Resilience in Informal Caregivers of Patients with Gastrointestinal Cancer: A Content Analysis Study
Abstract
Background: Resilience is a multidimensional concept that explains why some individuals who face adversity, stress, and health‑threatening factors are able to adapt and achieve positive outcomes. This study aims to “explain the experience of resilience in informal caregivers of patients with Gastrointestinal cancer.”
Materials and Methods: This qualitative study was conducted using the conventional content analysis method. Data were collected through semi‑structured interviews between March and September 2023. The participants included 11 informal caregivers of patients with Gastrointestinal cancer, selected through purposive sampling. Data analysis followed the three‑step method proposed by Elo and Kyngäs.
Results: The data analysis revealed five main themes, including emotional self‑regulation, care competency, spiritual health, social intelligence, and flourishing.
Conclusions: Informal caregivers, when faced with the caregiving experience, endure and grow through hardships by possessing traits such as optimism, hopefulness, and acceptance, and skills like problem‑solving and relationship management.
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Cao B, Bray F, Ilbawi A, Soerjomataram I. Effect on longevity of one third reduction in premature mortality from non communicable diseases by 2030: A global analysis of the Sustainable Development Goal health target. Lancet Glob Health 2018;6:e1288 96.
Arnold M, Abnet CC, Neale RE, Vignat J, Giovannucci EL, McGlynn KA, et al. Global burden of 5 major types of gastrointestinal cancer. Gastroenterology 2020;159:335 49.e15.
Hedayatizadeh Omran A, Yaghoubi Ashrafi̇ M, Qazizadeh Z, Mousavi̇ R S, Shekarri̇z R, Eslami̇ M, et al. Epidemiology of gastrointestinal cancers in the north of Iran: Results of Mazandaran population based cancer registry. Turkish J Oncol 2020;35:414 21.
Mohamed NE, Shah QN, Kata HE, Sfakianos J, Given B. Dealing with the unthinkable: Bladder and colorectal cancer patients’ and informal caregivers’ unmet needs and challenges in life after ostomies. Semin Oncol Nurs 2021:37:151111. doi: 10.1016/j.soncn.2020.151111.
Taleghani F, Ehsani M, Farzi S, Farzi S, Adibi P, Moladoost A, et al. Nutritional challenges of gastric cancer patients from the perspectives of patients, family caregivers, and health professionals: A qualitative study. Support Care Cancer 2021;29:3943 50.
Zeng Q, Ling D, Chen W, Liao Y, An R, He L. Family caregivers’ experiences of caring for patients with head and neck cancer: A systematic review and metasynthesis of qualitative studies. Cancer Nurs 2023;46:E41 61.
Parker A. Family, caregiver. Encyclopedia of Behavioral Medicine. Springer; Miami, USA 2020. p. 857 9.
Ghasemi M, Arab M, Mangolian Shahrbabaki P. Relationship between caregiver burden and family functioning in family caregivers of older adults with heart failure. J Gerontol Nurs 2020;46:25 33.
Malmir S, Navipour H, Negarandeh R. Exploring challenges among Iranian family caregivers of seniors with multiple chronic conditions: A qualitative research study. BMC Geriatr 2022;22:270.
Taleghani F, Ehsani M, Farzi S, Farzi S, Adibi P, Moladoost A, et al. Challenges to family caregivers in caring for gastric cancer patients from perspectives of family caregivers, patients, and healthcare providers: A qualitative study. Indian J Palliat Care 2021;27:521 9.
Li Y, Wang K, Yin Y, Li Y, Li S. Relationships between family resilience, breast cancer survivors’ individual resilience, and caregiver burden: A cross sectional study. Int J Nurs Stud 2018;88:79 84.
Limonero JT, Tomás Sábado J, Fernández Castro J, Gómez Romero MJ, Ardilla Herrero A. Estrategias de afrontamiento resilientes y regulación emocional: Predictores de satisfacción con la vida. Behav Psychol 2012;20:183 96.
