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Lower sense of coherence, negative religious coping, and disease severity as indicators of a decrease in quality of
Sedigheh Khanjari1, Fatemeh Oskouie, Ann Langius-Eklöf
1Nursing Division, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. sedigheh.khanjari@ki.se
Background:
Breast cancer challenges not only the patients who suffer from the disease but also their family caregivers. Little is known about how Iranian family caregivers are influenced.
Objective:
The objective of the study was to describe quality of life (QoL), well-being, sense of coherence (SOC), spirituality, and religious coping in family caregivers of patients with breast cancer at the time of diagnosis (T1) and 6 months after diagnosis (T2) and identify predictive factors of change in QoL.
Methods:
Data were collected from 150 family caregivers. The Persian version of Caregiver Quality of Life Index-Cancer, Sense of Coherence Scale, Spirituality Perspective Scale, Religious Coping Scale, and the Health Index were used at T1 and T2.
Results:
The results showed significant increase in overall QoL (P = .00) and well-being (P = .03) at T2. However, ratings of their SOC (P = .03), spirituality (P = .01), and negative religious coping (P = .00) decreased. Multiple regression analyses revealed the rating of QoL at T1 as the strongest predictor in the rating of quality-of-life change at T2 followed by the degree of SOC, negative religious coping, and patients having more severe breast cancer (R² = 0.64).
Conclusion:
Despite improved QoL in the sample from diagnosis to 6 months, family caregivers struggle to cope with the situation.
Implications For Practice:
It is suggested to develop and investigate the effects of support programs targeting coping ability in Iranian family caregivers to women with breast cancer.
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