Author(s)

Miki Morishita-Kawahara^1,2*, Takuya Kawahara³, Kiyoko Kamibeppu^2,4

¹Division of Gerontological Nursing, School of Nursing, Tokyo Women’s Medical University, Tokyo, Japan.
²Department of Family Nursing, Graduate School of Health Sciences and Nursing, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
³Clinical Research Promotion Center, The University of Tokyo Hospital, Tokyo, Japan.
⁴QOL Research Center for Children and Family, The University of Tokyo, Tokyo, Japan.

Caring for a patient with terminal cancer poses difficulties for family caregivers. Although families of patients with cancer have been classified by type, little is known about the relation between family functioning and quality of life (QOL) in family caregivers. This study aimed to develop a typology of family functioning in family caregivers of patients with terminal cancer and then examine the relation between the family functioning and QOL of family caregivers. From December 2013 to August 2014, fifty-one family caregivers of patients with terminal cancer were recruited at three hospitals in Tokyo, Japan. Perceptions of family functioning were assessed with the Family Relationship Index, and its three subscores were classified into three groups by cluster analysis. Caregivers’ QOL was measured with the Caregiver Quality of Life Index-Cancer. The average total FRI score among 51 caregivers was 8.5 (SD = 2.8). Family functioning was categorized into three clusters: supportive (n = 12), communicative (n = 30), or conflictive (n = 8). Their QOL was categorized into two groups: the communicative group, with relatively high confliction, showed high QOL comparable to the supportive group. Family functioning in the families of patients with terminal cancer hospitalized in general wards was not good. For improving the QOL of family caregivers, it may be important for the family members to express their feelings and distress if they have conflicts.

Cluster Analysis, Family Caregivers of Terminal Cancer Patients, Family Functioning, General Wards, Quality of Life

Morishita-Kawahara, M. , Kawahara, T. and Kamibeppu, K. (2020) Relation between Family Functioning and Quality of Life among Family Caregivers of Patients with Terminal Cancer Hospitalized in General Wards. Open Journal of Nursing, 10, 1233-1240. doi: 10.4236/ojn.2020.1012089.