Caregiving during the COVID-19 pandemic: the new challenge in oncology assistance?
Keywords:
COVID-19, caregivers, cancer patients, Zarit Burden Interview, surveyAbstract
Background and aim: The coronavirus disease 2019 (COVID-19) pandemic led to significant restrictions regarding cancer patients, who are considered vulnerable. The aim of our study is to evaluate COVID-19’s impact on oncological caregiving. Methods: Between February and April 2021, we submitted a survey to caregivers of patients who were undergoing active treatment regarding their perception of patient safety and continuity of care in 6 Oncology Departments (OD) in the Marche region. We also conducted Zarit Burden Interview (ZBI) to evaluate the burden placed on caregivers. Results: 112 caregivers responded to our survey and the majority of which declared to have increased assistance time. Furthermore, caregivers over 45 years of age did not experience statistically significant worse economic effects (p=0.04). All caregivers asserted that OD complied with safety recommendations to limit virus spread. Although 86 (76.8%) confirmed that hospital accesses had been restricted, only 10 (8.9%) perceived these precautions to be too restrictive. Approximately all respondents declared they had effective communication with healthcare providers and more than half perceived that quality of care had not been affected by the pandemic. According to ZBI scores, 46 caregivers (41.1%) had a mild to moderate burden level. Conclusions: Our survey underlined the negative effect of COVID-19 on cancer patients’ caregivers, although cancer care was not perceived to have worsened owing to the pandemic, contrary to previous literature.
References
Curigliano G, Banerjee S, Cervantes A, et al. Managing cancer patients during the COVID-19 pandemic: an ESMO multidisciplinary expert consensus. Ann Oncol. 2020; 31(10):1320-1335.
Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol. 2020; 21(3):335-337.
Lee LY, Cazier JB, Angelis V, et al. COVID-19 mortality in patients with cancer on chemotherapy or other anticancer treatments: a prospective cohort study. Lancet. 2020; 395(10241):1919-1926.
Jazieh AR, Alenazi TH, Alhejazi A, Al Safi F, Al Olayan A. Outcome of oncology patients infected with coronavirus. JCO Glob Oncol. 2020; 6:471–475.
Van de Haar J, Hoes LR, Coles CE, et al. Caring for patients with cancer in the COVID-19 era. Nat Med. 2020; 26(5):665-671.
Kent EE, Rowland JH, Northouse L, et al. Caring for caregivers and patients: Research and clinical priorities for informal cancer caregiving. Cancer. 2016; 122(13):1987-95.
Marshall VK, Cairns PL. Challenges of Caregivers of Cancer Patients who are on Oral Oncolytic Therapy. Semin Oncol Nurs. 2019; 35(4):363-369.
Cinar P, Kubal T, Freifeld A, et al. Safety at the Time of the COVID-19 Pandemic: How to Keep our Oncology Patients and Healthcare Workers Safe. J Natl Compr Canc Netw. 2020; 15:1-6.
Amaniera I, Bach C, Vachani C, et al. Psychosocial impact of the COVID-19 pandemic on cancer patients, survivors and caregivers, Journal of Psychosocial Oncology. 2021; 39:485-492.
Atreya S, Kumar G, Samal J, et al. Patients'/Caregivers' Perspectives on Telemedicine Service for Advanced Cancer Patients during the COVID-19 Pandemic: An Exploratory Survey. Indian J Palliat Care. 2020; 26:S40-S44.
Douglas SR, Mazanec P, Lipson AR, et al. Videoconference Intervention for Distance Caregivers of Patients With Cancer: A Randomized Controlled Trial. JCO Oncol Pract. 2021; 17(1):e26-e35.
Seng BK, Luo N, Ng WY, et al. Validity and reliability of the Zarit Burden Interview in assessing caregiving burden. Ann Acad Med Singap. 2010; 39(10):758-63.
Kumamoto K, Arai Y. Validation of 'personal strain' and 'role strain': subscales of the short version of the Japanese version of the Zarit Burden Interview (J-ZBI_8). Psychiatry Clin Neurosci. 2004; 58:606-610.
Navaie-Waliser M, Spriggs A, Feldman PH. Informal caregiving: differential experiences by gender. Med Care. 2002; 40:1249-1259.
Akkuş Y, Karacan Y, Ünlü K, Deniz M, Parlak A. The effect of anxiety and spiritual well-being on the care burden of caregivers of cancer patients during the COVID-19 pandemic. Support Care Cancer. 2022; 30:1863-1872.
Ng KYY, Zhou S, Tan SH, et al. Understanding the Psychological Impact of COVID-19 Pandemic on Patients With Cancer, Their Caregivers, and Health Care Workers in Singapore. JCO Glob Oncol. 2020; 6:1494-1509.
Rajovic T, Todorovic N, Vracevic M, et al. From Burden to Depressive Symptoms in Informal Caregivers during the COVID-19 Pandemic: A Path Analysis. Int J Environ Res Public Health. 2021; 18(18):9577.
Fisher CL, Wright KB, Hampton CN, et al. Blood cancer caregiving during COVID-19: understanding caregivers' needs. Transl Behav Med. 2021; 11(5):1187-1197.
Wu YR, Chou TJ, Wang YJ, et al. Smartphone-Enabled, Telehealth-Based Family Conferences in Palliative Care During the COVID-19 Pandemic: Pilot Observational Study. JMIR Mhealth Uhealth. 2020; 8(10):e22069.
Chi NC, Demiris G. Family Caregivers' Pain Management in End-of-Life Care: A Systematic Review. Am J Hosp Palliat Care. 2017; 34:470-485.
Jones-Bonofiglio K, Nortjé N, Webster L, Garros D. A Practical Approach to Hospital Visitation During a Pandemic: Responding With Compassion to Unjustified Restrictions. Am J Crit Care. 2021; 30:302-311.
Tsapanou A, Papatriantafyllou JD, Yiannopoulou K, et al. The impact of COVID-19 pandemic on people with mild cognitive impairment/dementia and on their caregivers. Int J Geriatr Psychiatry. 2021; 36:583-587.
Altieri M, Santangelo G. The Psychological Impact of COVID-19 Pandemic and Lockdown on Caregivers of People With Dementia. Am J Geriatr Psychiatry. 2021; 29:27-34.
Giusiano S, Peotta L, Iazzolino B, et al. Amyotrophic lateral sclerosis caregiver burden and patients' quality of life during COVID-19 pandemic. Amyotroph Lateral Scler Frontotemporal Degener. 2022; 23:146-148.
Dhada S, Stewart D, Cheema E, Hadi MA, Paudyal V. Cancer Services During the COVID-19 Pandemic: Systematic Review of Patient's and Caregiver's Experiences. Cancer Manag Res. 2021; 13:5875-5887.
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Copyright (c) 2024 Sonia Crocetti, Zelmira Ballatore, Laura Scortichini, Enrica Giglio, Filippo Merloni, Nicoletta Ranallo, Michela Del Prete, Vincenzo Catalano, Mobin Safi, Nicola Battelli, Lorenzo Mariotti, Claudia Catani, Alessandra Lucarelli, Michela Burattini, Marco Bruno Luigi Rocchi, Rossana Berardi
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