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Caregiver burden, mutuality, and family resilience in colorectal cancer caring: A mediating model analysis
Journal article   Open access   Peer reviewed

Caregiver burden, mutuality, and family resilience in colorectal cancer caring: A mediating model analysis

Mengwei Shao, Xin Wang, Menghan Zhang, Yangqing Ding, Bin Ma, Yi Yang, Lulu Yu, Changying Chen and Tao Wang
European journal of oncology nursing : the official journal of European Oncology Nursing Society, Vol.68, 102480
2023
DOI: https://doi.org/10.1016/j.ejon.2023.102480
PMID: 38101244
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Published (Version of Record)CC BY V4.0,  Open Access

Abstract

Family resilience Colorectal cancer Mutuality Caregiver burden
Purpose This study investigates the interaction between caregiver burden, mutuality, and family resilience in colorectal cancer management, and determines whether mutuality affects the effect of caregiver burden on family resilience. Method In this cross-sectional study, 295 family caregivers of colorectal cancer patients from two major public hospitals (Henan Province, China) were analyzed. Caregiver burden, mutuality, and family resilience were assessed through Chinese versions of the Zarit Burden Interview (ZBI-C), the mutuality Scale (MS-C), and the Family Resilience Questionnaire (FaREQ-C). The structural equation model and multiple mediating effect test were applied to explore the interaction between caregiver burden, mutuality, and family resilience. Results Total and subscale scores of caregiver burden were negatively correlated with both mutuality (r = -0.54 to -0.32, P < 0.01) and family resilience (r = -0.60 to -0.26, P < 0.01). Family resilience and its four dimensions were positively correlated with mutuality (r = 0.17 to 0.51, P < 0.01). Mutuality served as a partial mediator between caregiver burden and family resilience. Caregiver burden had an indirect effect on family resilience through mutuality (β = -0.157, 95%CI: -0.316, -0.046, P = 0.009). Conclusions This study examined the interaction between caregiver burden, mutuality, and family resilience for colorectal cancer caring and confirmed the mediating role of mutuality in caregiver burden and family resilience. Therefore, we suggested that clinicians should develop strategies to improve the relationship between patients and caregivers so that both parties can actively manage stress and trauma experiences for improved colorectal cancer management.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.112 Palliative Care
1.112.297 Cancer Survivors
Web Of Science research areas
Nursing
Oncology
ESI research areas
Clinical Medicine
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