Informal caregiving in Hematopoietic Blood and Marrow Transplant patients

Liz Cooke, Marcia Grant, Deborah Eldredge, Richard Maziarz, Lillian Nail

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Purpose: Hematopoietic cell transplant patients are among the most vulnerable and acutely ill cancer populations (Bevans et al., 2008). The responsibility of caring for the daily physical and psychosocial needs of these patients after transplant is placed mostly on family caregivers (Williams, 2007). The purpose of this descriptive correlational research study was to describe caregiving experiences of 56 caregivers of HCT patients 3-12 months following transplant. Methods & sample: Patients and caregivers were recruited from two west coast regional transplant programs in the United States. Variables studied were: relationship quality, rewards of caregiving, predictability, role strain, patient function, caregiving activities, and caregiver quality of life (QOL). Key results: Results indicated that all areas of role strain are significantly negatively correlated with caregiver's QOL. Predictability was negatively associated with problem solving and emotional strain indicating that as the level of predictability of the situation decreases, caregiver strain and problem solving increase. Predictability was positively correlated to caregiver QOL indicating that as the situation is more predictable caregiver QOL increases. Emotional strain, problem-solving strain, and usual care strain were significantly positively related, indicating that emotional strain and problem-solving strain increased together. As usual care strain increased, so did problem-solving strain and emotional strain. Conclusions: Suggestions for interventions include assessing and responding to caregiver issues such as emotional strain, problem-solving strain, usual care strain, unpredictability, and QOL. Examples of caregiver-focused interventions include providing timely appropriate information about these caregiver concerns including elements that make the caregiving situation predictable, and incorporating best practices for preventing and minimizing caregiver emotional strain.

Original languageEnglish (US)
Pages (from-to)500-507
Number of pages8
JournalEuropean Journal of Oncology Nursing
Volume15
Issue number5
DOIs
StatePublished - Dec 2011

Fingerprint

Caregivers
Bone Marrow
Transplants
Quality of Life
Reward
Practice Guidelines

Keywords

  • Caregivers
  • HCT transplant
  • Predictability
  • Quality of life
  • Role strain

ASJC Scopus subject areas

  • Oncology(nursing)

Cite this

Informal caregiving in Hematopoietic Blood and Marrow Transplant patients. / Cooke, Liz; Grant, Marcia; Eldredge, Deborah; Maziarz, Richard; Nail, Lillian.

In: European Journal of Oncology Nursing, Vol. 15, No. 5, 12.2011, p. 500-507.

Research output: Contribution to journalArticle

Cooke, Liz ; Grant, Marcia ; Eldredge, Deborah ; Maziarz, Richard ; Nail, Lillian. / Informal caregiving in Hematopoietic Blood and Marrow Transplant patients. In: European Journal of Oncology Nursing. 2011 ; Vol. 15, No. 5. pp. 500-507.
@article{5cff84cf1b15438c9b7e361298600a61,
title = "Informal caregiving in Hematopoietic Blood and Marrow Transplant patients",
abstract = "Purpose: Hematopoietic cell transplant patients are among the most vulnerable and acutely ill cancer populations (Bevans et al., 2008). The responsibility of caring for the daily physical and psychosocial needs of these patients after transplant is placed mostly on family caregivers (Williams, 2007). The purpose of this descriptive correlational research study was to describe caregiving experiences of 56 caregivers of HCT patients 3-12 months following transplant. Methods & sample: Patients and caregivers were recruited from two west coast regional transplant programs in the United States. Variables studied were: relationship quality, rewards of caregiving, predictability, role strain, patient function, caregiving activities, and caregiver quality of life (QOL). Key results: Results indicated that all areas of role strain are significantly negatively correlated with caregiver's QOL. Predictability was negatively associated with problem solving and emotional strain indicating that as the level of predictability of the situation decreases, caregiver strain and problem solving increase. Predictability was positively correlated to caregiver QOL indicating that as the situation is more predictable caregiver QOL increases. Emotional strain, problem-solving strain, and usual care strain were significantly positively related, indicating that emotional strain and problem-solving strain increased together. As usual care strain increased, so did problem-solving strain and emotional strain. Conclusions: Suggestions for interventions include assessing and responding to caregiver issues such as emotional strain, problem-solving strain, usual care strain, unpredictability, and QOL. Examples of caregiver-focused interventions include providing timely appropriate information about these caregiver concerns including elements that make the caregiving situation predictable, and incorporating best practices for preventing and minimizing caregiver emotional strain.",
keywords = "Caregivers, HCT transplant, Predictability, Quality of life, Role strain",
author = "Liz Cooke and Marcia Grant and Deborah Eldredge and Richard Maziarz and Lillian Nail",
year = "2011",
month = "12",
doi = "10.1016/j.ejon.2011.01.007",
language = "English (US)",
volume = "15",
pages = "500--507",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Churchill Livingstone",
number = "5",

