Metro North Health Service District, Queensland Health, Chermside, Australia.
Support Care Cancer. 2012 Oct;20(10):2595-610. doi: 10.1007/s00520-012-1383-1.
Non-malignant brain tumours have the potential to considerably affect functional outcomes and quality of life, with an associated significant burden for carers. There is a lack of knowledge about the care and support needs of patients with a brain tumour and their carers, in the early period following discharge from initial hospitalisation. The purpose of this study was to understand the early post-discharge support services and care requirements of individuals with brain tumour and their family caregivers between short-term (2 weeks) post-discharge and medium-term (3 months) following hospital discharge.
A qualitative approach was utilised with semi-structured interviews of nine patients with brain tumour and five of their family caregivers. Thematic content analysis was used to generate in-depth descriptions of the participant's life experiences post-discharge following neurosurgical intervention.
The overarching theme emerging from the data analysis related to patients and carers 'establishing a new reality' underpinned by three primary categories: (1) coping with available supports, (2) adjusting to routines and relationships and (3) emotional responses.
Participants had a tendency to rely on informal support networks but identified unmet information and support needs particularly for carers. These findings highlight the need for more efficient and effective discharge preparation, referral to services and supports, provision of timely information and support for family caregivers of those with brain tumour.
良性脑肿瘤有可能极大地影响患者的功能预后和生活质量,同时也给照顾者带来了巨大的负担。目前,人们对脑肿瘤患者及其照顾者在首次住院出院后的早期阶段的护理和支持需求知之甚少。本研究旨在了解脑肿瘤患者及其家属在出院后短期(2 周)至中期(3 个月)内的短期(2 周)至中期(3 个月)的支持服务和护理需求。
采用半结构式访谈对 9 名脑肿瘤患者和 5 名家属进行了定性研究。采用主题内容分析法对参与者神经外科干预后出院后的生活经历进行了深入描述。
数据分析中出现的总体主题与患者和照顾者“建立新现实”有关,主要包括三个方面:(1)应对现有支持,(2)调整日常生活和人际关系,(3)情绪反应。
参与者倾向于依赖非正式的支持网络,但也发现了照顾者的信息和支持需求未得到满足。这些发现强调了需要更有效地进行出院准备、转介服务和支持,为脑肿瘤患者的家属提供及时的信息和支持。