Johns Hopkins Sidney Kimmel Cancer Center at Bayview, 301 Mason Lord Drive, Suite 4500, Baltimore, MD, 21224, USA.
Johns Hopkins University, 3400 North Charles Street, Baltimore, 21218, USA.
Support Care Cancer. 2020 Feb;28(2):497-505. doi: 10.1007/s00520-019-04839-5. Epub 2019 May 7.
Genetic and environmental interactions predispose certain groups to lung cancer, including families. Families or caregiving units experience the disease interdependently. We have previously evaluated the concerns and preferences of patients in addressing the lung cancer experience and cancer risks in their families. This qualitative study evaluates the concerns and preferences of family members and caregivers of patients with lung cancer in the lung cancer experience and familial cancer risks.
We held focus groups to discuss the format and timing of addressing these preferences and concerns. Qualitative data generated was analyzed using a grounded theory approach.
Five focus groups totaling 19 participants were conducted. Seven themes were identified: (1) journey to lung cancer diagnosis has core dimensions for patient and family, (2) importance of communication between patients, families, and providers, (3) challenges for caregivers and family, (4) mixed perceptions of lung cancer causation among relatives, (5) discussion of cancer risk with relatives has complex dynamics, (6) impact of diagnosis on family health behaviors and screening, (7) role of genetic counseling.
Family members of patients with lung cancer are interested in discussing risk factors, prevention, and diagnoses and also would like access to other supportive services do learn about and cope with some of the stresses and barriers they experience in the family lung cancer journey. The diagnosis represents a potential teachable moment with the opportunity to reduce the risk of LC development or improve early detection in LC patient's family members.
遗传和环境相互作用使某些群体易患肺癌，包括家庭。家庭或照顾单位相互依存地经历疾病。我们之前已经评估了患者在处理肺癌经历和家族癌症风险方面的关注点和偏好。这项定性研究评估了肺癌患者的家庭成员和照顾者在肺癌经历和家族癌症风险方面的关注点和偏好。
我们举行了焦点小组讨论，讨论了处理这些关注点和偏好的格式和时间。使用扎根理论方法分析生成的定性数据。
共进行了 5 个焦点小组，共有 19 名参与者。确定了 7 个主题：（1）患者和家属的肺癌诊断之旅具有核心维度，（2）患者、家属和提供者之间沟通的重要性，（3）照顾者和家属的挑战，（4）亲属对肺癌病因的看法复杂，（5）与亲属讨论癌症风险具有复杂的动态，（6）诊断对家庭健康行为和筛查的影响，（7）遗传咨询的作用。
肺癌患者的家庭成员有兴趣讨论危险因素、预防和诊断，他们还希望获得其他支持性服务，以了解和应对他们在家庭肺癌之旅中所经历的一些压力和障碍。诊断代表了一个潜在的可教时刻，有机会降低 LC 发展的风险或改善 LC 患者家庭成员的早期检测。
