RE Impact of Home Education on Levels of Perceived Social Support for Caregivers of Cancer Patients

principles in providing care in this disease are reducing the discomfort of the patient’s symptoms and offering psychological support. It is also of the utmost importance to ensure the physical, emotional and social wellbeing of Abstract Background: The healthcare needs of cancer patients are complex and persons involved in their caregiving process are faced with many issues that need to be addressed. The entire family and particularly the person taking on responsibility for patient care develop expectations from healthcare professionals, especially nurses. Objective: The study was conducted to evaluate the impact of a home education program provided to caregivers of cancer patients on the level of their perceived social support and problems in caregiving. Interventions/ Methods: The caregivers of thirty seven cancer patients of 2,400 registered people in a family center were given an educational program in this descriptive and cross-sectional study twice a week for a month during the period of March 2011 – April 2011. Results: Of all caregivers, 56.8% were between the ages 36-40, 94.5% were female, 91.9% had received no education on caregiving, 81.0% stated that they mostly felt physically and mentally 8.05±4.38 before and 11.7±4.97 after the education. A comparison of the mean scores of caregivers on emotional issues before and after the education revealed the following: spiritual distress scores were 2.54±0.69 before and 2.44±0.43 after the education; hopelessness scores, 2.24±0.59 before and 2.23±0.38 after the education; ineffective individual coping was 3.89±1.42 before and 2.45±0.59 after the education; competing needs in decision-making were 3.54±0.69 before and 2.10±1.24 after the education; depressive feeling were 3.01±1.53 before and 2.02±0.99 after the education (p<0.05). Conclusions: Positive effects of home education on levels of perceived social support and caregiving problems of caregivers of cancer patients were observed. Home educational programs for caregivers of cancer patients are important for both better understanding of the requirements of their patients and themselves.


Introduction
Cancer is a health issue that people of every age and in every country may have to deal with.Receiving a diagnosis of a life-threatening illness like cancer presents a serious psychological challenge for victims of the disease as well as the persons who look after these

Impact of Home Education on Levels of Perceived Social Support for Caregivers of Cancer Patients
Birsel Canan Demirbag that are associated with feeling misunderstood, being unable to get adequate support from family members, and members had needs that had not been addressed during the cancer diagnosis and treatment process.It was seen that these needs were aggravated as the disease progressed.In research conducted by Flashkerud7, it was set forth were friends and other close acquaintances.Caregivers feel that they need more support in order to overcome the problems brought about by the illness.Healthcare providers have important responsibilities at this stage.25 of the interventions carried out by nurses attending to is a chronic disease that is full of ups and downs and rife with special needs and issues that have an impact on cancer wreaks havoc over the balances in the lives of the physical, psychological, economic and social distress.
of developing the skills of caregiving.In many countries, there are healthcare programs geared to support cancer caregivers.Patients and caregivers are instead left to try to cope with their situation as best as they can on an individual level.Because of this, the care provided in this process becomes ultimately ineffective and inadequate due to myriad psychological, social and economic issues.cancer patients adversely affect family members as well.For this reason, family members also have a need for professional support.Besides having to learn to live with cancer, caregivers also experience psychological and physiological changes over the process of the illness and complex and persons involved in the caregiving process patient's entire family and particularly the person taking on expectations from healthcare professionals, and especially of evaluating the impact of home education provided to caregivers of cancer patients on the level of their perceived social support and the problems encountered in caregiving.

Materials and Methods
test/post-test pre-experimental design.carried out at a family health center in a city in the Eastern family health center.patients registered at the family health center made up the sample for the study.
Research Ethics, ethical and institutional permission caregivers were informed about the content of the study, after which their written consent was obtained.Patient Data Form, in order to collect information about the patients that were being cared for by the caregivers comprising the sample, a "Patient Data Form" data on the variables of the patient's age, gender, marital status, educational level, profession, social security status, working status, place of residence, symptoms, how long people in the household with whom the patient was living.
Caregiver Data Form, in order to obtain information on the characteristics of the caregivers comprising the sample, a "Caregiver Data Form" drawn up by the the caregiver composed of the variables of the caregiver's age, gender, marital status, educational level, profession, social security, working status, the relation to the patient, whether the caregiver had any dependents, how long the caregiver had been attending to the patient, whether there were people from whom the caregiver received support, the physical, psychological, social issues that the caregiver faced since starting to take care of the patient, and how the caregiver answered the need to receive education on caring for the patient.
Scale In the evaluation of the questionnaire, the "yes" and total scores of the previously grouped items were found.
were obtained for each issue.In the statistical analysis, the scores that were thus obtained for the dependent variables were compared in terms of mean scores.Data Collection and Intervention, the patients agreeing to participate in the study and their caregivers caregivers were provided information about the research.
"Patient Data Form", "Caregiver Data Form", "Scale of Perceived Social Support from Family and Friends " and the "Questionnaire on Identifying Emotional and Social Issues."As part of the research, a visit was paid to the caregivers at the patients' homes.All of the questionnaires education consisted of a program set up by the researcher that encompassed the topics of the meaning of cancer, the symptoms experienced by the cancer patient, stress and coping, individual coping, symptom management, planning for the care process, time management and, the importance of the contribution of family members in the care of the patient, all of these subjects being discussed to provide the education were carried out twice a week; the duration of the program of visits was one month.Visiting times were limited to 1-2 hours.At the end of the visits, the technique of face-to-face interviewing.
Evaluation of the data, the analysis of the data was used in the analysis.

