Jung Ahrang, Song Lixin, Snyder Elizabeth, Louwers Renata K, Sachse Karen, Chisolm Stephanie, Gore John L, Smith Angela B
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Bladder Cancer. 2021 Mar 19;7(1):43-52. doi: 10.3233/BLC-200412. eCollection 2021.
The unique burden of treatment and survivorship of patients with bladder cancer can negatively impact caregiver experience and their use of supportive care resources.
To assess caregivers' well-being and their perception of potential supportive resources.
In this cross-sectional survey, caregivers of patients with bladder cancer (N = 630) were recruited through the nationwide Bladder Cancer Advocacy Network Patient Survey Network. We used stakeholder-developed questionnaires to examine caregiver well-being (i.e., physical well-being, tiredness, fear, worry, sadness), the perceived helpfulness of potential resources (i.e., web-based and print-based information, specialized support, personal stories of other caregivers, phone-call and online chat with other caregivers), and influencing factors.
Caregivers more frequently reported emotional well-being as a moderate to serious problem (67% for fear, 78% for worry, 66% for sadness) compared with physical well-being (30%) and tiredness (47%). Decreased well-being was associated with female gender of the caregiver, higher than high school education, or caring for a patient with advanced (versus non-invasive) bladder cancer. Of six potential resources, "web-based information" was perceived as "very helpful" among 79% of respondents, followed by "personal stories from other caregivers" (62%). Caregiver preferences for "web-based information" was not associated with any specific demographic or clinical factors.
Caregivers reported moderate to serious problems with emotional and physical well-being. Web-based platforms were perceived as beneficial supportive resources for bladder cancer caregivers. Future intervention research should target the influencing factors identified in this study to optimize the health outcomes of caregivers and enhance the supportive care resources for improving their well-being.
膀胱癌患者独特的治疗负担和生存负担会对护理人员的体验及其对支持性护理资源的使用产生负面影响。
评估护理人员的幸福感及其对潜在支持资源的认知。
在这项横断面调查中,通过全国性的膀胱癌倡导网络患者调查网络招募了膀胱癌患者的护理人员(N = 630)。我们使用利益相关者制定的问卷来检查护理人员的幸福感(即身体健康、疲劳、恐惧、担忧、悲伤)、潜在资源的感知帮助程度(即基于网络和印刷品的信息、专业支持、其他护理人员的个人故事、与其他护理人员的电话和在线聊天)以及影响因素。
与身体健康(30%)和疲劳(47%)相比,护理人员更频繁地报告情绪幸福感是一个中度至严重的问题(恐惧为67%,担忧为78%,悲伤为66%)。幸福感下降与护理人员为女性、受教育程度高于高中或照顾晚期(而非非侵袭性)膀胱癌患者有关。在六种潜在资源中,79%的受访者认为“基于网络的信息”“非常有帮助”,其次是“其他护理人员的个人故事”(62%)。护理人员对“基于网络的信息”的偏好与任何特定的人口统计学或临床因素无关。
护理人员报告了情绪和身体健康方面的中度至严重问题。基于网络的平台被认为是膀胱癌护理人员有益的支持资源。未来的干预研究应针对本研究中确定的影响因素,以优化护理人员的健康结果,并加强支持性护理资源以改善他们的幸福感。