Evaluation of the burden of family caregivers of patients in chemotherapy
DOI:
https://doi.org/10.21527/2176-7114.2024.49.14985Keywords:
Burden, Caregivers, Family caregiver, CancerAbstract
Objective: To evaluate the burden of family caregivers of cancer patients undergoing chemotherapy and to associate the burden of the caregiver with the sociodemographic, socioeconomic and clinical characteristics. Methods: Analytical study, conducted with 134 family caregivers. Caregivers over 18 years of age and whose patients were more than 12 months in treatment were included. Sociodemographic and clinical data were investigated and the Zarit Burden Interview Scale was used. For analysis, the mean and standard deviation were used, and the burden of work used Mann Whitney and Kruskall Wallis tests. Results: The survey involved 134 caregivers, mostly family members, female, between 30 and 39 years old, married, children of patients, with full elementary school, no formal employment, average income of 1 to 2 minimum wages, the time spent for care 1 to 3 months. The burden was evaluated in absent (44.8%), mild and moderate (41.8%), moderate to severe (12.7%) and intense (0.7%). Conclusion: Some family caregivers presented burden, mild to moderate, moderate to severe and intense. Gender, degree of kinship, absence from work activities, health problem, use of medications and time of illness were associated with the burden. The support and distribution of tasks among family members were fundamental to reduce the level of burden.
References
World Health Organization. Folha informativa: PAHO calls for expanded access to cancer care. World Health Organization, 2022. Disponível em: https://www.paho.org/pt/noticias/4-2-2022-opas-pede-ampliacao-do-acesso-ao tratamento-do-cancer-para-salvar vidas-morreram... Acesso em: 16 mar. 2022
Bray F et al. Global cancer statistics 2018: globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca: cancer journal for clinicians.2018;68(6):394-424. DOI: http://dx.doi.org/10.3322/caac.21492.
World Health Organization. Palliative care for older people: Cancer. Geneva: World Health Organization, 2020. Disponível em: https://www.who.int/news-room/fact-sheets/detail/cancer. Acesso em: 12 nov. 2021.
Instituto Nacional De Câncer (Brasil). Estatísticas de câncer. Rio de Janeiro: INCA, 2022. Disponível em: https://www.inca.gov.br/numeros-de-cancer. Acesso em: 23 nov. 2022
Oliveira, DA et al. O cuidar de uma pessoa com câncer na ótica de familiares cuidadores: revisão de literatura. Revista Espaço Ciência e Saúde.2021; 9(2): 53-69.
Santana, MS. et al. Sobrecarga dos cuidadores familiares de idosos com dependência funcional. Revista Kairós-Gerontologia.2021; 219(1): 337-353.
Barbosa, RPS et al. Paciente com câncer na fase final de vida em cuidados paliativos: vivência do cuidador familiar. J. res.: fundam. care. Online.2020;12: 696-702. DOI: http://dx.doi. org/10.9789/2175-5361.rpcfo.v12.9455.
Jesus, ITM. Orlandi, AAS. Zazzetta, MS. Burden, profile and care: caregivers of socially vulnerable elderly persons. Rev. bras geriatr. gerontol., 2018; 21(2): 194-204. DOI: http://dx.doi.org/10.1590/1981-22562018021.170155.
Silva, GS et al. O apoio familiar no tratamento do paciente oncológico: uma revisão narrativa. SAJES. 2020; 6(12): 46-58.
Bregola, AG et al. Combinação de comprometimento cognitivo, fragilidade, sobrecarga, estresse percebido e o risco de hospitalização e mortalidade em idosos cuidadores. Dement. Neuropsychol.2020;16: 33-44.
Millani, Ana Paula de Oliveira, et al. "Sobrecarga de los cuidadores familiares de pacientes en tratamiento oncológico." 2021; 25(60). DOI: https://rua.ua.es/dspace/bitstream/10045/116431/1/CultCuid60_20.pdf.
Rocha, Elisângela de Moraes, et al. "Sobrecarga do cuidador de pacientes oncológicos em cuidados paliativos." Rev. enferm. UFPE on line. 2020: 1-9.
