THE STRESS AMONG CAREGIVERS OF PATIENTS WITH CHEMOTHERAPY-TREATED CANCER IN NORTHEAST, THAILAND:A CROSS-SECTIONAL STUDY

Authors

  • Charupong Saengboonmee Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Sawat Thepchatree Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Chirapinya Chumwarathayee Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Manussa Bunmas Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Pongsakorn Jumwong Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Varisara Luvira Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Sirintip Boonjaraspinyo Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Keywords:

Caregivers, Cancer, Cross-sectional study, Mental health, Risk factors, Stress

Abstract

This study aimed to determine the proportion of caregivers of cancer patients treated with chemotherapy who suffer from stress and the stress-related factors. A cross-sectional descriptive study was carried in caregivers of cancer patients being treated with chemotherapy at Srinagarind Hospital, Khon Kaen University (N=119). Self-administered questionnaires, including the Caregiver Strain Index and stress-related factors, were used. Stress-associated factors were performed by the multiple logistic regression. The prevalence of stress among caregivers was 37.8%. The factors that significantly increased risks of stress were work-related problems (Adjusted Odds Ratio (AOR): 3.59 (95% CI: 1.23-10.53)) and self-payment (AOR: 12.47 (95% CI: 1.05-148.20)). The protective factor was sufficient income (AOR: 0.30 (95% CI: 0.11-0.83)). In conclusion, approximately a third of caregivers of cancer patients treated with chemotherapy suffer from stress, then they should be considered a risk group, especially when they have those risk factors. So that they may need a mental health counseling or services to relieve their stress while staying in the hospital.

References

Aiadsuy, N., Wongvatunyu, S., and Chaiviboontham, S. (2013). Stress and coping among family caregivers of the patients with brain tumor awaiting for cranial surgery. Ramathibodi Nursing J., 19(3):349-364.

Badr, H., Gupta, V., Sikora, A., and Posner, M. (2014). Psychological distress in patients and caregivers over the course of radiotherapy for head and neck cancer. Oral Oncology., 50(10):1,005-1,011.

Balfe, M., Maguire, R., Hanly, P., Butow, P., O’Sullivan, E., Timmons, A., Gooberman-Hill, R., and Sharp, L. (2016). Distress in long-term head and neck cancer carers: a qualitative study of carers’ perspectives. J. of Clinical Nursing., 25(15-16):2,317-2,327.

Boonvas, K., Supanunt, T., Chunhabordee, A., and Wae, N. (2017). Caregiver stress and needs in caring disabled. The Southern College Network J. of Nursing and Public Health., 4(1):205-216.

Bureau of Policy and Strategy, Ministry of Public Health. (2017). Statistical Thailand 2016. Ministry of Public Health, Nonthaburi, 157p.

Chindaprasirt, J., Limpawattana, P., Pakkaratho, P., Wirasorn, K., Sookprasert, A., Kongbunkiat, K., Sawanyawisuth, K. (2014). Burdens among caregivers of older adults with advanced cancer and risk factors. Asian Pacific J. of Cancer Prevention., 15(4):1,643-1,648.

Edwards, B. and Clarke, V. (2004). The psychological impact of a cancer diagnosis on families: The Influence of family functioning and patients’ illness characteristics on depression and anxiety. Psycho-Oncology, 13(8):562-576.

Haun, M.W., Sklenarova, H., Brechtela, A., Herzoga, W., and Hartmanna, M. (2014). Distress in cancer patients and their caregivers and association with the caregivers’ perception of dyadic Communication. Oncology Research and Treatment., 37(7-8):384-388.

Imsamran, W., Chaiwerawattana, A., Wiangnon S, Pongnikorn, D., Suwanrungrung, K., Sangrajrang, S., and Buasom, R. (2012). Cancer in Thailand volume VIII, 2010-2012. National Cancer Institute, Bangkok, 222p.

Jirawatkul, A. (2004). Sampling of patients in a hospital at particular time frame is classified into what type?. J. of Health Sci., 13:713-714.

Khomkam, K., Rattanathanya, D., and Krainuwat, K. (2015). Predictive Factors for Adaptation Among Caregivers of Stroke Patients. J. of The Royal Thai Army Nurses., 16(2):114-122.

Meecharoen, W. (2014). Family caregivers of cancer patients: roles’ adaptation and quality of life promotion. Ramathibodi Nursing J., 20(1):10-22.

Naksukhum, S., Paingam, P., Khaengraeng, M., Mungsin, W., Unhasuwan, U., and Lapa, R. (2017). Stress, coping methods and hope among mothers of children with cancer and chemotherapy. In: Proceedings of RTUNC 2017 The 2nd National Conference; July 26-27, 2017; Ubon Ratchathani, Thailand, p. 945-967.

Penlap, N. and Rungnirundorn, T. (2016). Stress and associated factors among caregivers of chronic kidney disease patients at Department of Medicine, King Chulalongkorn Memorial Hospital.Chulalongkorn Medical J., 60(4):425-438.

Prombut, P., Piaseu, N., and Sakulhongsopon, S. (2014). Factors related to stress of family caregiver of patients with stroke at home. Ramathibodi Nursing J., 20(1):82-96.

Robinson, B.C. (1983). Validation of a Caregiver Strain Index. J. of Gerontology., 38(3):344-348.

Sasat, S. (1998). Caring for dementia in Thailand: A study a family care for demented elderly relative Thai Buddhist society, [Ph.D. Thesis]. Department of Nursing Studies, The University of Hull. Hull, United Kingdom, 481p

Torre, L.A., Siegel, R.L., Ward, E.M., and Jemal, A. (2016). Global cancer incidence and mortality rates and trends-An update. Cancer Epidemiology, Biomarkers and Prevention., 25(1):16-27.

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Published

2026-08-28

How to Cite

Saengboonmee, C., Thepchatree, S., Chumwarathayee, C., Bunmas, M., Jumwong, P., Luvira, V., & Boonjaraspinyo, S. (2026). THE STRESS AMONG CAREGIVERS OF PATIENTS WITH CHEMOTHERAPY-TREATED CANCER IN NORTHEAST, THAILAND:A CROSS-SECTIONAL STUDY. Suranaree Journal of Science and Technology, 29(3), 070041(1–8). retrieved from https://ph04.tci-thaijo.org/index.php/SUJST/article/view/15127

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Section

Research Article