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Title: Understanding the impact of caregiving upon husbands of women with breast cancer in Saudi Arabia: a mixed-methods approach
Author: Alblowi , Fahd Salem
ISNI:       0000 0004 5370 3631
Awarding Body: Ulster University
Current Institution: Ulster University
Date of Award: 2014
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Background: A diagnosis of breast cancer and its subsequent treatment has a profound bio-psychosocial impact. There is a gap in the literature examining the impact on husbands of women with breast cancer, specifically in the Middle East. Aim: To achieve an understanding of the impact of having a wife with breast cancer undergoing chemotherapy on men's quality of life. Methods: A mixed-methods, repeated-measure design was used to collect data from Saudi husbands of women diagnosed with breast cancer at the beginning and at the end of chemotherapy. Instruments used were the Caregiving Appraisal Scale, Brief Cope Scale, and the WHOQOL-BREF Scale. A transitional stress and coping model helped to further explore the husbands perceived impact of their wives' cancer and chemotherapy upon their quality of life and how they appraised and coped with this impact. Results: The husbands of women with breast cancer perceived poor quality of life at the beginning and at the end of chemotherapy. Although the husbands appraised substantial negative aspects of their caregiving across both time points, they also appraised positive aspects. Husbands were struggling to cope with their wives' situations and tended to use more problem-focused coping strategies rather than emotion-focused and dysfunctional coping strategies. They used specific techniques such as social support and religion to cope with their wives' diagnosis and chemotherapy. Qualitative findings highlighted the complex role of culture in the caregiving appraisal and coping of husbands of women with breast cancer in Saudi Arabia. Conclusion: The findings provide new knowledge about the challenges, difficulties, and unmet needs of men in this situation within the cultural context of Saudi society. Nurses need to develop interventions to enhance the positive appraisal and emotion-focused coping strategies among the husbands to decrease the impact of their wife's illness upon their quality of life. Understanding and enhancing husbands' ability to cope may improve their quality of life. In addition, including the wives in future research would explore how the couple cope together and achieve optimal quality of life.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available