Lillekroken Daniela, Bye Asta, Halvorsrud Liv, Lundeby Tonje
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
European Palliative Care Research Centre, Department of Oncology, Oslo University Hospital, Oslo, Norway.
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2555228. doi: 10.1080/17482631.2025.2555228. Epub 2025 Sep 1.
Brain metastases are a serious complication of advanced cancer, often impairing patients' neurological function, quality of life, well-being, and prognosis. They also place a heavy emotional burden on family members. Coping strategies play a crucial role in reducing stress, supporting emotional well-being, and adapting to these challenges. Gaining insight into how patients and families cope is important for developing person- and family-centred interventions.
To explore similarities and differences in coping strategies between patients with newly diagnosed brain metastases and their family members from diagnosis to four months thereafter.
The study has a qualitative, exploratory, longitudinal design. Between 2019 and 2021, 81 individual interviews were conducted with patients and their family members. Data were analysed using a secondary thematic analysis.
The analysis revealed two main themes: Willpower - taking control of the mind, and Reframing life - here-and-now versus long-term plans. While patients exhibited willpower and took control over their minds, focusing on the present moment, family members emphasised reframing life by balancing the immediate needs and information seeking with long-term planning.
Patients and family members employ distinct coping strategies. Recognising these differences provides a foundation for tailored, person- and family-centred interventions aimed at improving quality of life.
脑转移是晚期癌症的一种严重并发症，常常损害患者的神经功能、生活质量、幸福感和预后。它们也给家庭成员带来沉重的情感负担。应对策略在减轻压力、支持情感幸福以及适应这些挑战方面起着至关重要的作用。深入了解患者及其家人如何应对，对于制定以患者和家庭为中心的干预措施很重要。
探讨新诊断为脑转移的患者及其家庭成员从诊断到此后四个月期间应对策略的异同。
本研究采用定性、探索性、纵向设计。2019年至2021年期间，对患者及其家庭成员进行了81次个人访谈。数据采用二次主题分析进行分析。
分析揭示了两个主要主题：意志力——掌控思想，以及重新构建生活——当下与长期规划。患者展现出意志力并掌控自己的思想，专注于当下，而家庭成员则强调通过平衡即时需求和信息寻求与长期规划来重新构建生活。
患者和家庭成员采用不同的应对策略。认识到这些差异为旨在提高生活质量的量身定制的、以患者和家庭为中心的干预措施奠定了基础。