Hwang IC, Kim YS, Lee YJ, Choi YS, Hwang SW, Kim HM, et al. Factors associated with caregivers’ resilience in a terminal cancer care setting. Am J Hosp Palliat Med 2018;35:677 83.
Luo D, Eicher M, White K. Individual resilience in adult cancer care: A concept analysis. Int J Nurs Stud 2020;102:103467. doi: 10.1016/j.ijnurstu.2019.103467.
American Psychological Association. The road to resilience. Available from: http://www.apa.org/helpcenter/road-resilience. aspx. 2018. [Last accessed on 2024 Jul 22].
Palacio G C, Krikorian A, Gómez Romero MJ, Limonero JT. Resilience in caregivers: A systematic review. Am J Hosp Palliat Med 2020;37:648 58.
Silva JSd, Moraes OF, Sabin LD, Almeida FO, Magnago TSBdS. Resilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors. Rev Bras Enferm 2021;74:e20190388. doi: 10.1590/0034 7167 2019 0388.
Cerquera Córdoba AM, Pabón Poches DK. Resilience and associated variables in informal caregivers of alzheimer patients. Rev Colomb Psicol 2016;25:47 62.
Ayed N, Toner S, Priebe S. Conceptualizing resilience in adult mental health literature: A systematic review and narrative synthesis. Psychol Psychother 2019;92:299 341.
Brolese DF, Lessa G, Santos JLGd, Mendes JdS, Cunha KSd, Rodrigues J. Resilience of the health team in caring for people with mental disorders in a psychiatric hospital. Rev Esc Enferm USP 2017;51:e03230. doi: 10.1590/S1980 220x2016026003230.
Gomes B, Calanzani N, Higginson IJ. Reversal of the British trends in place of death: Time series analysis 2004–2010. Palliat Med 2012;26:102 7.
Opsomer S, De Lepeleire J, Lauwerier E, Pype P. Resilience in family caregivers of patients diagnosed with advanced cancer–unravelling the process of bouncing back from difficult experiences, a hermeneutic review. Eur J Gen Pract 2020;26:79 85.
Cordeiro LM. Fatores associados à qualidade de vida relacionada à saúde e a resiliência de pacientes oncológicos em tratamento quimioterápico e de seus familiares. 2018. Available from: https://repositorio.ufscar.br/bitstream/handle/ufscar/9802/ CORDEIRO_Larissa_2018.pdf?sequence=4&isAllowed=y. [Last accessed on 2024 Nov 10].
Fletcher D, Sarkar M. Psychological resilience: A review and critique of definitions, concepts, and theory. Eur Psychol 2013;18:12.
Opsomer S, Pype P, Lauwerier E, De Lepeleire J. Resilience in middle aged partners of patients diagnosed with incurable cancer: A thematic analysis. PloS One 2019;14:e0221096. doi: 10.1371/journal.pone. 0221096.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nur 2008;62:107 15.
Lincoln YS, Guba EG. Criteria for Assessing Naturalistic Inquiries as Reports. 1988. Available from: https://files.eric. ed.gov/fulltext/ED297007.pdf. [Last accessed on 2024 Nov 10].
Van Lissa CJ, Keizer R, Van Lier PA, Meeus WH, Branje S. The role of fathers’ versus mothers’ parenting in emotion regulation development from mid–late adolescence: Disentangling between family differences from within family effects. Dev Psychol 2019;55:377 89.
Krok D, Zarzycka B, Telka E. The religious meaning system and resilience in spouse caregivers of cancer patients: A moderated mediation model of hope and affect. J Relig Health 2021;60:2960 76.
Silva JSd, Luz EFMd, Tavares JP, Girardon Perlini NMO, Magnago TSBdS. Resilience of family caregivers of children and adolescents with cancer and associated factors: Mixed method study. Texto Contexto Enferm 2022;31:e20220133. doi: 10.1590/1980 265X TCE 2022 0133en.
