Journal List > Korean J Adult Nurs > v.29(5) > 1096438

Jin and Yoo: Experiences of Distress among Family Caregivers of Hospitalized Cancer Patients

Abstract

Purpose

There is limited available research about the experiences of family caregivers and their care of family members with cancer. The purpose of this study was to explore the experience of distress among family caregivers. Further, this study explored what aspects of caring for family member contributed to the distress.

Methods

Data were collected through in-depth interviews with thirteen family members primarily responsible for the care of the member with cancer. All interviews were audio-taped, transcribed, and analyzed with qualitative content analysis.

Results

The findings showed that the patients’ physical, psychological, socio-relational, and spiritual symptoms influenced their caregivers’ distress. The four categories that emerged from the data included “ focusing attention only on the patient battling with cancer,” “ being trapped in turmoil of complex emotions and feelings,” “ having had to endure alone,” and “ hanging in there at the crossroads of life and death.” With respect to these categories, fourteen subcategories were ultimately identified.

Conclusion

Based on this study, researchers need to focus more attention on, and explore such coexisting distress to develop an adequate support program for the family caregivers of cancer patients.

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Table 1.
Characteristics of Family Caregivers
ID Age (year) Gender Relationship to patient Marital status Patient's primary cancer site Time since cancer diagnosis (year) Religion
P1 64 Female Mother Widowed Blood 1 None
P2 77 Female Spouse Married Colon 2 Christian
P3 62 Female Mother Married Liver 3 Christian
P4 61 Female Spouse Married Liver 2 Buddhist
P5 70 Female Spouse Married Colon 3 Buddhist
P6 65 Male Spouse Married Breast 1 None
P7 55 Female Partner Divorced Lung 2 Shamanistic
P8 67 Female Spouse Married Gallbladder 1 None
P9 60 Female Spouse Married Colon 5 None
P10 61 Male Spouse Married Breast 2 Christian
P11 68 Female Spouse Married Lung 2 Christian
P12 71 Female Spouse Married Lung 4 Christian
P13 67 Male Spouse Married Cervix 2 None

P=participant.

Table 2.
Distress Experienced by Family Caregivers
Main category Generic category Sub-category
Mirrored and coexisting distress Focusing attention only on the patient battling with cancer Being stuck with patient all the way
Cannot afford to take care of myself
Being trapped in turmoil of complex emotions and feelings Feeling lost and helpless
Feeling fearful and apprehensive
Feeling hateful but pitiful
Being uncertain and sad
Feeling unjust and upset
Feeling empty and lonely
Having had to endure alone Dealing with and accepting "difficult" patient
"Just because he (she) is sick"
Having no place to relieve care-induced stress
Hanging in there at the crossroads of life and death Facing other patients' deaths repeatedly
Anticipating his/her family's death
Relying on hope
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