Samuelsson Maria, Edman Kristina, Neziraj Merita, Ericsson Anna
Faculty of Health and Society, Department of Care Science, Malmö University, Jan Waldenströms gata 25, Malmö, 205 06, Sweden.
HØKH Department of Health Services Research, Akershus University Hospital, Nordbyhagen, Norway.
BMC Cancer. 2025 May 12;25(1):856. doi: 10.1186/s12885-025-14245-2.
At times of cancer, also family members may need support from healthcare professionals. For support to be relevant it needs to be tailored to a person's needs. Tailored support is recognized as support co-created through an intangible interaction between the supporter and the supported. Despite this, studies primarily focus on the supporter (healthcare professionals) or the supported (family members). As a result, the co-created dimension is lost. Therefore, the purpose was to describe and compare family members´ supportive care needs with support from cancer nurses across the care process in outpatient colorectal cancer care.
This study is designed as a qualitative single case study with two embedded units: family members and Contact Nurses. Data consisted of transcribed semi-structured interviews from 23 family members and 21 Contact Nurses. Both within and across units, analyses were undertaken using conventional qualitative content analysis. Reporting adheres to the Consolidated Criteria for Reporting Qualitative Research checklist.
Analysis generated a main category: Aiming for survival illustrating the common goal of the two units and its implications for support for family members in routine colorectal cancer care. Three subcategories describe family members´ supportive care needs in relation to Contact Nurses´ support for family members across the colorectal cancer care process: (1) The diagnostic phase: Narrowed sight in treatment preparation; (2) The treatment phase: Foregrounding family caregiving while backgrounding family support; and (3) The surveillance phase: An enduring cancer experience despite being considered a co-survivor.
Support tailored to family members' supportive care needs should derive from the family members' cancer experiences and include strategies for bringing their needs to light. This could possibly be achieved by strengthening the collaboration between contact nurses and clinical social workers. In addition, family members require preparation for and support during their entire cancer trajectory to enable a healthy family recovery post-treatment. In addition, they need guidance on where and whom to turn to at each stage of the care process.
在患癌期间，家庭成员也可能需要医疗保健专业人员的支持。为了使支持具有相关性，需要根据个人需求进行定制。定制化支持被认为是通过支持者与被支持者之间无形的互动共同创造的。尽管如此，研究主要集中在支持者（医疗保健专业人员）或被支持者（家庭成员）上。结果，共同创造的维度被忽视了。因此，本研究的目的是描述和比较在门诊结直肠癌护理的整个过程中，家庭成员的支持性护理需求与癌症护士提供的支持。
本研究设计为定性单案例研究，包含两个嵌入式单元：家庭成员和联络护士。数据包括对23名家庭成员和21名联络护士进行的半结构化访谈的转录内容。在单元内部和单元之间均采用常规定性内容分析法进行分析。报告遵循定性研究报告统一标准清单。
分析得出一个主要类别：以生存为目标，阐明了两个单元的共同目标及其对常规结直肠癌护理中家庭成员支持的影响。三个子类别描述了在结直肠癌护理过程中，与联络护士对家庭成员的支持相关的家庭成员的支持性护理需求：（1）诊断阶段：治疗准备中的视野受限；（2）治疗阶段：突出家庭护理，淡化家庭支持；（3）监测阶段：尽管被视为共同幸存者，但癌症经历仍持续存在。
根据家庭成员的支持性护理需求定制支持应源于家庭成员的癌症经历，并包括将他们的需求凸显出来的策略。这可能通过加强联络护士与临床社会工作者之间的合作来实现。此外，家庭成员在整个癌症病程中需要做好准备并获得支持，以便在治疗后实现家庭的健康康复。此外，他们需要在护理过程的每个阶段知道向何处求助以及找谁求助的指导。