Results
the family health centers where they were registered and home visits were paid to all caregivers without exception.
they mostly felt physically and mentally inadequate in A comparison of Perceived Social Support from Friends and Family before and after the education displayed mean scores of 7.76±4.22before and of 9.75±4.61after the When mean scores for Perceived Social Support from the Family were compared, these were seen to represent a A comparison of the mean scores of caregivers on emotional issues before and after the education showed the greatest differences in the following categories: spiritual after the education; competing needs in decision-making In comparing the social issues mean scores of caregivers before and after the education, it was seen that the greatest differences manifested in the following categories: feeling challenged in taking on the role of caregiver displayed mean scores of 3.81±1.24before between the age of the caregiver and perceived support friend support was observed to display lower scores in patients of 41 years of age and over.It was also perceived family and friend support in terms of how long the caregiver had been caring for the patient; in periods of seven years and more, mean scores were seen to be education between perceived friend and family support decline was however seen in the mean scores of perceived family support.

Discussion
Cancer is a major condition that affects many people directly or indirectly.With the advances achieved in methods of treatment, the course of the disease has changed from being an acute and usually terminal illness to a chronic condition that often requires long-term reason, cancer appears before us as an illness that has an impact not only on the person receiving the diagnosis but also on all of the members of the patient's family.family members involves a series of needs that must be addressed, among them, monitoring the treatment, coping psychological support, personal care, and looking after Caregivers who are family members have reported many issues with which they feel they must cope: conflicting social roles, stressful marital and family relations, restrictions placed on daily activities, anxiety Caregivers of cancer patients have been found to have indicate that caregivers of cancer patients are most likely to was the presence of depressive emotions, a result that is   seen to be most bothered by depressive emotions.Close to follow were ineffective personal coping and competing needs in decision-making .It has been asserted that the relationship between depressive feelings and perceived feelings of uncertainty have an impact on the capability of the adverse outcomes of the caregiving process and one that leads to diminished quality of life, functional by caregivers in providing the needed caregiving bring about feelings of inadequacy that in turn lead to anxiety responsibility of having to care for a patient outside of the hospital, the physical care that needs to be provided, the problems encountered in the household and many other similar issues have been shown to be sources of depression the problems they may encounter during the caregiving process and, accompanied by the fear of not being able to In the present study, it might be suggested that the of the caregivers in the sample were women.Stone et al.
that among caregivers, the spouses displaying the most depressive emotions were wives.In situations where It is for this reason and so that appropriate precautions can be taken that caregivers need to be informed about the burden that the caregiving process can place on their point out that it is not only patients but caregivers too that need to be included in treatment programs and monitored in terms of their adaptation capabilities as well as from a in the levels of anxiety and fear, individual coping and competing needs in decision-making after the education compared to before indicates that being informed about the disease and the different aspects of patient care, becoming knowledgeable about symptom management at home, coping with stress, and planned living can have a positive impact on caregivers' lives.
As in our own culture, many societies consider the job of caregiving a woman's task, regarding this as a simple chore, which is a perspective that ultimately adds to the burden of the caregiver, pares down all feelings educational programs have a positive impact on the role taken on by the caregiver of a cancer patient (Bloom, 1996; facing challenges in caregiving and feelings of inadequacy in carrying out daily activities were the foremost social issues that plagued caregivers in their caregiving roles after the education revealed that an educational program was indeed effective in this respect, which is an outcome that is consistent with the positive impact pointed to in the literature.At the same time, it was also found that the application of the caregiving plan taught in the program led to positive changes in the social interaction displayed by caregivers.perceived support from both family and friends became diminished in chronic physical conditions but that the most prominent change was seen in the perception of study, reported that patients' perception of family support was at a higher level than perceived support from friends.
In the present study and consistent with the literature, the perceived social support from the family was also at a higher level than perceived support from friends.An examination of the scores on the scale of perceived social support from family and friends reveals that scores for differences before and after the education.In a study by it was shown that the social support received by caregivers reduced the effects produced by the stress of caregiving.
Although family members and relatives constitute the most effective social support system for caregivers, caregivers need support from both family and friends in order to develop an adequate perception of social support surrounded by a network of close and devoted friends reduces feelings of loneliness and that maintaining satisfying friendships, contrary to family relationships, is dependent upon reciprocal interaction and support difference was seen after the education in caregivers' be explained by the fact that due to the circumstances of the illness, caregivers perhaps had limited opportunities for reciprocal interaction that would serve to develop and expand friendships.
In conclusion, there is such profuse evidence in the literature pointing to the fact that cancer affects not only the individual with the disease but also caregivers, who of this issue cannot be underestimated.When the various characteristics of the patient, the disease, and the caregiving process are considered, it might even be said that caregivers constitute a group that is even at effect of home education on levels of perceived social support and caregiving problems by caregivers of cancer patients.Influenced in large part by cultural factors and formulated after comprehensive and longitudinal research.It is important that health professionals evaluate the state of groups of individuals at risk who are forced to