title: Coping strategies of family caregivers of home hospice patients with cancer.
abstract: OBJECTIVE
  To identify the use and effectiveness of coping strategies identified by family caregivers of patients with terminal cancer.
  
  
  METHODS
  Exploratory, descriptive.
  
  
  METHODS
  Six nonprofit home hospices in Canada.
  
  
  METHODS
  Twenty Caucasian family caregivers of 20 patients with terminal cancer who were enrolled in home hospice.
  
  
  METHODS
  Subjects were recruited on admission to hospice and completed the revised Jalowiec Coping Scale.
  
  
  METHODS
  Family caregivers' assessment of their use of 60 possible coping strategies and the extent to which those strategies were effective.
  
  
  RESULTS
  In this study, the problem was defined as caring for the patient in the two weeks prior to the interview. Family caregivers of patients with cancer receiving home hospice care found that keeping busy, thinking positively, and learning more about the problem were effective coping strategies. Talking the problem over with family and friends also was found to be an effective strategy.
  
  
  CONCLUSIONS
  Family caregivers need encouragement to maintain hope and a positive attitude so that they can continue caregiving. Social, volunteer, and professional support are important for caregivers.
  
  
  CONCLUSIONS
  To provide guidance and support to family caregivers, nurses need to explore the meanings that caregivers attach to the caregiving experience and assist caregivers in reframing these meanings in a positive light.
authors.affiliation: University of British Columbia, Vancouver, Canada.
authors.forename: R G
authors.initials: RG
authors.lastname: Steele
authors.forename: M I
authors.initials: MI
authors.lastname: Fitch
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005260:Female; D017051:Hospice Care / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011582:Psychological Theory