Lead researcher, Senior Lecturer, Palliative and End of Life Care, University of Worcester.
Co-researcher, Head of Support, Brain Tumour Support.
Int J Palliat Nurs. 2024 Feb 2;30(2):66-78. doi: 10.12968/ijpn.2024.30.2.66.
Brain tumours are the ninth most common cancer in the UK, and account for 3% of all new cancer cases.
To understand the impact of living with a primary brain tumour and identify adjustments that patients make in order to cope with their condition. This also encomapsses the impact of interventions like support groups in terms of care and therapeutic value.
After ethical approval, a qualitative approach was employed, which set out to interview 11 adult patients living with primary brain tumours. The interviews were conducted face-to-face and were semi-structured interviews. Interview data were coded and thematic analysis used.
Four themes were developed, namely: adjustment; loss of independence; support; and health and symptoms.
Living with a brain tumour leads to an inevitable adjustment to maintain day-to-day life. The findings suggest there are a number of adjustments that patients make to maintain some independence. Many people valued the support they received from support groups, while others felt that the support they received was inadequate. The mandatory loss of a driving licence for people in the UK was the most concerning. Its removal led to a loss of confidence and made them immediately dependent on others for travel. While support was provided, there was an apparent omission in the provision of psychological support. Oncology and palliative care nurses are in key positions to explore psychological concerns and offer tailored support.
脑肿瘤是英国第九大常见癌症,占所有新发癌症病例的 3%。
了解原发性脑肿瘤患者的生活影响,并确定患者为应对病情所做的调整。这也包括支持团体等干预措施在护理和治疗价值方面的影响。
在获得伦理批准后,采用定性方法,旨在采访 11 名患有原发性脑肿瘤的成年患者。访谈是面对面进行的,采用半结构化访谈。对访谈数据进行编码和主题分析。
得出了四个主题,分别是:调整;失去独立性;支持;以及健康和症状。
患有脑肿瘤会导致不可避免的调整以维持日常生活。研究结果表明,患者会做出许多调整来保持一定的独立性。许多人重视他们从支持团体中获得的支持,而其他人则觉得他们得到的支持不足。在英国,强制性丧失驾驶执照对人们来说是最令人担忧的。这导致了自信心的丧失,使他们立即依赖他人出行。虽然提供了支持,但在提供心理支持方面显然存在遗漏。肿瘤学和姑息治疗护士处于探索心理问题和提供针对性支持的关键位置。