Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China

ObjectiveTo examine and compare the quality of life (QoL) of the primary family caregivers (PFCs) of inpatients with advanced cancer and the PFCs of home hospice patients with advanced cancer and to analyze the determinants of QoL.MethodsFour hospices and three comprehensive or tumor hospitals in Gu...

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Main Authors: Jiaqi Lin, Zhuoxin He, Guanhua Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1034596/full
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author Jiaqi Lin
Zhuoxin He
Guanhua Fan
author_facet Jiaqi Lin
Zhuoxin He
Guanhua Fan
author_sort Jiaqi Lin
collection DOAJ
description ObjectiveTo examine and compare the quality of life (QoL) of the primary family caregivers (PFCs) of inpatients with advanced cancer and the PFCs of home hospice patients with advanced cancer and to analyze the determinants of QoL.MethodsFour hospices and three comprehensive or tumor hospitals in Guangdong Province, China were research sites. QoL was measured using paper-based and online questionnaires. Multiple stepwise linear regression was used to analyze the determinants of QoL of PFCs.ResultsThe PFCs of inpatients had significantly better QoL than did the PFCs of home hospice patients (p < 0.01). One-way ANOVA results indicated the following: for the PFCs of inpatients, PFC age (t = 2.411, p < 0.05), type of relationship with patient (F = 2.985, p < 0.05), and family economic situation (F = 3.423, p < 0.05) significantly affected PFCs’ QoL; for the PFCs of home hospice patients, family economic situation (F = 3.757, p < 0.05) and care experience (t = 2.021, p < 0.05) significantly affected PFCs’ QoL. A multiple stepwise linear regression was conducted: for the PFCs of inpatients, family economic situation and whether the PFC was the patient’s immediate family member were included as predictors of QoL; for the PFCs of home hospice patients, family economic situation and care experience were included as predictors of QoL.ConclusionOur findings can help improve the home hospice care service model in mainland China. In particular, the QoL of the PFCs of home hospice patients requires urgent attention. The PFCs of home hospice patients requires more nursing guidance and interactions with community.
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spelling doaj.art-1fdb03e413d44103a18819ed9291486d2023-05-25T04:54:49ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.10345961034596Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern ChinaJiaqi LinZhuoxin HeGuanhua FanObjectiveTo examine and compare the quality of life (QoL) of the primary family caregivers (PFCs) of inpatients with advanced cancer and the PFCs of home hospice patients with advanced cancer and to analyze the determinants of QoL.MethodsFour hospices and three comprehensive or tumor hospitals in Guangdong Province, China were research sites. QoL was measured using paper-based and online questionnaires. Multiple stepwise linear regression was used to analyze the determinants of QoL of PFCs.ResultsThe PFCs of inpatients had significantly better QoL than did the PFCs of home hospice patients (p < 0.01). One-way ANOVA results indicated the following: for the PFCs of inpatients, PFC age (t = 2.411, p < 0.05), type of relationship with patient (F = 2.985, p < 0.05), and family economic situation (F = 3.423, p < 0.05) significantly affected PFCs’ QoL; for the PFCs of home hospice patients, family economic situation (F = 3.757, p < 0.05) and care experience (t = 2.021, p < 0.05) significantly affected PFCs’ QoL. A multiple stepwise linear regression was conducted: for the PFCs of inpatients, family economic situation and whether the PFC was the patient’s immediate family member were included as predictors of QoL; for the PFCs of home hospice patients, family economic situation and care experience were included as predictors of QoL.ConclusionOur findings can help improve the home hospice care service model in mainland China. In particular, the QoL of the PFCs of home hospice patients requires urgent attention. The PFCs of home hospice patients requires more nursing guidance and interactions with community.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1034596/fullhome-beased hospice care in Chinafamily caregiverspatients with advanced cancerhospice volunteer serviceChina
spellingShingle Jiaqi Lin
Zhuoxin He
Guanhua Fan
Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
Frontiers in Public Health
home-beased hospice care in China
family caregivers
patients with advanced cancer
hospice volunteer service
China
title Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
title_full Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
title_fullStr Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
title_full_unstemmed Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
title_short Determinants of quality of life in primary family caregivers of patients with advanced cancer: a comparative study in southern China
title_sort determinants of quality of life in primary family caregivers of patients with advanced cancer a comparative study in southern china
topic home-beased hospice care in China
family caregivers
patients with advanced cancer
hospice volunteer service
China
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1034596/full
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AT guanhuafan determinantsofqualityoflifeinprimaryfamilycaregiversofpatientswithadvancedcanceracomparativestudyinsouthernchina