal cancer caregivers: The impact of caregiving. Asian Pacific Journal of Cancer Prevention 20(4), 11911197. doi:10.31557/apjcp.2019.20.4.1191CrossRefGoogle ScholarPubMed
Al-Azri, M, Al-Hattali, F, Al-Ghafri, H, et al. (2021) Attitudes Towards Cancer Patients: A cross-sectional study of Omani patients and attendees at a university teaching hospital. Sultan Qaboos University Medical Journal 21(2), e221e230. doi:10.18295/squmj.2021.21.02.010CrossRefGoogle ScholarPubMed
Al‐Bahri, A, Al‐Moundhri, M, Al‐Mandhari, Z, et al. (2018) The role of patients’ families in treatment decision‐making among adult cancer patients in the Sultanate of Oman. European Journal of Cancer Care 27(3), . doi:10.1111/ecc.12845CrossRefGoogle ScholarPubMed
Al-Dhawyani, A, Al-Hinai, K, Chan, MF, et al. (2022) Factors contributing to the unmet needs of primary caregivers of Omani children diagnosed with leukemia. Oman Medical Journal 37(2), . doi:10.5001/omj.2022.40CrossRefGoogle Scholar
Al Farai, A, Al Moundhri, M and Panaro, F (2022) Launching of the Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC) in the Sultanate of Oman to manage HBP type of cancers. Hepatobiliary Surgery and Nutrition 11(2), 338339. doi:10.21037/hbsn-2022-03CrossRefGoogle Scholar
Al-Lawati, NA, Al-Bahrani, BJ, Al-Raisi, SS, et al. (2019) Twenty-year trends of cancer incidence in Omanis, 1996–2015. Oman Medical Journal 34(4), 361387.Google ScholarPubMed
Almutairi, KM, Alodhayani, AA, Alonazi, WB, et al. (2017) Assessment of health-related quality of life among caregivers of patients with cancer diagnosis: A cross-sectional study in Saudi Arabia. Journal of Religion and Health 56(1), 226237. doi:10.1007/s10943-016-0261-4CrossRefGoogle ScholarPubMed
Anderson, KO, Dowds, BN, Pelletz, RE, et al. (1995) Development and initial validation of a scale to measure self-efficacy beliefs in patients with chronic pain. Pain 63(1), 7783. doi:10.1016/0304-3959(95)00021-JCrossRefGoogle ScholarPubMed
Berry, LL, Dalwadi, SM and Jacobson, JO (2017) Supporting the supporters: What family caregivers need to care for a loved one with cancer. Journal of Oncology Practice 13(1), 3541. doi:10.1200/JOP.2016.017913CrossRefGoogle ScholarPubMed
Campbell, LC, Keefe, FJ, McKee, DC, et al. (2004) Prostate cancer in African Americans: Relationship of patient and partner self-efficacy to quality of life. Journal of Pain Symptom and Management 28(5), 433444. doi:10.1016/j.jpainsymman.2004.02.020CrossRefGoogle ScholarPubMed
Chan, MF, Al‐Dhawyani, AM, Al Hinai, K, et al. (2022) A cluster analysis to explore the burden of primary caregivers of children with cancer in Oman. Journal for Specialists in Pediatric Nursing 27(3), . doi:10.1111/jspn.12389CrossRefGoogle ScholarPubMed
Cochrane, A, Woods, S, Dunne, S, et al. (2022) Unmet supportive care needs associated with quality of life for people with lung cancer: A systematic review of the evidence 2007–2020. European Journal of Cancer Care 31(1), . doi:10.1111/ecc.13525CrossRefGoogle ScholarPubMed
Decadt, I, Laenen, A, Celus, J, et al. (2021) Caregiver distress and quality of life in primary caregivers of oncology patients in active treatment and follow‐up. European Journal of Cancer Care 30(3), . doi:10.1111/ecc.13399CrossRefGoogle ScholarPubMed
Duimering, A, Turner, J, Chu, K, et al. (2020) Informal caregiver quality of life in a palliative oncology population. Supportive Care in Cancer 28(4), 16951702. doi:10.1007/s00520-019-04970-3CrossRefGoogle Scholar
Ferrell, B, Rhinner, M and Rivera, LM (1993) Development and evaluation of the family pain questionnaire. Journal of Psychosocial Oncology 10(4), 2135. doi:10.1300/J077V10N04_02CrossRefGoogle Scholar
Given, CW, Given, B, Stommel, M, et al. (1992) The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments. Research in Nursing and Health 15(4), 271283. doi:10.1002/nur.4770150406CrossRefGoogle ScholarPubMed
Hassan, MM, Al-Marzooq, D, Al-Habsi, H, et al. (2021) Patients’ knowledge and awareness of safe handling of oral anticancer agents at Sultan Qaboos University Hospital in Oman. Journal of Oncology Pharmacy Practice, 10781552211056238. doi:10.1177/10781552211056238Google Scholar