IBGE. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico. 2010.Disponível em: http//www.ibge.gov.br/cidadesat. Acesso em: 06 jan 2022.
Santos, C et al. Análise dos fatores associados à sobrecarga de cuidadores de pacientes portadores da doença de Alzheimer. Rev. Aten. Saúde, São Caetano do Sul. 2017;15(54): 29-36.
Negrão, GN. Schupchek, CKS. Doença de Alzheimer: perfil socioeconômico das cuidadoras familiares de idosos com demência. Geoconexões.2022;1(esp): 156-169.
Martins, G et al. Características sociodemográficas e de saúde de cuidadores formais e informais de idosos com doença de alzheimer. Escola Anna Nery.2019; 23.
Ladeira, T.Grincenkov, F. Relação entre a saúde mental de pacientes com câncer avançado em quimioterapia paliativa e seus familiares cuidadores. CES Psicol.2020;13(2): 1-17.
Silva, JS et al. Resiliência de cuidadores familiares de crianças e adolescentes em tratamento de neoplasias e fatores associados. Rev Bras Enferm. 2021;74.
Instituto de Pesquisa Econômica Aplicada. Dados macroeconômicos e regionais [Internet]. Brasília: Ipea; 2024 [citado 2024 mar 20]. Disponível em: http://www.ipeadata.gov.br/Default.aspx
Rangel, RL. et al. Avaliação da sobrecarga do cuidador familiar de idosos com dependência funcional. Revista de Atenção à Saúde.2019;17(60).
Arias-rojas, M et al. Sobrecarga e qualidade de vida de cuidadores de pessoas com câncer em cuidados paliativos. Rev Cuid.2021;12(2).
Alves, L. Cuidar do paciente oncológico em quimioterapia: percepções do familiar cuidador. 2019. Trabalho de Conclusão de Curso (Licenciatura e Bacharelado em Enfermagem) – Faculdade de Medicina, Universidade Federal de Uberlândia, Uberlândia, 2019. Disponível :https://repositorio.ufu.br/bitstream/123456789/28653/4/CuidarPacienteOncol%C3%B3gico.pdf.
Oliveira, TR. Sobrecarga e resiliência de cuidadores familiares em serviços de oncologia públicos e privados. 2020. Dissertação (Mestrado em Psicologia Clínica e Cultura) – Instituto de Psicologia, Universidade de Brasília, Brasília, DF, 2020.
Coppetti, LC et al. Habilidade de cuidado e sobrecarga do cuidador familiar de pacientes em tratamento oncológico. Texto contexto - rnferm.2020; 29:20180451.
Pedrosa, AO et al. Indicadores e fatores associados à sobrecarga em cuidadores informais de pacientes em radioterapia. Acta Paul Enferm.2021; 34: eAPE02924.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Contexto & Saúde
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista Contexto & Saúde, authors agree to the following terms:
The works are licensed under the Creative Commons Atribuição 4.0 Internacional (CC BY 4.0) license, which allows:
Share — to copy and redistribute the material in any medium or format;
Adapt — to remix, transform, and build upon the material for any purpose, including commercial.
These permissions are irrevocable, provided that the following terms are respected:
Attribution — authors must be properly credited, with a link to the license and indication of any changes made.
No additional restrictions — no legal or technological measures may be applied that restrict the use permitted by the license.
Notes:
The license does not apply to elements in the public domain or covered by legal exceptions.
The license does not grant all rights necessary for specific uses (e.g., image rights, privacy, or moral rights).
The journal is not responsible for opinions expressed in the articles, which are the sole responsibility of the authors. The Editor, with the support of the Editorial Board, reserves the right to suggest or request modifications when necessary.
Only original scientific articles presenting research results of interest that have not been published or simultaneously submitted to another journal with the same objective will be accepted.
Mentions of trademarks or specific products are intended solely for identification purposes, without any promotional association by the authors or the journal.
License Agreement (for articles published from September 2025): Authors retain copyright over their article and grant Revista Contexto & Saúde the right of first publication.