}

TY - JOUR

T1 - Informal caregiving in Hematopoietic Blood and Marrow Transplant patients

AU - Cooke, Liz

AU - Grant, Marcia

AU - Eldredge, Deborah

AU - Maziarz, Richard

AU - Nail, Lillian

PY - 2011/12

Y1 - 2011/12

N2 - Purpose: Hematopoietic cell transplant patients are among the most vulnerable and acutely ill cancer populations (Bevans et al., 2008). The responsibility of caring for the daily physical and psychosocial needs of these patients after transplant is placed mostly on family caregivers (Williams, 2007). The purpose of this descriptive correlational research study was to describe caregiving experiences of 56 caregivers of HCT patients 3-12 months following transplant. Methods & sample: Patients and caregivers were recruited from two west coast regional transplant programs in the United States. Variables studied were: relationship quality, rewards of caregiving, predictability, role strain, patient function, caregiving activities, and caregiver quality of life (QOL). Key results: Results indicated that all areas of role strain are significantly negatively correlated with caregiver's QOL. Predictability was negatively associated with problem solving and emotional strain indicating that as the level of predictability of the situation decreases, caregiver strain and problem solving increase. Predictability was positively correlated to caregiver QOL indicating that as the situation is more predictable caregiver QOL increases. Emotional strain, problem-solving strain, and usual care strain were significantly positively related, indicating that emotional strain and problem-solving strain increased together. As usual care strain increased, so did problem-solving strain and emotional strain. Conclusions: Suggestions for interventions include assessing and responding to caregiver issues such as emotional strain, problem-solving strain, usual care strain, unpredictability, and QOL. Examples of caregiver-focused interventions include providing timely appropriate information about these caregiver concerns including elements that make the caregiving situation predictable, and incorporating best practices for preventing and minimizing caregiver emotional strain.

AB - Purpose: Hematopoietic cell transplant patients are among the most vulnerable and acutely ill cancer populations (Bevans et al., 2008). The responsibility of caring for the daily physical and psychosocial needs of these patients after transplant is placed mostly on family caregivers (Williams, 2007). The purpose of this descriptive correlational research study was to describe caregiving experiences of 56 caregivers of HCT patients 3-12 months following transplant. Methods & sample: Patients and caregivers were recruited from two west coast regional transplant programs in the United States. Variables studied were: relationship quality, rewards of caregiving, predictability, role strain, patient function, caregiving activities, and caregiver quality of life (QOL). Key results: Results indicated that all areas of role strain are significantly negatively correlated with caregiver's QOL. Predictability was negatively associated with problem solving and emotional strain indicating that as the level of predictability of the situation decreases, caregiver strain and problem solving increase. Predictability was positively correlated to caregiver QOL indicating that as the situation is more predictable caregiver QOL increases. Emotional strain, problem-solving strain, and usual care strain were significantly positively related, indicating that emotional strain and problem-solving strain increased together. As usual care strain increased, so did problem-solving strain and emotional strain. Conclusions: Suggestions for interventions include assessing and responding to caregiver issues such as emotional strain, problem-solving strain, usual care strain, unpredictability, and QOL. Examples of caregiver-focused interventions include providing timely appropriate information about these caregiver concerns including elements that make the caregiving situation predictable, and incorporating best practices for preventing and minimizing caregiver emotional strain.

KW - Caregivers

KW - HCT transplant

KW - Predictability

KW - Quality of life

KW - Role strain

UR - http://www.scopus.com/inward/record.url?scp=80055099138&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80055099138&partnerID=8YFLogxK

U2 - 10.1016/j.ejon.2011.01.007

DO - 10.1016/j.ejon.2011.01.007

M3 - Article

C2 - 21306952

AN - SCOPUS:80055099138

VL - 15

SP - 500

EP - 507

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

IS - 5

ER -