Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
Family resilience and quality of life in breast cancer care: a correlational study of matched patient-caregiver pairs.
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Erdem Nur, Kalkim Asli
Аннотация
PURPOSE: Breast cancer is a "family disease" that significantly affects the well-being of both patients and their caregivers. This study aimed to determine the level of family resilience among primary caregivers of breast cancer patients, identify influencing factors, and analyze the relationship between family resilience and patient quality of life (QoL).
METHODS: This descriptive, cross-sectional, and correlational study was conducted with 208 matched patient-caregiver pairs at a university hospital in Türkiye. Data were collected using the Patient and Caregiver Information Forms, the World Health Organization Quality of Life Scale-Brief Form (WHOQOL-BREF-TR), and the Family Resilience Assessment Scale (FRAS-TR). Data were analyzed using descriptive statistics, Spearman's correlation, and comparative tests (t-test, ANOVA).
RESULTS: The mean family resilience score was 3.14 ± 0.32, with the highest scores in "Making Meaning of Adversity" and the lowest in "Utilization of Social and Economic Resources." Caregivers with higher education levels reported greater family connectedness, while lower education was associated with higher spirituality scores (p < 0.05). Patients' QoL was moderate across all domains. A statistically significant positive correlation was found between caregivers' total family resilience and patients' environmental QoL domain (r = 0.264, p < 0.001). No significant correlations were found with other QoL domains.
CONCLUSION: Higher family resilience in caregivers is positively associated with better environmental QoL for breast cancer patients. Supportive care interventions should focus on strengthening the family unit's ability to mobilize social and economic resources, especially for caregivers with multi-generational responsibilities, to enhance the overall recovery environment.
METHODS: This descriptive, cross-sectional, and correlational study was conducted with 208 matched patient-caregiver pairs at a university hospital in Türkiye. Data were collected using the Patient and Caregiver Information Forms, the World Health Organization Quality of Life Scale-Brief Form (WHOQOL-BREF-TR), and the Family Resilience Assessment Scale (FRAS-TR). Data were analyzed using descriptive statistics, Spearman's correlation, and comparative tests (t-test, ANOVA).
RESULTS: The mean family resilience score was 3.14 ± 0.32, with the highest scores in "Making Meaning of Adversity" and the lowest in "Utilization of Social and Economic Resources." Caregivers with higher education levels reported greater family connectedness, while lower education was associated with higher spirituality scores (p < 0.05). Patients' QoL was moderate across all domains. A statistically significant positive correlation was found between caregivers' total family resilience and patients' environmental QoL domain (r = 0.264, p < 0.001). No significant correlations were found with other QoL domains.
CONCLUSION: Higher family resilience in caregivers is positively associated with better environmental QoL for breast cancer patients. Supportive care interventions should focus on strengthening the family unit's ability to mobilize social and economic resources, especially for caregivers with multi-generational responsibilities, to enhance the overall recovery environment.