Assessment of the signs of anxiety and depression in relatives giving care to cancer patients hospitalized in the palliative care service

Introduction: Previously, palliative care was an approach brought forward in terminal patients when treatment options were exhausted. However, today, the opinion that palliative care should be initiated in addition to other treatment modalities starting from the moment of diagnosing a life-threateni...

Full description

Bibliographic Details
Main Authors: Huseyin Can, Handan Atsiz Sezik, Ulku Bulut, Mehmet Ali Kurnaz, Yusuf Adnan Guclu
Format: Article
Language:English
Published: SERNEV 2018-08-01
Series:Family Practice and Palliative Care
Subjects:
Online Access:https://dergipark.org.tr/en/download/article-file/539958
Description
Summary:Introduction: Previously, palliative care was an approach brought forward in terminal patients when treatment options were exhausted. However, today, the opinion that palliative care should be initiated in addition to other treatment modalities starting from the moment of diagnosing a life-threatening disease has become prominent. The symptoms of depression and anxiety are common in patients with chronic diseases such as cancer. Moving on from the fact that these findings also manifest in the relatives of patients, this study aims to identify the symptoms of depression and anxiety and to assess these symptoms in the relatives of patients hospitalized in the extensive palliative care center.Methods: Designed as a descriptive cross-sectional study, this survey included a single group without control and was performed by conducting face-to-face interviews after obtaining consent from patient relatives. The questionnaire prepared consisted of the Beck anxiety scale (BAS), Beck depression scale (BDS), the hospital anxiety and depression scale (HADS) together with sociodemographic variables. The study included 102 volunteers and was carried out over a three-month period. Sociodemographic data of the patients were summarized using descriptive statistics. Subgroup analyses were performed using appropriate parametric and non-parametric tests.Results: The study enrolled 102 participants providing care to a relative in the palliative care service. Among these, 61 (59.8%) were women, and 41 (40.2%) were men. The risk for depression was identified as 43.1% (n=44) according to the BAS, and as 91.2% (n=93) according to the HADS. The anxiety rate was 66.7% (n=68) according to the BAS. Among these, 36.7% (n=25) demonstrated mild anxiety, 30.8% (n=21) demonstrated moderate anxiety and 32.3% (n=22) demonstrated severe anxiety. According to HADS, the risk for anxiety was 72.5% (n=74). Conclusion: The fact that the presence of depression and anxiety was significant in the caregivers of patients in the palliative care service warrants careful follow-up and necessary support of both the patients and their caregivers for mood disorders.
ISSN:2459-1505