family function
quality of life

How to Cite

Fadhilla, A., Nurhidayah, I., & Adistie, F. (2019). THE CORRELATION BETWEEN FAMILY FUNCTIONING AND QUALITY OF LIFE OF CAREGIVER OF CHILDREN WITH LEUKEMIA. Belitung Nursing Journal, 5(1), 32-40.


Background: Quality of life of caregiver of children with leukemia is important because it can affect the quality of care provided and can affect the health of children and the caregiver themselves. One of the factors that influence the caregiver’s quality of life is the family functioning. However, a few number of research on the correlation of family functioning in the caregiver's situation.

Objective: The aim of the study was to analyze the correlation between family functioning and the caregiver’s quality of life of children with leukemia.

Methods: This study used a Quality of Life Family Version questionnaire and a Family Assessment Device questionnaire. The populations in this study were all parents (father or mother) who were the primary caregiver of children with leukemia aged 0-15 years and were being treated at a referral hospital in West Java, Indonesia. Thirty-two respondents were determined by a total sampling technique. The data analysis used frequency distribution and chi-square.

Results: The results showed that the family functioning and quality of life of the caregiver had the same results, 50% good and 50% poor. Correlation test in this study showed a negative value with p value > 0.05 (0.480), which indicated that there was no correlation between family functioning and the quality of life of the caregiver.

Conclusion: The correlation between family functioning and caregiver's quality of life was not significant. This is likely due to the variable family functioning and the caregiver’s quality of life having balanced results. The results of this study need to be followed up by providing nursing care holistically not only to children, but also to families, especially who are directly involved in child care.


Alderfer, M. A., Navsaria, N., & Kazak, A. E. (2009). Family functioning and posttraumatic stress disorder in adolescent survivors of childhood cancer. Journal of Family Psychology, 23(5), 717.

Ali, Z. (2010). Pengantar keperawatan keluarga [Introduction to family nursing] Jakarta: EGC.

Arikunto. (2013). Prosedur penelitian, suatu pendekatan praktik [Research procedure, a practice approach]. Jakarta: Rineka Cipta.

Dai, L., & Wang, L. (2015). Review of family functioning. Open Journal of Social Sciences, 3(12), 134.

Duci, V., & Tahsini, I. (2012). Perceived social support and coping styles as moderators for levels of anxiety, depression and quality of life in cancer caregivers: A literature review. European Scientific Journal, ESJ, 8(11), 160-175.

Dumont, S., Turgeon, J., Allard, P., Gagnon, P., Charbonneau, C., & Vézina, L. (2006). Caring for a loved one with advanced cancer: determinants of psychological distress in family caregivers. Journal of Palliative Medicine, 9(4), 912-921.

Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of Marital and Family Therapy, 9(2), 171-180.

Ferrell, B. R. (2005). Quality of life family version. Los Angeles: National Medical Center and Beckman Research Institute.

Gamayanti, P., Rakhmawati, W., Mardhiyah, A., & Yuyun, S. (2012). Gambaran kualitas hidup keluarga dalam merawat anak dengan leukemia yang menjalani kemoterapi di RSUP Dr. Hasan Sadikin, Bandung [Overview of the quality of family life in caring for children with leukemia undergoing chemotherapy in RSUP Dr. Hasan Sadikin, Bandung]. Indonesian Journal of Cancer, 6(1).

Hacialioglu, N., Özer, N., Erdem, N., & Erci, B. (2010). The quality of life of family caregivers of cancer patients in the East of Turkey. European Journal of Oncology Nursing, 14(3), 211-217.

Hosoda, T. (2014). The impact of childhood cancer on family functioning: a review. Graduate Student Journal of Psychology, 15, 18-30.

Hudson, P. L., Trauer, T., Graham, S., Grande, G., Ewing, G., Payne, S., . . . Thomas, K. (2010). A systematic review of instruments related to family caregivers of palliative care patients. Palliative Medicine, 24(7), 656-668.

Indonesian Child Protection Commission. (2017). Waspadai kanker pada anak [Beware of cancer in children]. Retrieved from Jakarta: waspadai-kanker-pada-anak/

Indonesian Childhood Cancer Foundation. (2017). Kanker pada anak (Childhood cancer). Retrieved from Jakarta:

Jones, B. L. (2012). The challenge of quality care for family caregivers in pediatric cancer care. Paper presented at the Seminars in oncology nursing.

Khoury, M. N., Huijer, H. A.-S., & Doumit, M. A. A. (2013). Lebanese parents’ experiences with a child with cancer. European Journal of Oncology Nursing, 17(1), 16-21.

Kim, H.-S., & Kim, H.-S. (2008). The impact of family violence, family functioning, and parental partner dynamics on Korean juvenile delinquency. Child Psychiatry and Human Development, 39(4), 439-453.

Kim, Y., & Given, B. A. (2008). Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer, 112(S11), 2556-2568.

Kim, Y., & Spillers, R. L. (2010). Quality of life of family caregivers at 2 years after a relative's cancer diagnosis. Psycho‐oncology, 19(4), 431-440.

Kitrungrote, L., & Cohen, M. Z. (2006). Quality of life of family caregivers of patients with cancer: A literature review. Paper presented at the Oncology Nursing Forum.

