title: End-of-life care in Italy: personal experience of family caregivers. A content analysis of open questions from the Italian Survey of the Dying of Cancer (ISDOC).
abstract: OBJECTIVE
  This study aims at describing the emotional and practical experience of a representative sample of Italian non-professional caregivers when caring for a terminally ill family member and is part of the 'Italian Survey of the Dying of Cancer', which involved 2000 adult cancer deaths representative of the whole country.
  
  
  METHODS
  Information on patients' experience was gathered from non-professional caregivers by an interview. A specific question was asked about the caregivers' emotional and practical experiences while assisting a terminally ill relative. A content analysis of the open question on caregivers' perceptions was performed on transcribed answers. Three researchers independently generated categories. Subsequently, areas where they differed were reconsidered and an interpretation was agreed upon.
  
  
  RESULTS
  Valid interviews were obtained from 1231 non-professional caregivers. Answers were classified according to the perception of the experience as positive (33.1%), negative (65.1%) or neutral (1.8%).
  
  
  CONCLUSIONS
  Assisting a family member with cancer in his/her last three months of life is a very strong physical and mental stress for the caregiver. In some cases, this experience is nevertheless perceived as an evolution chance. Health-care providers should need to develop programs to ensure that family caregivers' needs for information and support are given great importance.
authors.affiliation: Unit of Psycho-Oncology, National Cancer Institute, Genoa, Italy. gabriella.morasso@istge.it
authors.forename: Gabriella
authors.initials: G
authors.lastname: Morasso
authors.forename: Massimo
authors.initials: M
authors.lastname: Costantini
authors.forename: Silvia
authors.initials: S
authors.lastname: Di Leo
authors.forename: Serena
authors.initials: S
authors.lastname: Roma
authors.forename: Guido
authors.initials: G
authors.lastname: Miccinesi
authors.forename: Domenico Franco
authors.initials: DF
authors.lastname: Merlo
authors.forename: Monica
authors.initials: M
authors.lastname: Beccaro
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D003258:Consumer Behavior; D017281:Cost of Illness; D004644:Emotions; D054541:Family Conflict / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007406:Interview, Psychological; D007558:Italy; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D012944:Social Support; D013727:Terminal Care / Q000523:psychology*; D055815:Young Adult