School of Nursing & Midwifery, Menzies Health Institute, Griffith University, 4131, Queensland, Australia.
School of Nursing and Midwifery, Faculty of Health, Deakin University, Melbourne, 3125, Victoria, Australia.
Eur J Oncol Nurs. 2020 Dec;49:101841. doi: 10.1016/j.ejon.2020.101841. Epub 2020 Oct 14.
Family members are a part of the team to improve the outcomes of the person with cancer. Families require support and information to optimise their care, however, their needs are often unacknowledged and within clinical areas there is a lack of family focused interventions. Studies highlight families' needs but lack a family representation. The aim was to explore research with family as the unit-of-care during cancer treatment.
The Pickering systematic quantitative literature review method; a 15-step process from searching, database development and analysis was followed. Research published 2008-2019 within databases: MEDLINE, SCOPUS, PsycINFO, Cochrane, CINAHL; key words, 'family* or caregiver*, and cancer*, neoplasm* and coping*, distress* in November 2019. Quality assessment completed using Mixed Methods Appraisal Tool, descriptive quantitative analysis and thematic analysis.
Studies involving patients and family members were included in the review (N = 73). The analysis identified participants had a mean age of 58 years and primarily lung, breast or prostate cancer. Over 80% were from America and European countries; 93% had a dyad sample, quantitative studies (76%). There was eight intervention studies between four to sixteen weeks long, focused on family wellbeing. Themes described the impact of cancer on the whole family, the importance of communication between family members, and resources for family members.
The review identified four main scales and optimum intervention styles. Family research in the adult cancer needs to focus on intervention studies, increase international focus and inclusion of other family members such as children, friends and older adults.
家庭成员是提高癌症患者治疗效果的团队成员之一。为了优化他们的护理，家庭成员需要获得支持和信息，但他们的需求往往未得到认可，而且在临床领域缺乏以家庭为中心的干预措施。研究强调了家庭的需求，但缺乏家庭代表。本研究旨在探讨以家庭为癌症治疗护理单元的研究。
采用皮克林系统的定量文献综述方法；遵循从搜索、数据库开发到分析的 15 个步骤。2008 年至 2019 年期间，在 MEDLINE、SCOPUS、PsycINFO、Cochrane、CINAHL 等数据库中使用“家庭或照顾者、癌症*、肿瘤和应对、压力*”等关键词进行搜索，于 2019 年 11 月完成检索。使用混合方法评价工具、描述性定量分析和主题分析完成质量评估。
本研究纳入了涉及患者及其家庭成员的研究（N=73）。分析确定参与者的平均年龄为 58 岁，主要患有肺癌、乳腺癌或前列腺癌。超过 80%的参与者来自美国和欧洲国家；93%的研究采用了二元样本，且为定量研究（76%）。有 8 项干预研究持续时间为 4 至 16 周，主要集中在家庭幸福感上。主题描述了癌症对整个家庭的影响、家庭成员之间沟通的重要性以及为家庭成员提供的资源。
本研究确定了四项主要量表和最佳干预方式。成人癌症的家庭研究需要关注干预研究，增加国际关注，并纳入儿童、朋友和老年人等其他家庭成员。
