Resilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors

Silva, Jaqueline Scalabrin da; Moraes, Otavio Fereira; Sabin, Luiza Dressler; Almeida, Franciele Ormizinda; Magnago, Tânia Solange Bosi de Souza

doi:10.1590/0034-7167-2019-0388

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

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Brasil

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (06) • 2021 • https://doi.org/10.1590/0034-7167-2019-0388 copy

Resilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors

Resiliencia de cuidadores familiares de niños y adolescentes en tratamiento de neoplasias y factores relacionados

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

analyze the level of resilience of family caregivers of children and adolescents hospitalized for cancer treatment and associated factors.

Methods:

cross-sectional study, carried out in 2018, with 62 family caregivers in a university hospital in the state of Rio Grande do Sul, Brazil. The instruments CDRisc-10-Br, SRQ20, PSS-14 and WHOQOL-Bref were used to measure resilience, minor psychological disorders, stress, and quality of life, respectively. Inferential statistics were used.

Results:

female caregivers, married, with one child and who practice some predominated religion. They were classified as having a moderate level of resilience (48.4%); with suspicion for minor psychological disorders (45%) and high level of stress (41%). In terms of quality of life, they were satisfied in the Physical, Psychological and Social Relations domains; and dissatisfied in the Environment domain.

Conclusions:

there were direct weak to moderate correlations between the level of resilience and quality of life and inversely with stress and minor psychological disorders.

Descriptors:
Resilience Psychological; Nursing; Occupational Health; Neoplasms; Caregivers

Health variables	n	%
Resilience
Low level	16	25.8
Moderate level	30	48.4
High level	16	25.8
MDP suspicion
Yes	27	45
No	33	55
Perceived stress
Low level	18	29.5
Moderate level	18	29.5
High level	25	41.0
QL Domains
Physical Domain
Dissatisfied	20	32.3
Satisfied	42	67.7
Psychological Domain
Dissatisfied	23	37.1
Satisfied	39	62.9
Social Relations Domain
Dissatisfied	24	38.7
Satisfied	38	61.3
Environment Domain
Dissatisfied	47	75.8
Satisfied	15	24.2

Sociodemographic variables	Resilience						p ^* * Pearson's chi-square test;
	Low		Moderate		High
	n	%	n	%	n	%
Sex							0.183^ Pearson's chi-square with correction.
Female	14	28.0	25	50.0	11	22.0
Male	2	16.7	5	41.7	5	41.7
Age group							0.713
20 to 36 years	7	25.0	15	53.6	6	21.4
37 to 66 years old	9	26.5	15	44.1	10	29.4
Educational level							0.255^ Pearson's chi-square with correction.
Elementary incomplete	6	33.3	6	33.3	6	33.3
Complete Elementary	2	45.5	6	54.5	-	-
Incomplete high school	-	-	2	66.7	1	33.3
Complete high school	4	18.2	11	50	7	31.8
Incomplete graduation	1	33.3	1	33.3	1	33.3
Full graduation	-	-	3	75.0	1	25.0
Complete postgraduate	-	-	1	100	-	-
Marital status							0.057^ Pearson's chi-square with correction.
Single/no partner	6	31.6	12	63.2	1	5.3
Married/Stable Marriage	10	23.3	18	41.9	15	34.9
Number of children							0.532^ Pearson's chi-square with correction.
0 or 1	7	31.8	11	50.0	4	18.2
2 or more	9	22.5	19	47.5	12	30.0
practice some religion							0.208^ Pearson's chi-square with correction.
No	4	28.6	9	64.3	1	7.1
Yes	12	25.0	21	43.8	15	31.3
Region of residence							0.985
Urban	11	26.2	20	47.6	11	26.2
Rural	5	25.0	10	50.0	5	25.0

