Department of Haematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.
Institute of Health Sciences, Lund University, Lund, Sweden.
Support Care Cancer. 2022 Nov;30(11):9039-9047. doi: 10.1007/s00520-022-07306-w. Epub 2022 Aug 11.
Allogeneic hematopoietic stem cell transplantation (HSCT) is an intensive curative treatment that increases family caregivers' burden. The aim of this study was to explore the feasibility of remotely assessing and addressing family caregivers' support needs in terms of demand and acceptability using the Carer Support Needs Assessment Tool Intervention (CSNAT-I) in the HSCT context.
CSNAT-I consists of an evidence-based tool and a five-stage person-centred process. The intervention was performed remotely by two designated nurses from two HSCT centres, one before HSCT and the second 6 weeks after (November 2020 to March 2021). To capture the experiences of using CSNAT-I, interviews were conducted with family caregivers and reflections were gathered from the designated nurses.
Of 34 eligible family caregivers, 27 participated, 70% were partners and the rest children, siblings or other relatives. The main support needs were knowing what to expect in the future and dealing with your feelings and worries. The most frequent support actions according to CSNAT-I were psychological support and medical information. Four categories summarised family caregivers and designated nurses' experiences: CSNAT-I was relevant and became an eye opener; nurses' experiences were important for enabling trustful CSNAT-I conversations; CSNAT-I provided family caregivers with support and a sense of security; and CSNAT-I gave family caregivers insight and enabled change.
Both family caregivers and designated nurses experienced that using CSNAT-I in an HSCT context was feasible and had the potential to provide valuable support for most of the participating family caregivers.
异基因造血干细胞移植（HSCT）是一种强化的治疗方法，会增加家庭照顾者的负担。本研究旨在探索使用照顾者支持需求评估工具干预（CSNAT-I）远程评估和满足 HSCT 背景下家庭照顾者支持需求的可行性，包括需求和可接受性。
CSNAT-I 由基于证据的工具和五阶段以人为中心的流程组成。该干预措施由来自两个 HSCT 中心的两名指定护士远程执行，一次在 HSCT 之前，另一次在 6 周后（2020 年 11 月至 2021 年 3 月）。为了捕捉使用 CSNAT-I 的经验，对家庭照顾者进行了访谈，并从指定护士那里收集了反思。
在 34 名符合条件的家庭照顾者中，有 27 名参与，其中 70%为伴侣，其余为子女、兄弟姐妹或其他亲属。主要的支持需求是了解未来会发生什么，以及如何应对自己的感受和担忧。根据 CSNAT-I，最常见的支持行动是心理支持和医疗信息。家庭照顾者和指定护士的经验可以归纳为四个类别：CSNAT-I 是相关的，并且具有启发性；护士的经验对于进行值得信赖的 CSNAT-I 对话很重要；CSNAT-I 为家庭照顾者提供了支持和安全感；CSNAT-I 使家庭照顾者能够洞察并实现改变。
家庭照顾者和指定护士都体验到，在 HSCT 背景下使用 CSNAT-I 是可行的，并且有可能为大多数参与的家庭照顾者提供有价值的支持。