Katz, S, Down, TD, Cash, HR, et al. (1970) Progress with development of the index of ADL. The Gerontologist 10(1), 2030. doi:10.1093/geront/10.1_Part_1.20CrossRefGoogle ScholarPubMed
Keefe, D, Al Garni, A, Villalon, A, et al. (2016) Challenges in supportive cancer care: Perspectives from the Asia Pacific and Middle East. Supportive Care in Cancer 24(11), 44794481. doi:10.1007/s00520-016-3381-1CrossRefGoogle Scholar
Khanjari, S, Oskouie, F and Langius-eklöf, A (2011) Psychometric testing of the Caregiver Quality of Life Index–Cancer scale in an Iranian sample of family caregivers to newly diagnosed breast cancer women. Journal of Clinical Nursing 21(3-4), 573584. doi:10.1111/j.1365-2702.2011.03850.xCrossRefGoogle Scholar
Kizza, IB and Muliira, JK (2020) Determinants of quality of life among family caregivers of adult cancer patients in a resource-limited setting. Supportive Care in Cancer 28(3), 12951304. doi:10.1007/s00520-019-04947-2CrossRefGoogle Scholar
Leow, MQ, Chan, MF and Chan, SW (2014) Predictors of change in quality of life of family caregivers of patients near the end of life with advanced cancer. Cancer Nursing 37(5), 391400. doi:10.1097/NCC.0000000000000101CrossRefGoogle ScholarPubMed
Mehdi, I, Al Farsi, AA, Al Bahrani, B, et al. (2022) General oncology care in Oman. In Al-Shamsi, H, Abu-Gheida, I, Iqbal, F, et al. (eds), Cancer in the Arab World. Singapore: Springer, 175193.CrossRefGoogle Scholar
Milbury, K, Badr, H, Fossella, F, et al. (2013) Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Supportive Care in Cancer 21(9), 23712379. doi:10.1007/s00520-013-1795-6CrossRefGoogle ScholarPubMed
Nemati, S, Rassouli, M Ilkhani, M, et al (2017) The spiritual challenges faced by family caregivers of patients with cancer: A qualitative study. Holistic Nursing Practice 31(2), 110117. doi:10.1097/HNP.0000000000000198CrossRefGoogle ScholarPubMed
Nikseresht, F, Rassouli, M, Torabi, F, et al. (2016) The effect of spiritual care on mental health in mothers of children with cancer. Holistic Nursing Practice 30(6), 330337. doi:10.1097/HNP.0000000000000175CrossRefGoogle ScholarPubMed
Ochoa, CY, Lunsford, NB and Smith, JL (2020) Impact of informal cancer caregiving across the cancer experience: A systematic literature review of quality of life. Palliative and Supportive Care 18(2), 220240. doi:10.1017/S1478951519000622CrossRefGoogle ScholarPubMed
Porter, LS, Keefe, FJ, Garst, J, et al. (2008) Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms and distress. Pain 137(2), 306315. doi:10.1016/j.pain.2007.09.010CrossRefGoogle ScholarPubMed
Sharour, LA, Al Sabei, S, Al Harrasi, M, et al. (2022) Quality of oncology nursing care as perceived by patients with cancer: Results from three Arab Countries. Cancer Nursing 45(2), E545E551. doi:10.1097/NCC.0000000000000993CrossRefGoogle Scholar
Spatuzzi, R, Giulietti, MV, Ricciuti, M, et al. (2019) Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients. Palliative and Supportive Care 17(3), 294299. doi:10.1017/s1478951518000160CrossRefGoogle ScholarPubMed
Sung, H, Ferlay, J, Siegel, RL, et al. (2021) Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians 71(3), 209249. doi:10.3322/caac.21660Google ScholarPubMed
Thomas, TH, Campbell, GB, Lee, YJ, et al. (2021) Priorities to improve cancer caregiving: Report of a caregiver stakeholder workshop. Supportive Care in Cancer 29(5), 24232434. doi:10.1007/s00520-020-05760-yCrossRefGoogle ScholarPubMed
Üzar-Özçetin, YS and Dursun, (2020) Quality of life, caregiver burden, and resilience among the family caregivers of cancer survivors. European Journal of Oncology Nursing 48, . doi:10.1016/j.ejon.2020.101832CrossRefGoogle Scholar
Weitzner, MA, Meyers, CA, Steinbruecker, S, et al. (1997) Developing a care giver quality-of-life instrument. Preliminary steps. Cancer Practice 5(1), 2531.Google ScholarPubMed
Yun, YH, Rhee, YS, Kang, IO, et al. (2005) Economic burdens and quality of life of family caregivers of cancer patients. Oncology 68(2–3), 107114. doi:10.1159/000085703CrossRefGoogle ScholarPubMed
Zafa, SN, Siddiqui, AH, Channa, R, et al. (2019) Estimating the global demand and delivery of cancer surgery. World Journal of Surgery 43(19), 22032210. doi:10.1007/s00268-019-05035-6CrossRefGoogle Scholar