Physical activity, leisure, and work variables	Resilience						p ^* * Pearson's chi-square test;
	Low		Moderate		High
	n	%	n	%	n	%
Practiced physical activity							0.066^ Pearson's chi-square with correction.
No	14	35.0	18	45.0	8	20.0
Yes	2	9.1	12	54.5	8	36.4
Continued practicing							0.750^ Pearson's chi-square with correction.
No	2	10.0	10	50.0	8	40.0
Yes	-	-	3	60.0	2	40.0
Partake in leisure activity							0.156^ Pearson's chi-square with correction.
No	8	40%	9	45.0	3	15.0
Yes	8	19.0	21	50.0	13	31.0
Currently works							0.175^ Pearson's chi-square with correction.
No	2	34.3	14	40.0	9	25.7
Yes	4	15.4	16	61.5	6	23.1
Continued working							0.297^ Pearson's chi-square with correction.
No	9	32.1	11	39.3	8	28.6
Yes	3	13.6	12	54.5	7	31.8

Health variables	Resilience						p ^* * Pearson's chi-square test;
	Low		Moderate		High
	n	%	n	%	n	%
MDP							0.012^ Pearson's chi-square with correction;
No	4	12.1	17	51.5	12	36.4^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.
Yes	12	44.4^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.	11	40.7	4	14.8
Perceived stress							0.020^ Pearson's chi-square with correction;
Low level	1	5.6	10	55.6	7	38.9^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.
Moderate level	4	22.2	11	61.1^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.	3	16.7
High level	11	44.0^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.	8	32.0	6	24.0
Quality of life Domains
Physical Domain							0.491^ Pearson's chi-square with correction;
Dissatisfied	7	35.0	9	45.0	4	20.0
Satisfied	9	21.4	21	50.0	12	28.6
Psychological Domain							0.211^ Pearson's chi-square with correction;
Dissatisfied	7	30.4	13	56.5	3	13.0
Satisfied	9	23.1	17	43.6	13	33.3
Social Relations Domain							0.342^ Pearson's chi-square with correction;
Dissatisfied	8	33.3	12	50.0	4	16.7
Satisfied	8	21.1	18	47.4	12	31.6
Environment Domain							0.004^ Pearson's chi-square with correction;
Dissatisfied	14	29.8^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.	26	55.3^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.	7	14.9
Satisfied	2	13.3	4	26.7	9	60.0^¥ ¥ adjusted standardized residuals; MPD - minor psychological disorders.

Variables	1	2	4	5	6	7	8	9	10	11
1. Resilience	1
2. Age	.138	1
3. MDP	-.541^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.110	1
4. Perceived stress	-.371^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.037	.550^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
5. PhQL	.330^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.128	-.806^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.331^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
6. PsQL	.392^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.191	-.622^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.396^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.489^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
7. SRQL	.351^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.053	-.594^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.452^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.444^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.483^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
8. EQL	.460^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.137	-.517^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.307^* * statistical significance at 0.001;	.391^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.468^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.461^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
9. GQL^* ***** item referring to questions 1 and 2 of the WHOQOL-Bref.	.221	.027	-.351^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.197	.377^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.274^* * statistical significance at 0.001;	.164	.229	1
10. SHQL ^* ***** item referring to questions 1 and 2 of the WHOQOL-Bref.	.372^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.006	-.486^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.231	.453^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.442^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.375^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.133	.417^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1

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[1] Corresponding author: Tânia Solange Bosi de Souza Magnago E-mail: magnago.tania@gmail.com

Variables	1	2	4	5	6	7	8	9	10	11
1. Resilience	1
2. Age	.138	1
3. MDP	-.541^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.110	1
4. Perceived stress	-.371^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.037	.550^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
5. PhQL	.330^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.128	-.806^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.331^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
6. PsQL	.392^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.191	-.622^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.396^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.489^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
7. SRQL	.351^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.053	-.594^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.452^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.444^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.483^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
8. EQL	.460^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.137	-.517^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.307^* * statistical significance at 0.001;	.391^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.468^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.461^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1
9. GQL^* ***** item referring to questions 1 and 2 of the WHOQOL-Bref.	.221	.027	-.351^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.197	.377^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.274^* * statistical significance at 0.001;	.164	.229	1
10. SHQL ^* ***** item referring to questions 1 and 2 of the WHOQOL-Bref.	.372^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.006	-.486^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	-.231	.453^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.442^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.375^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	.133	.417^ statistical significance at 0.05. Points: r from 0.10 to 0.39 as weak dependence between variables; 0.40 to 0.69 as moderate; and from 0.70 to 1.00 as a strong correlation (DANCEY, C.; REIDY, J., 2006);	1