Eghtedar S, Almasi L, Jasemi M, Aparnak F, Habibzadeh H. Family caregivers in cancer: Experiences, capacities, and solutions. J Urmia Nurs Midwifery 2023;21:195 205.
Martyr A, Rusted JM, Quinn C, Gamble LD, Collins R, Morris RG, et al. Resilience in caregivers of people with mild to moderate dementia: Findings from the IDEAL cohort. BMC Geriatr 2023;23:804.
Galea M, Scerri J, Grech P, Sammut A, Attard C. Post traumatic growth after cancer: A thematic analysis study. Humanit Soc Sci Res 2023;6:11 21.
Lima GS, Figueira ALG, Carvalho ECd, Kusumota L, Caldeira S, editors. Resilience in older people: A concept analysis. Healthcare 2023;11:2491. doi: 10.3390/healthcare11182491.
Kim EY, Chang SO. Exploring carer resilience in the context of dementia: A meta synthesis. BMC Geriatr 2022;22:806.
Dionne Odom JN, Azuero A, Taylor RA, Wells RD, Hendricks BA, Bechthold AC, et al. Resilience, preparedness, and distress among family caregivers of patients with advanced cancer. Support Care Cancer 2021;29:6913 20.
Kim M, Ahn S. Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: A cross sectional study. Korean J Women Health Nurs 2022;28:197 209.
Tandiongan B, Kristinawati W, Adiyanti MG. Family caregiver resilience in breast cancer patients. Int J Adv Multidiscip Res Stud 2023;3:824 7.
Shafiabadi A, Mooziri A, Esmaili M, Younesi J. Developing a model of iranian family resilience: A qualitative research. Alborz Univ Med J 2020;9:415 24.
Jin Y, Bhattarai M, Kuo Wc, Bratzke LC. Relationship between resilience and self‐care in people with chronic conditions: A systematic review and meta‐analysis. J Clin Nurs 2023;32:2041 55.
Masruroh NL. Strengthening resilience of family caregiving for the elderly through religious coping approach: From philosophy to gerontological family nursing practice. Preprints 2022;2022040143. doi: 10.20944/preprints 202204.0143.v1.
Kelly EP, Paredes AZ, Tsilimigras DI, Hyer JM, Pawlik TM. The role of religion and spirituality in cancer care: An umbrella review of the literature. Surg Oncol 2022;42:101389. doi: 10.1016/j.suronc.2020.05.004.
Buzan T. The Power of Social Intelligence: 10 Ways to Tap into Your Social Genius. UK: Harper Collins; 2012.
Chen J J, Wang Q L, Li H P, Zhang T, Zhang S S, Zhou M K. Family resilience, perceived social support, and individual resilience in cancer couples: Analysis using the actor partner interdependence mediation model. Eur J Oncol Nurs 2021;52:101932. doi: 10.1016/j.ejon.2021.101932.
Chen SC, Huang BS, Hung TM, Lin CY, Chang YL, Chung CF. Factors associated with resilience among primary caregivers of patients with advanced cancer within the first 6 months post‐treatment in Taiwan: A cross‐sectional study. J Nurs Scholarsh 2020;52:488 96.
Santos LAd, Oliveira PPd, Silveira EAAd, Gesteira ECR, Fonseca DFd, Rodrigues AB. The resilience process in family caregivers of people with malignant neoplasia. Escola Anna Nery 2019;23:1 9. doi: 10.1590/2177 9465 EAN 2019 0023.
Fredrickson BL, Losada MF. Positive affect and the complex dynamics of human flourishing. Am Psychol 2005;60:678 86.
Luo D, Eicher M, White K. Resilience in adults with colorectal cancer: Refining a conceptual model using a descriptive qualitative approach. J Adv Nur 2023;79:254 68.
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