Saria Marlon Garzo, Nyamathi Adeline, Phillips Linda R, Stanton Annette L, Evangelista Lorraine, Kesari Santosh, Maliski Sally
Clinical Trials and Research, John Wayne Cancer Institute, Providence Saint John's Health Center, University of California, Los Angeles, School of Nursing, 2200 Santa Monica Boulevard, Santa Monica, CA 90404, USA.
University of California, Los Angeles, School of Nursing, 700 Tiverton Avenue, Los Angeles, CA 90095, USA.
Nurs Clin North Am. 2017 Mar;52(1):159-178. doi: 10.1016/j.cnur.2016.10.002.
Caregiving is a highly individualized experience. Although numerous articles have been published on caregiver burden from a variety of diagnoses and conditions, this article presents the unique features of caregiving in patients with brain metastases. Improved long-term survival, concerns about disease recurrence or progression, the cancer experience (initial diagnosis, treatment, survivorship, recurrence, progression, and end of life), and the increasing complexity of cancer treatments add to the demands placed on the caregivers of patients with brain metastases. Health care professionals must identify caregiver burden and administer the appropriate interventions, which must be as unique and individualized as the caregivers' experiences.
照护是一种高度个体化的体验。尽管已经发表了大量关于各种诊断和病症导致的照护负担的文章，但本文呈现了脑转移瘤患者照护的独特特征。长期生存率的提高、对疾病复发或进展的担忧、癌症经历（初始诊断、治疗、生存、复发、进展及生命终结）以及癌症治疗日益增加的复杂性，都增加了对脑转移瘤患者照护者的要求。医疗保健专业人员必须识别照护者的负担并实施适当的干预措施，这些干预措施必须与照护者的经历一样独特且个体化。
