Change and predictors of social support in caregivers of newly diagnosed oral cavity cancer patients during the first 3 months after discharge

Cancer Nurs. 2013 Nov-Dec;36(6):E17-24. doi: 10.1097/NCC.0b013e31826c79d0.

Abstract

Background: Caregivers of oral cavity cancer patients report stress during caregiving time.

Objective: This study aimed to examine changes in social support and predictors in caregivers of oral cavity cancer patients over the 3 months after patients' first discharge.

Methods: This was a prospective longitudinal study. Caregivers of oral cavity cancer patients with planned discharge were recruited from inpatient wards and the outpatient department at a major medical center in Taiwan. Caregivers' needs and satisfaction with available social support were assessed at 4 time points: before discharge and at 1 week, 1 month, and 3 months after the first discharge. The generalized estimating equation was used to determine predictive factors of social support.

Results: Caregivers had mild-to- moderate levels of needs and were satisfied with available social support during the first 3 months after discharge. The peak for both overall and individual needs of social support was before discharge. Caregivers overall and individual satisfaction with social support peaked at 3 months after discharge. Spouse caregivers had greater overall needs for social support. Caregivers with longer caregiving time were associated with dissatisfaction during the first 3 months after discharge.

Conclusions: Caregivers of oral cavity cancer patients had unmet needs of social support, especially wife caregivers.

Implications for practice: A comprehensive assessment of caregiver needs and satisfaction with available social support is necessary to improve caregiving for oral cavity cancer patients and address the concerns of caregivers in a timely manner.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers*
  • Female
  • Health Services Needs and Demand
  • Humans
  • Inpatients / statistics & numerical data
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Mouth Neoplasms / diagnosis*
  • Mouth Neoplasms / surgery
  • Outpatients / statistics & numerical data
  • Patient Discharge*
  • Prospective Studies
  • Quality of Life
  • Social Support*
  • Taiwan
  • Time Factors