Caregiver response and its associated factors in patients with hematological malignancies: A cross-sectional study

Background Patients with hematological malignancies (HMs) experienced various symptoms during treatment, which can adversely affect their caregivers. However, there is still great controversy regarding which aspects of the caregiver response are more serious. Objective To investigate the current status of caregiver response in patients with HMs and analyze its associated factors. Methods A cross-sectional survey was conducted by recruiting 143 caregivers with HMs. Data were collected using demographic information and a self-reported questionnaire. T tests, Pearson correlations, and multiple linear regression were performed. Results The caregivers had the highest scores in aspects of self-esteem (28.09 ± 3.84). In the negative dimension affecting the caregiver reaction, time disturbance was the main reason, with a score of (17.27 ± 4.33). The model showed a good fit (goodness of fit = 0.388). It showed that Distress Thermometer score ( β =0.38, P < 0.001), supportive needs ( β =0.178, P = 0.013), out of shape ( β =0.175, P = 0.014), in poor shape ( β =0.226, P = 0.002), parental relationship ( β =0.178, P = 0.019), other relationship ( β =0.208, P = 0.007), and 7–12 months care duration ( β =0.173, P = 0.026) were related to caregiver response with HMs. Conclusion Caregivers with HMs reported various care responses, including physical, psychological, and environmental aspects. Focusing on the psychology of the caregivers, selecting the suitable caregiver and providing adequate social support can reduce their care response. Implication for practice It is important to pay more attention to the caregiver response of patients with HMs. Nursing care should identify their early risk factors, and provide personalized care to relieve stress and improve health condition.