Asian Journal of Nursing Education and Research

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Counselling on Burden and Coping among Caregivers of Cancer Patients with Terminal Illness


Affiliations
1 Christian College of Nursing, Neyyoor and Post, Kanyakumari Dist, Tamilnadu, India
     

   Subscribe/Renew Journal


Introduction: Cancer is a major event for the person diagnosed and also for his/ her family caregivers. Most of the people are diagnosed as cancer at late stage. Terminally ill patients are unable to do their activities of daily living. Patient suffering from terminal illness are often hospitalized and death in hospital is common. In India most of them are cared by his/her family members. Since caregivers involves in full care of the terminally ill cancer patients, they ignore caring themselves. This results in stress, anxiety and emotional upsets. Research studies reveal that counseling reduces the level of burden and increase the level of coping. The aim of the study was to assess the effect of counseling on level of burden and coping among caregivers of terminally ill cancer patients admitted in selected hospital in Kanyakumari District. Methods: Pre-experimental one group pretest post-test design was adopted. Data was collected from 30 caregivers of terminally ill cancer patients using purposive sampling technique. Pretest was done using Zarit burden scale and caregivers coping scale. Three sessions of counseling was given on alternative days. Post-test was done on 7th day. Results: The pretest mean burden score was 65.20 ± 7.16 and the post test score was 23.23 ± 6.8 and t value was 28.09 which was statistically significant. The pretest mean coping score was 27.46 ± 8.02 and the post test score was 92.66 ± 7.15 and statistically significant. The pretest mean burden score was 65.20 ± 7.16 and pre test mean coping score was 27.46 ± 8.02 and its value was r = -.431, which was negatively correlated. There was association between pretest level of burden and coping of primary caregivers of terminally ill cancer patients and their selected demographic variables such as age, sex, and marital status, relationship with patients, behavioral habits, and duration of care giving role. Conclusion: This support that the counseling program is effective in reducing the level of burden and improving the coping among primary caregivers of terminally ill cancer patients.

Keywords

Counseling, Primary Caregivers, Terminally Ill Cancer Patients.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bedard., et al (2000). Burden in caregivers of elder adults living in the community (Abstract). International Psychogeriatric Association, 12, 307-332.

  • Pearce, MJ; (2006) Religious coping among caregivers of terminally ill cancer patients Journal of Health Psychology 9, 325-339.

  • Chadda. R.K, Singh BJ and Ganguly KK (2007). Caregivers burden and coping. Journal of Social Psychiatry and Psychiatry Epidemiology 42, 923-930.

  • Dyck, D.G: and Robert S. (1999). Predictors of burden and infections illness in caregivers (Abstract). American Psychosomatic Society. 61 411-419.

  • Chakrabart. S and Raj L (1995). Comparison of the extent and pattern of family burden in affective disorders. Indian. Journal of Nursing 37, 105-112.

  • Chen and Jiang C. (2002). The study of anxiety depression and related factors in terminal cancer patients. Journal of Pain and Symptoms Management. 10:108-110.

  • Kolva, E. et al (2001). Anxiety in terminally ill cancer patients. Journals of pain and Symptom Management. 42 (5): 691-701

  • Lee, JK: (2014) Terminal cancer patients and their primary caregivers attitudes towards hospice/ palliative care and their effect on actual utilization. Sage Journals 27 96-100

  • Wood, JB. and Parham IA. (1990) Coping with perceived burden ethnic and cultural issues in Alzheimer’s family caregiving Journal of Applied Gerontology 9,325-339.

  • Park, SM; and Novielli K.D (2000) A practical guide to caring for caregivers (Abstract) American Family Physician 62,230-236.


Abstract Views: 642

PDF Views: 0




  • Effect of Counselling on Burden and Coping among Caregivers of Cancer Patients with Terminal Illness

Abstract Views: 642  |  PDF Views: 0

Authors

Steffy Sam
Christian College of Nursing, Neyyoor and Post, Kanyakumari Dist, Tamilnadu, India
Santhi Appavu
Christian College of Nursing, Neyyoor and Post, Kanyakumari Dist, Tamilnadu, India
Sheeba Chellappan
Christian College of Nursing, Neyyoor and Post, Kanyakumari Dist, Tamilnadu, India

Abstract


Introduction: Cancer is a major event for the person diagnosed and also for his/ her family caregivers. Most of the people are diagnosed as cancer at late stage. Terminally ill patients are unable to do their activities of daily living. Patient suffering from terminal illness are often hospitalized and death in hospital is common. In India most of them are cared by his/her family members. Since caregivers involves in full care of the terminally ill cancer patients, they ignore caring themselves. This results in stress, anxiety and emotional upsets. Research studies reveal that counseling reduces the level of burden and increase the level of coping. The aim of the study was to assess the effect of counseling on level of burden and coping among caregivers of terminally ill cancer patients admitted in selected hospital in Kanyakumari District. Methods: Pre-experimental one group pretest post-test design was adopted. Data was collected from 30 caregivers of terminally ill cancer patients using purposive sampling technique. Pretest was done using Zarit burden scale and caregivers coping scale. Three sessions of counseling was given on alternative days. Post-test was done on 7th day. Results: The pretest mean burden score was 65.20 ± 7.16 and the post test score was 23.23 ± 6.8 and t value was 28.09 which was statistically significant. The pretest mean coping score was 27.46 ± 8.02 and the post test score was 92.66 ± 7.15 and statistically significant. The pretest mean burden score was 65.20 ± 7.16 and pre test mean coping score was 27.46 ± 8.02 and its value was r = -.431, which was negatively correlated. There was association between pretest level of burden and coping of primary caregivers of terminally ill cancer patients and their selected demographic variables such as age, sex, and marital status, relationship with patients, behavioral habits, and duration of care giving role. Conclusion: This support that the counseling program is effective in reducing the level of burden and improving the coping among primary caregivers of terminally ill cancer patients.

Keywords


Counseling, Primary Caregivers, Terminally Ill Cancer Patients.

References