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Spouse caregivers of terminally-ill cancer patients as cancer patients: A pilot study in a palliative care unit

Published online by Cambridge University Press:  07 December 2005

HIDEKI ONISHI ,
MASANARI ONOSE ,
SHIGEKO OKUNO ,
SUZU YAE ,
YASUHIRO MIZUNO ,
MIZUHO ITO ,
HIDEYUKI SAITO  and
CHIAKI KAWANISHI
HIDEKI ONISHI
Affiliation:
Department of Psychiatry, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi-ku, Yokohama 241-0815, Japan
MASANARI ONOSE
Affiliation:
Department of Psychiatry, Yokohama City University School of Medicine
SHIGEKO OKUNO
Affiliation:
Department of Psychiatry, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi-ku, Yokohama 241-0815, Japan
SUZU YAE
Affiliation:
Department of Psychiatry, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi-ku, Yokohama 241-0815, Japan
YASUHIRO MIZUNO
Affiliation:
Department of Psychiatry, Yokohama City University School of Medicine
MIZUHO ITO
Affiliation:
Department of Psychiatry, Yokohama City University School of Medicine
HIDEYUKI SAITO
Affiliation:
Department of Psychiatry, Yokohama City University School of Medicine
CHIAKI KAWANISHI
Affiliation:
Department of Psychiatry, Yokohama City University School of Medicine
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Abstract

Objective: It is known that families of terminally-ill cancer patients show levels of emotional and functional disruption and are called “second order patients,” however, little is actually known about the health problems of family members, especially in terms of cancer.

Methods: This study reviewed the family histories of terminally-ill cancer patients in a palliative care unit and investigated cancer related health problems of the spouses of terminally-ill cancer patients.

Results: We investigated the past medical history of 125 spouses of terminally-ill cancer patients and found that five spouses had a past medical history of cancer. In these five spouses, the duration of illness, present status of treatment and physical condition were reviewed from the database. Of these five spouses, three patients continued to attend an outpatient clinic regularly for checkup and one patient was hospitalized for nephrectomy. Two spouses did not have physical symptoms that made them unable to provide direct care for the terminally-ill spouses, while three could not provide care because of their own physical symptoms derived from cancer.

Significance of results: Our findings indicated that some of the spouses of terminally-ill cancer patients are not only “second order patients” but also “cancer patients.” Our findings also suggest that some spouses of terminally-ill cancer patients might experience distress both as a cancer patient and as a spouse and may need care both as a cancer patient and as a spouse.

Keywords

CancerCaregiverSpouse
Type
Research Article
Information
Palliative & Supportive Care , Volume 3 , Issue 2 , June 2005 , pp. 83 - 86
Copyright
© 2005 Cambridge University Press

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References

REFERENCES

Baider, L. & Kaplan De-Nour, A. (1988). Adjustment to cancer: Who is the patient-the husband or the wife. Israel Journal of Medical Science, 24, 631–636.Google Scholar
Beckwith, B.E., Beckwith, S.K., Gray, T.L., et al. (1990). Identification of spouses at high risk during bereavement: A preliminary assessment of Parkes and Weiss' Risk Index. Hospice Journal, 6, 35–46.Google Scholar
Blanchard, C.G., Albrecht, T.L., & Ruckdeschel, J.C. (1997). The crisis of cancer: Psychological impact on family caregivers. Oncology, 11, 189–194.Google Scholar
Ferrell, B.R., Ferrell, B.A., Rhiner, M., et al. (1991). Family factors influencing cancer pain management. Postgraduate Medical Journal, 67, Suppl 2, S64–9.Google Scholar
Hughes, S.L., Hurder, A.G., Weaver, F.M., et al. (1999). Relation between caregiver burden and health related quality of life. Gerontologist, 39, 534–545.Google Scholar
Kaye, J.M. & Gracely, E.J. (1993). Psychological distress in cancer patients and their spouses? Journal of Cancer Education, 8, 47–52.Google Scholar
Kissane, D.W., Bloch, S., Burns, W.I., et al. (1994). Psychological Morbidity in the families of patients with cancer. Psycho-Oncology, 3, 47–56.Google Scholar
Lederberg, M.S. (1998). The family of the cancer patient. In Psycho-Oncology, Holland, J.C. (ed.). New York: Oxford University Press.
Northouse, L.L., Dorris, G., & Charron-Moore, C. (1995). Factors affecting couples' adjustment to recurrent breast cancer. Social Science Medicine, 41, 69–76.Google Scholar
Northouse, L.L. & Swain, M.A. (1987). Adjustment of patients and husbands to the initial impact of breast cancer. Nurse Research, 36, 221–225.Google Scholar
Northouse, L.L., Mood, D., Templin, T., et al. (2000). Couples' patterns of adjustment to colon cancer. Social Science Medicine, 50, 271–284.Google Scholar
Onishi, H., Miyashita, A., & Kosaka, K. (2000). Manic episode associated with bereavement in a patient with lung cancer. Supportive Care in Cancer, 8, 339–340.Google Scholar
Onishi, H., Onose, M., Yamada, T., et al. (2003). Brief psychotic disorder associated with bereavement in a patient with terminal stage uterine cervical cancer: A case report and review of the literature. Supportive Care in Cancer, 11, 491–493.Google Scholar
Onishi, H., Kamijo, A., Onose, M., et al. (2004). Conversion disorder with convulsion and motor deficit mimicking the adverse effects of high-dose Ara-C treatment in a post-transplant acute myeloid leukemia patient: A case report and review of the literature. Palliative and Supportive Care, 2, 79–82.Google Scholar
Teel, C.S. & Press, A.N. (1999). Fatigue among elders in caregiving and non-caregiving roles. West Journal of Nurse Research, 21, 498–520.Google Scholar