Predicting Family Caregiver Psychosocial Functioning in Palliative Care

Author:

Hudson Peter L.1,Hayman-White Karla2,Aranda Sanchia3,Kristjanson Linda J.4

Affiliation:

1. Centre for Palliative Care, St. Vincent's Health and University of Australia, Melbourne

2. Centre for Psychiatric Nursing Research and Practice, School of Nursing, University of Melbourne

3. Peter MacCallum Cancer Centre and School of Nursing, University of Melbourne, Melbourne, Victoria

4. Office of Research and Development, Curtin University of Technology, Western Australia, Australia

Abstract

Background Health professionals are expected to support family caregivers of patients requiring palliative care. However, there is a dearth of empirical evidence to help clinicians identify caregivers who might be at risk of poor psychosocial functioning. Purpose This secondary analysis of baseline data from a larger study sought to determine if it was possible to predict the psychosocial functioning of family caregivers who were supporting a relative with advanced incurable cancer. Method Data from 35 primary family caregivers obtained at the start of home-based palliative care services and five weeks later was used in the analysis. Instruments to measure caregiver preparedness, competence, mastery, social support, anxiety, and self-efficacy were used. Results Cluster and logistic analyses revealed that self-reported “anxiety” and “competence” subscale total scores at time of commencement of home-based palliative care services were associated with caregivers at risk of lower levels of psychosocial functioning five weeks later. Conclusions This study suggests that it may be possible to identify family caregivers who are at risk for poorer psychosocial functioning. However, replication in a larger sample is required before this screening approach can be recommended for clinical use.

Publisher

SAGE Publications

Subject

General Medicine

Reference54 articles.

1. Palliative Care Australia. Standards for Providing Quality Palliative Care for All Australians. Yarraluma, Australia: Palliative Care Australia, 2005; p. 41.

2. Caring for patients and relatives: an appraisal of palliative care philosophy

3. A Description of a Psychoeducational Intervention for Family Caregivers of Cancer Patients

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