Caregiver-Patient Congruent Symptom Perception of Pain and Fatigue in the Trajectory of Cancer Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/240491
Category:
Abstract
Type:
Research Study
Title:
Caregiver-Patient Congruent Symptom Perception of Pain and Fatigue in the Trajectory of Cancer Care
Author(s):
Hung, Chia Tai
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Chia Tai Hung, PhD, RN: email- hungchi3@msu.edu
Abstract:

Objectives This study specifically aims to 1) Identify changes in congruence of pain and fatigue perception between patients and caregivers; 2) Examine the association between the demographic characteristics, caregiver burden, caregiver depression, patients’ total symptoms, and changes in congruent symptom perception; and 3) Examine the influence of caregiver characteristics and congruent pain and fatigue perception on patients’ HrQOL and caregivers’ physical health.

Subject population 225 dyads of cancer patients and their family caregivers were selected from the parent study Family Home Care for Cancer-A Community-Based Model (National Institutes of Health # RO1Ca-79280). 

Research design This was a descriptive study with cross-sectional design and used secondary data analysis.

Instruments included the modified MD Anderson Symptom Inventory, the Caregiver Reaction Assessment, the Center for Epidemiologic Study Depression scale, and the SF-36 and Physical component summary of SF-12 for patients’ HrQOL and caregivers’ physical health, respectively.

Analysis The statistical analysis in this study included the descriptive analysis, Intraclass Correlation Coefficient, Subtraction, independent t test, ANOVA, Chi-square, Pearson’s correlation coefficient, and General Linear Modeling.

Findings Aim 1. The dyads of cancer patients and their family caregivers had a fair-to-moderate level of congruence (ICC= 0.3~0.5). The mean scores of pain and fatigue from caregivers were higher than those from patients. Aim2. The total number of patient symptoms was significantly positively correlated to the caregivers’ perception of patients’ symptoms, caregiver depressive symptoms, and caregiver burden.  Caregiver physical health was also negatively correlated to caregivers’ depressive symptoms and caregiver burden. Therefore, it is rational that the total number of patient symptoms was also negatively correlated to caregivers’ perception of their own health. Aim 3. Patient physical and mental health was predicted by the total number of patient symptoms, and congruence of fatigue severity and frequency. Caregiver physical health was not impacted by congruence but only influenced by caregivers’ education, total number of patients’ symptoms, and family abandonment. The number of patient symptom is an important factor that can influence caregiver perceiving patient symptoms severity and frequency, and that eventually impacts the health outcomes of patients and caregivers.

Recommendations For clinical care providers, family caregivers need knowledge to help them to objectively assess patients’ symptoms because they commonly overestimate patients’ symptom, although some of them can have congruence. Meanwhile, helping patients to decrease the number of symptoms may not only reduce patients’ symptom burden but also lessen the negative effects on caregivers’ health. Identification of the impact of congruent symptom perception on patient and caregiver health via appropriate symptom management may contribute additional knowledge to nursing science, and also give nursing investigators a greater understanding of family caregivers and contribution to patient care.

Keywords:
Pain; Fatigue; Congruence; Family Caregiver; Cancer Care; Symptom Perception
Repository Posting Date:
29-Aug-2012
Date of Publication:
29-Aug-2012
Sponsors:
Sigma Theta Tau International
Note:
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the STTI grant. No further peer-review has taken place upon the completion of the STTI grant final report and its appearance in this repository.; This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryAbstracten
dc.typeResearch Studyen
dc.titleCaregiver-Patient Congruent Symptom Perception of Pain and Fatigue in the Trajectory of Cancer Careen_US
dc.contributor.authorHung, Chia Tai-
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsChia Tai Hung, PhD, RN: email- hungchi3@msu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/240491-
dc.description.abstract<p><strong>Objectives</strong> This study specifically aims to 1) Identify changes in congruence of pain and fatigue perception between patients and caregivers; 2) Examine the association between the demographic characteristics, caregiver burden, caregiver depression, patients’ total symptoms, and changes in congruent symptom perception; and 3) Examine the influence of caregiver characteristics and congruent pain and fatigue perception on patients’ HrQOL and caregivers’ physical health.</p> <p><strong>Subject population</strong> 225 dyads of cancer patients and their family caregivers were selected from the parent study Family Home Care for Cancer-A Community-Based Model (National Institutes of Health # RO1Ca-79280). </p> <p><strong>Research design </strong>This was a descriptive study with cross-sectional design and used secondary data analysis.</p> <p><strong>Instruments </strong>included<strong> </strong>the modified MD Anderson Symptom Inventory, the Caregiver Reaction Assessment, the Center for Epidemiologic Study Depression scale, and the SF-36 and Physical component summary of SF-12 for patients’ HrQOL and caregivers’ physical health, respectively.</p> <p><strong>Analysis </strong>The statistical analysis in this study included the descriptive analysis, <em>Intraclass Correlation Coefficient</em>, Subtraction, independent <em>t</em> test, <em>ANOVA</em>, <em>Chi-square</em>, <em>Pearson’s correlation coefficient</em>, and <em>General Linear Modeling</em>.</p> <p><strong>Findings </strong><em>Aim 1.</em> The dyads of cancer patients and their family caregivers had a fair-to-moderate level of congruence (ICC= 0.3~0.5). The mean scores of pain and fatigue from caregivers were higher than those from patients. <em>Aim2.</em> The total number of patient symptoms was significantly positively correlated to the caregivers’ perception of patients’ symptoms, caregiver depressive symptoms, and caregiver burden.  Caregiver physical health was also negatively correlated to caregivers’ depressive symptoms and caregiver burden. Therefore, it is rational that the total number of patient symptoms was also negatively correlated to caregivers’ perception of their own health. <em>Aim 3.</em><strong> </strong>Patient physical and mental health was predicted by the total number of patient symptoms, and congruence of fatigue severity and frequency. Caregiver physical health was not impacted by congruence but only influenced by caregivers’ education, total number of patients’ symptoms, and family abandonment. The number of patient symptom is an important factor that can influence caregiver perceiving patient symptoms severity and frequency, and that eventually impacts the health outcomes of patients and caregivers.</p> <p><strong>Recommendations </strong>For clinical care providers, family caregivers need knowledge to help them to objectively assess patients’ symptoms because they commonly overestimate patients’ symptom, although some of them can have congruence. Meanwhile, helping patients to decrease the number of symptoms may not only reduce patients’ symptom burden but also lessen the negative effects on caregivers’ health. Identification of the impact of congruent symptom perception on patient and caregiver health via appropriate symptom management may contribute additional knowledge to nursing science, and also give nursing investigators a greater understanding of family caregivers and contribution to patient care.</p>en_GB
dc.subjectPainen_GB
dc.subjectFatigueen_GB
dc.subjectCongruenceen_GB
dc.subjectFamily Caregiveren_GB
dc.subjectCancer Careen_GB
dc.subjectSymptom Perceptionen_GB
dc.date.available2012-08-29T18:23:40Z-
dc.date.issued2012-08-29-
dc.date.accessioned2012-08-29T18:23:40Z-
dc.description.sponsorshipSigma Theta Tau Internationalen
dc.description.noteThe Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the STTI grant. No further peer-review has taken place upon the completion of the STTI grant final report and its appearance in this repository.en
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item.-
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