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探索男性乳腺癌非正式照顾者的体验和心理社会支持需求:一项定性研究。

Exploring the experiences and psychosocial support needs of informal carers of men with breast cancer: a qualitative study.

机构信息

Centre for Appearance Research, Faculty of Health & Applied Sciences, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK.

出版信息

Support Care Cancer. 2022 Aug;30(8):6669-6676. doi: 10.1007/s00520-022-07095-2. Epub 2022 May 4.

Abstract

PURPOSE

The provision of practical and emotional support for men who have been diagnosed with breast cancer in the UK falls primarily on their partners, close family members or friends. However, informal carers' experiences are omitted from the research literature. Therefore, the present study aimed to explore the care-giving experiences of informal carers (ICs) of men with breast cancer in the UK and identify psychosocial support needs and preferences.

METHODS

Semi-structured interviews, conducted on the telephone or via online video calls, explored ICs' experiences of providing support, the psychosocial issues they faced and the impact of the illness on themselves and their relationship with the patient. They were also asked about any support previously offered to them, in addition to their support preferences. Twelve ICs participated (11 females, 1 male), and 9 were spouses. Interview transcripts were analysed with reflexive thematic analysis using NVIVO software.

RESULTS

Four key themes were identified: "The impact of caring", "Lack of awareness", "Isolated and alone" and "Making a difference".

CONCLUSIONS

The physical, emotional, financial and social impact of providing emotional and practical care and support for a man diagnosed with breast cancer can be considerable. ICs may experience significant levels of distress and often feel isolated. Greater awareness and more research is needed to better understand the psychosocial impact and support needs for ICs of men with breast cancer. There is an evident necessity to address their information needs and offer sources of support throughout the cancer journey.

摘要

目的

在英国,被诊断患有乳腺癌的男性的实际支持和情感支持主要由他们的伴侣、近亲或朋友提供。然而,研究文献中忽略了非正式照顾者的经验。因此,本研究旨在探讨英国男性乳腺癌非正式照顾者(ICs)的照顾经验,确定他们的心理社会支持需求和偏好。

方法

通过电话或在线视频通话进行半结构化访谈,探讨了照顾者提供支持的经验、他们面临的心理社会问题,以及疾病对他们自己和与患者关系的影响。还询问了他们之前获得的任何支持,以及他们的支持偏好。共有 12 名照顾者(11 名女性,1 名男性)参与了研究,其中 9 名为配偶。使用 NVIVO 软件对访谈记录进行了反思性主题分析。

结果

确定了四个关键主题:“照顾的影响”、“缺乏意识”、“孤立无援”和“有所作为”。

结论

为被诊断患有乳腺癌的男性提供情感和实际照顾和支持可能会产生相当大的身体、情感、经济和社会影响。照顾者可能会经历相当程度的痛苦,并且常常感到孤立。需要更多的了解和研究来更好地理解男性乳腺癌照顾者的心理社会影响和支持需求。显然有必要在整个癌症治疗过程中满足他们的信息需求并提供支持来源。

相似文献

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Cancer statistics, 2016.癌症统计数据,2016 年。
CA Cancer J Clin. 2016 Jan-Feb;66(1):7-30. doi: 10.3322/caac.21332. Epub 2016 Jan 7.
10
Quality of life and symptoms in male breast cancer survivors.男性乳腺癌幸存者的生活质量和症状。
Breast. 2013 Apr;22(2):197-199. doi: 10.1016/j.breast.2012.12.014. Epub 2013 Jan 11.

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