27-5 The Effects of Discrepant Views on Care Giving between Gynecological Cancer Patients and their Primary Caregivers
The purpose of this study was to investigate the relationship among depressive ten- dency, quality of life, and the perceived discrepancy between the care given and received in gynecological cancer patients and their primary caregivers and to explore the moderat- ing effect on the caregiver-patient relationship. In order to evaluate depressive symptoms, quality of life, and awareness of caring behavior and care needs, Care-Awareness Scale (CAS), the American Center of Epidemiology Study-Depression Scale (CES-D)-Chinese edition, and The World Health Organization Quality of Life shorter version (WHOQOL- BREF) Taiwan version were administered. Ninety two patients suffering from the illness for at least three years and sixty five caregivers holding this role for at least six months (61 dyad units paired) were included as participants. There were three major findings. First, both the patients and their caregivers were characterized by elevated depressive symptoms and low quality of life. Second, the caregiver role and the patient role are more important factors than the relationships between the patients and the caregivers in moderating the patients and their caregivers’ emotional states. Third, path analysis indicated that depres- sive mood was the most important mediator variable accounting for the perceived discrep- ancy between care given and received. Perceived discrepancies from the dyadic caring be- havior given and received affected the patients’ depression, patients’ depression affected patients’ and caregivers’ quality of life, and finally, caregivers’ depression affected care- givers’ quality of life. The implications and limitations of the findings were discussed fur- ther.
Keywords
depressive tendency、gynecological cancer patient、primary caregiver、quality of life、discrepancy.
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