Klassen, A. F., Raina, P., McIntosh, C., Sung, L., Klaassen, R. J., O'donnell, M., . . . Dix, D. (2011). Parents of children with cancer: Which factors explain differences in health‐related quality of life. International Journal of Cancer, 129(5), 1190-1198.

Lim, H. A., Tan, J. Y., Chua, J., Yoong, R. K., Lim, S. E., Kua, E. H., & Mahendran, R. (2017). Quality of life of family caregivers of cancer patients in Singapore and globally. Singapore Medical Journal, 58(5), 258.

Litzelman, K., Catrine, K., Gangnon, R., & Witt, W. P. (2011). Quality of life among parents of children with cancer or brain tumors: the impact of child characteristics and parental psychosocial factors. Quality of Life Research, 20(8), 1261-1269.

Martin, S., Calabrese, S. K., Wolters, P. L., Walker, K. A., Warren, K., & Hazra, R. (2012). Family functioning and coping styles in families of children with cancer and HIV disease. Clinical Pediatrics, 51(1), 58-64.

Panganiban-Corales, A. T., & Medina, M. F. (2011). Family resources study: part 1: family resources, family function and caregiver strain in childhood cancer. Asia Pacific Family Medicine, 10(1), 14.

Park, B., Kim, S. Y., Shin, J.-Y., Sanson-Fisher, R. W., Shin, D. W., Cho, J., & Park, J.-H. (2013). Prevalence and predictors of anxiety and depression among family caregivers of cancer patients: a nationwide survey of patient–family caregiver dyads in Korea. Supportive Care in Cancer, 21(10), 2799-2807.

Rodríguez-Sánchez, E., Pérez-Peñaranda, A., Losada-Baltar, A., Pérez-Arechaederra, D., Gómez-Marcos, M. Á., Patino-Alonso, M. C., & García-Ortiz, L. (2011). Relationships between quality of life and family function in caregiver. BMC Family Practice, 12(1), 19.

Santo, E. A. R. d. E., Gaíva, M. A. M., Espinosa, M. M., Barbosa, D. A., & Belasco, A. G. S. (2011). Taking care of children with cancer: evaluation of the caregivers' burden and quality of life. Revista Latino-Americana de Enfermagem, 19(3), 515-522.

Sloper, P. (2000). Predictors of distress in parents of children with cancer: A prospective study. Journal of Pediatric Psychology, 25(2), 79-91.

Son, K. Y., Lee, C. H., Park, S. M., Lee, C. H., Oh, S. I., Oh, B., . . . Lee, S. H. (2012). The factors associated with the quality of life of the spouse caregivers of patients with cancer: a cross-sectional study. Journal of Palliative Medicine, 15(2), 216-224.

Stenberg, U., Ruland, C. M., & Miaskowski, C. (2010). Review of the literature on the effects of caring for a patient with cancer. Psycho‐oncology, 19(10), 1013-1025.

Tinkham, C. W., Voorhies, E. F., & McCarthy, N. C. (1984). Community health nursing : Evolution and process in the family and community. USA: Appleton & Lange.

Tsai, M.-H., Hsu, J.-F., Chou, W.-J., Yang, C.-P., Jaing, T.-H., Hung, I.-J., . . . Huang, Y.-S. (2013). Psychosocial and emotional adjustment for children with pediatric cancer and their primary caregivers and the impact on their health-related quality of life during the first 6 months. Quality of life Research, 22(3), 625-634.

van den Tweel, X. W., Hatzmann, J., Ensink, E., van der Lee, J. H., Peters, M., Fijnvandraat, K., & Grootenhuis, M. (2008). Quality of life of female caregivers of children with sickle cell disease: A survey. haematologica, 93(4), 588-593.

Watson, M., James-Roberts, I. S., Ashley, S., Tilney, C., Brougham, B., Edwards, L., . . . Romer, G. (2006). Factors associated with emotional and behavioural problems among school age children of breast cancer patients. British Journal of Cancer, 94(1), 43.

WHO. (2017). Cancer. Retrieved from mediacentre/factsheets/fs297/en/

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA, 273(1), 59-65.

Yagc-Küpeli, B., Akyüz, C., Küpeli, S., & Büyükpamukçu, M. (2012). Health-related quality of life in pediatric cancer survivors: A multifactorial assessment including parental factors. Journal of Pediatric Hematology/Oncology, 34(3), 194-199.

Yousuf Zafar, S. (2015). Financial toxicity of cancer care: It’s time to intervene. Journal of the National Cancer Institute, 108(5), djv370.

Yu, H., Li, L., Liu, C., Huang, W., Zhou, J., Fu, W., . . . Liu, G. (2017). Factors associated with the quality of life of family caregivers for leukemia patients in China. Health and Quality of Life Outcomes, 15(1), 55.

Yun, Y. H., Rhee, Y. S., Kang, I. O., Lee, J. S., Bang, S. M., Lee, W. S., . . . Hong, Y. S. (2005). Economic burdens and quality of life of family caregivers of cancer patients. Oncology, 68(2-3), 107-114.

Copyright (c) 2019 Annisha Fadhilla, Ikeu Nurhidayah, Fanny Adistie
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Abstract views: 920 | PDF views: 423


Download data is not yet available.