The experiences of older caregivers of cancer patients following hospital discharge

Support Care Cancer. 2019 Feb;27(2):609-616. doi: 10.1007/s00520-018-4355-2. Epub 2018 Jul 19.

Abstract

Purpose: This study addressed the experiences of older caregivers of cancer patients in the 2 weeks following a hospital discharge. It sought to understand the challenges they face in providing supportive care to patients at home.

Methods: Qualitative descriptive interviews with a narrative approach were conducted with each caregiver at 1 and 2 weeks following the patient's discharge from the hospital. A thematic analysis approach was used to identify the themes that emerged from the caregiver interviews.

Results: Caregivers were primarily Caucasian (77%), were mostly 68 years of age or older (62%), and were primarily caring for a spouse (69%). Three key themes emerged from the qualitative analysis: caregiver and patient wellness are connected, caregivers' struggle with control issues, and challenges in communication with health professionals.

Conclusions: These findings highlight psychosocial changes that caregivers experience over the 2-week time period following hospital discharge. Implications include the need to identify interventions to better prepare caregivers for the post-discharge period.

Keywords: Care coordination; Caregiving; Hospital/ambulatory care; Qualitative research; Transitions in care.

MeSH terms

  • Aged
  • Caregivers / psychology*
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Patient Discharge / trends*
  • Qualitative Research