The caregiver family member's perceived self-efficacy in the process of caring for a colorectal cancer patient

• Autor(a) principal: FC Sousa Pinto, Cristina
• Data de Publicação: 2014
• Outros Autores: Pereira, Filipe, Lara Santos, Lúcio, Teixeira, Fátima
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.31877/on.2014.26.03
• topic: familiar cuidador; perceção de autoeficácia; cancro coloretal; family caregiver; self-efficacy; colorectal cancer

Aim: To describe the evolution of the perception of Self-efficacy of the family member caregiver (MFPC) during the process of taking care of a patient with colorectal cancer. Methods: A prospective longitudinal design was chosen to evaluate MFPC of colorectal cancer in curative or palliative treatment. Participants were assessed in three separate times that could globally reproduce the different moments of multimodal treatment in colorectal cancer, namely: M1 – after multidisciplinary team treatment decision (without any treatment); M2 – three months after M1 (which generally includes neoadjuvant therapy and surgery in cases of rectal cancer; surgery in colon cancer cases; the beginning of the adjuvant treatment in patients without distant metastasis; patients in palliative treatment); M3 – six months after M1 (which generally includes patients in adjuvant or palliative treatment). In M1 were evaluated 41 caregivers, 88 caregivers in M2 and in M3 98 caregivers. Results: the MFPC who took part in the sample were mostly women, married and retired, with a low level of schooling. Over time these MFPC presented a level of self-efficacy “averagely competent“ for to carry out the activities related to taking care process. However the perception of self-efficacy for to take medication and take care of the colostomy were areas where caregivers had lower levels of self-efficacy perception. When evaluating the perception of self-efficacy depending on the processes of care, the caregivers perceived less competence to “working together with the ill person” and “navigation the healthcare system”. The MFPC that perceived greater self-efficacy over time tend to be those caring for less dependent patients, using more resources, those who care for longer, the younger caregivers and with more schooling. Conclusions: The evaluation of the perception of self-efficacy is an important indicator for nurses in monitoring the transition of exercising the role of a familiar caregiver for a patient with colorectal cancer.