Distance caregivers (DCGs), those who live more than an hour away from the care recipient, often play a significant role in patients’ care. While much is known about the experience and outcomes of local family caregivers of cancer patients, little is known about the experience and outcomes of distance caregiving upon DCGs. The purpose of this study was to identify the relationships among stressors (patient cancer stage, anxiety, and depression), mediators (DCG emotional support and self-efficacy), and burden in DCGs’ of patients with cancer. This study was a descriptive cross-sectional study and involved a secondary data analysis from a randomized clinical trial. The study sample consisted of 314 cancer patient–DCG dyads. The results of this study were: (1) 26.1% of DCGs reported elevated levels of burden; (2) significant negative relationships were found between mediators (DCG emotional support and self-efficacy) and DCG burden; and (3) significant positive relationships were found between patient anxiety, depression, and DCG burden. The prevalence of burden in DCGs, and its related factors, were similar to those of local caregivers of cancer patients, which suggests that interventions to reduce burden in local caregivers could be effective for DCGs as well.

The global pandemic of the novel coronavirus (COVID-19) declared in March 2020 has created unprecedented challenges for healthcare professionals and organizations. A significant impact has been physical and psychological stress on nurses working in acute care environments. Stress-related growth may occur concurrently with the experience of negative psychological responses as another facet of coping and adjustment to the stressful event. The primary aim of this study was to describe the degree to which nurses reported stress, anxiety, and stress-related growth during the COVID-19 pandemic. This article discusses the study methods, which included a cross-sectional design with an online survey sent to nurses in a hospital system. Results demonstrated that, of the 1,009 participants in the final analysis, almost 70% reported anxiety symptoms, with 38% having scores at the moderate or severe level. Growth scores were low. Our discussion considers cultural implications of the findings and implications for practice that underscore the need for proactive interventions to mitigate the psychological burden of the pandemic on nurses and the need to implement routine screening of nurses for anxiety.

The purpose of this study is to identify the determinants of perceived health status among Laotian aged 40 to 59. A total of 922 men or women in their 40’s or 50’s living in Vientiane Capital and Province, Lao People’s Democratic Republic were included in the study. Hierarchical multiple regression was used to analyze the data. Perceived health status was negatively correlated with chance health locus of control and physical symptom frequency and positively correlated with doctors health locus of control. Age, drinking, difficulty in health utilization, physical activity, physical symptom frequency, and doctors health locus of control explained 23.5% of the variance in perceived health. To prevent the non-communicable disease, action should be taken not only at the individual level but also at the healthcare system level. In the health care fields, the targeted intervention based on the findings of this study should be devised.