Samuelsson Maria, Jakobsson Jenny, Bengtsson Mariette, Lydrup Marie-Louise, Wennick Anne
Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Department of Pediatrics, Skåne University Hospital, Malmö, Sweden.
J Adv Nurs. 2025 Feb;81(2):1069-1081. doi: 10.1111/jan.16308. Epub 2024 Jun 28.
To describe the variations of family members' conceptions of their supportive care needs (SCN) across the colorectal cancer (CRC) trajectory.
A descriptive qualitative study with a phenomenographic approach.
Individual semi-structured interviews were conducted from May 2022 to October 2022 with 23 family members of persons diagnosed with colorectal cancer. The interviews were analysed using phenomenographic analysis following the Consolidated criteria for reporting qualitative research (COREQ) checklist.
The phenomenographic analysis resulted in five categories. Not of importance describes family members' needs as unimportant due to the good prognosis and the organization of care and in relation to the needs of others. Only satisfiable by professionals describes information possessed by the healthcare professionals as key, as well as the need for professional counselling for the family members to process their emotions. Managed by themselves describes family members preferring to manage their SCN themselves by turning to the appropriate social support and/or by using coping skills. Understood retrospectively describes SCN as only understandable when things have calmed down and as requiring one's own experience to understand. Left unmet describes SCN as unnoticed by the healthcare professionals or not brought to light by the family members, or family members not knowing where to turn for support.
Supportive care should involve individualized information, proactive and repeated assessments of needs across the trajectory, as well as encouragement of family members to reflect on their needs and to accept support when needed.
There is a gap in the literature regarding family members' SCN across the CRC trajectory which this study addresses. Findings show five categories of family members' conceptions of their SCN. Those findings could serve as a basis for the development of clinical colorectal supportive care across the cancer trajectory.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Findings show that to offer family members of persons diagnosed with colorectal cancer support only at the time of diagnosis is insufficient. Instead, the healthcare team is recommended to proactively and repeatedly try to identify those in need and the characteristics of their needs. In addition, it is important to offer individualized information and strive to encourage family members to reflect on their situation and to not suppress their own needs if emerging.
Reporting adheres to the consolidated criteria for reporting qualitative research (COREQ) checklist.
No patient or public contribution.
描述家庭成员对其在结直肠癌（CRC）病程中支持性护理需求（SCN）的认知变化。
采用现象学方法的描述性定性研究。
2022年5月至2022年10月，对23名被诊断为结直肠癌患者的家庭成员进行了个体半结构式访谈。访谈依据报告定性研究的统一标准（COREQ）清单，采用现象学分析法进行分析。
现象学分析产生了五类结果。不重要是指由于预后良好、护理安排以及与他人需求相关，家庭成员认为自身需求不重要。仅能由专业人员满足是指医疗保健专业人员所掌握的信息至关重要，以及家庭成员需要专业咨询来处理自身情绪。自行处理是指家庭成员更倾向于通过寻求适当的社会支持和/或运用应对技巧来自行处理其支持性护理需求。事后理解是指支持性护理需求只有在事情平息后才易于理解，且需要自身经历才能明白。未得到满足是指支持性护理需求未被医疗保健专业人员注意到，或者未被家庭成员提及，又或者家庭成员不知向何处寻求支持。
支持性护理应包括个性化信息、在整个病程中对需求进行主动且反复的评估，以及鼓励家庭成员反思自身需求并在需要时接受支持。
本研究填补了关于家庭成员在结直肠癌病程中支持性护理需求的文献空白。研究结果显示了家庭成员对其支持性护理需求的五类认知。这些结果可为制定贯穿癌症病程的临床结直肠癌支持性护理提供依据。
对专业和/或患者护理的启示：研究结果表明，仅在诊断时为被诊断患有结直肠癌患者的家庭成员提供支持是不够的。相反，建议医疗团队主动且反复地努力识别有需求的人员及其需求特征。此外，提供个性化信息并努力鼓励家庭成员反思自身状况，且在需求出现时不压抑自身需求也很重要。
报告遵循报告定性研究的统一标准（COREQ）清单。
无患者或公众参与。
