Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Supportive Care in Cancer
Erschienen in: Supportive Care in Cancer 4/2013

01.04.2013 | Original Article

A survey of the supportive care needs of informal caregivers of adult bone marrow transplant patients

verfasst von: J. Armoogum, A. Richardson, J. Armes

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This study aims to describe the supportive care needs of informal caregivers (ICG) of adult bone marrow transplant (BMT) patients. In addition, we explored relationships between levels of unmet need, psychological morbidity and patient and ICG characteristics.

Methods and sample

We invited patients within 24 months of BMT to participate in a cross-sectional survey. Consenting patients asked their ICG to complete and return the questionnaire booklet. Measures included the Supportive Care Needs Survey Partners and Carers and General Health Questionnaire.

Key results

Two hundred patients were approached, and 98 completed questionnaires were received (response rate = 49 %). We found high unmet need and psychological morbidity among ICGs and an association between ICG unmet need and psychological morbidity. Patient functioning, particularly anxiety and depression, sexual dysfunction and resumption of usual activities impacted on ICG unmet need and psychological morbidity. No associations were found between ICG unmet need and psychological morbidity and the following variables: type of BMT, time from BMT, ICG gender, number of dependents and patient age.

Conclusion

ICG of BMT patients have high levels of unmet need and psychological morbidity in the months that follow a BMT. This highlights the importance of thorough needs assessment to ensure limited resources are targeted to those most in need.
Literatur
1.
Department of Health (2000) The NHS plan. London
2.
Department of Health (2007) The cancer reform strategy. London.
3.
Mosher C, Redd W, Rini CM, Burkhalter JE, DuHamel KN (2009a) Physical, psychological, and social sequelae following hematopoietic stem cell transplantation: a review of the literature. Psycho-Oncology 18(2):113–127CrossRef
4.
Fife BL, Monahan PO, Abonour R, Wood LL, Stump TE (2008) Adaptation of family caregivers during the acute phase of adult BMT. Bone Marrow Transplantation 42:1–8CrossRef
5.
Krishnasamy M, Plant H (2004) Carers, caring and cancer related fatigue. In: Armes J, Krishnasamy M, Higginson I (eds) Fatigue in cancer. Oxford University Press, Oxford
6.
Cribb A (2001) Knowledge and caring: A philosophical and personal perspective. In: Corner J, Bailey C (eds) Cancer nursing: Care in context. Blackwell Science, Oxford
7.
Thomas C, Morris SM, Harman JC (2002) Companions through cancer: the care given by informal carers in cancer contexts. Soc Sci Med 54(4):529–544PubMedCrossRef
8.
Bee PE, Barnes P, Luker KA (2008) A systematic review of informal caregivers’ needs in providing home-based end-of-life care to people with cancer. J Clin Nurs 1–15
9.
Laizner AM, Shegda Yost LM, Barg F, McCorkle R (1993) Needs of family caregivers of persons with cancer: a review. Semin Oncol Nurs 9(2):114–120PubMedCrossRef
10.
Wilson K, Avir Z (2008) Cancer and disability benefits: a synthesis of qualitative findings on advice and support. Psycho-Oncology 17:421–429PubMedCrossRef
11.
Ussher JM, Sandoval M (2008) Gender differences in the construction and experience of cancer care: the consequences of the gendered positioning of carers. Psychol Heal 23(8):945–963CrossRef
12.
Carter PA (2003) Family caregivers’ sleep loss and depression over time. Cancer Nurs 26(4):253–259PubMedCrossRef
13.
Papastavrou E, Charalambous A, Tsangari H (2009) Exploring the other side of cancer care: the informal caregiver. Eur J Oncol Nurs 13:128–136PubMedCrossRef
14.
Gilbert E, Ussher JM, Perz J (2008) Renegotiating sexuality and intimacy in the context of cancer: the experiences of carers. Arch Sex Behav 39(4):998–1009PubMedCrossRef
15.
Grbich C, Maddocks I, Parker D (2001) Family caregivers, their needs and home-based palliative cancer services. J Fam Stud 7:171–188CrossRef
16.
Bowman K, Rose J, Deimling GT (2006) Appraisal of the cancer experience by family members and survivors in long term survivorship. Psycho-Oncology 15:834–845PubMedCrossRef
17.
Hagedoorn M, Sanderman R, Bolks HN, Tuinstra J (2008) Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull 134(1):1–30PubMedCrossRef
18.
Soothill K, Morris SM, Harman JC, Francis B, Thomas C, McIllmurray MB (2001) Informal carers of cancer patients: what are their unmet psychosocial needs? Health Soc Care Community 9(6):464–475PubMedCrossRef
19.
Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Lo SK, Wain G (2007) The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology 16(9):796–804
20.
Gaston-Johansson F, Lachica EM, Fall-Dickson JM, Kennedy MJ (2004) Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum 31(6):1161–1169PubMedCrossRef
21.
Bishop MM, Beaumont JL, Hahn EA, Cella D, Andrykowski MA, Brady MJ, Horowitz MM, Sobocinski KA, Rizzo JD, Wingard JR (2007) Late effects of cancer and hematopoietic stem cell transplantation on spouses or partners compared with survivors and survivor matched controls. J Clin Oncol 25(11):1403–1411PubMedCrossRef
22.
Eriksson E, Lauri S (2000) Informational and emotional support for cancer patients’ relatives. Eur J Cancer Care 9:8–15CrossRef
23.
Soothill K, Morris SM, Thomas C, Harman JC, Francis B, McIllmurra MB (2003) The universal, situational, and personal needs of cancer patients and their main carers. Eur J Oncol Nurs 7(1):5–13PubMedCrossRef
24.
Yun YH, Rhee YS, Kang IO, Lee JS, Bang SM, Lee WS, Kim JS, Kim YS, Shin SW, Hong YS (2005) Economic burdens and quality of life of family caregivers of cancer patients. Oncology 68(2):107–144PubMedCrossRef
25.
Dumont J, Allard P, Gagnon P, Charbonneau C, Vézina L (2006) Caring for a loved one with advanced cancer: determinants of psychological distress in family caregivers. J Palliat Med 9(4):912–921PubMedCrossRef
26.
Carr W, Wolfe S (1976) Unmet needs as sociomedical indictors. Int J Heal Serv 6:417–430CrossRef
27.
Bonevski B, Sanson-Fisher RW, Girgis A, Burton L, Cook P, Boyes A, Supportive Care Review Grou et al (2000) Evaluation of an instrument to assess the needs of patients with cancer. Cancer 88(1):217–225PubMedCrossRef
28.
Harding R, Higginson IJ (2003) What is the best way to help caregivers in cancer and palliative care? A systematic literature review of interventions and their effectiveness. Palliat Med 17(1):63–74PubMedCrossRef
29.
Plant H, Sherwin A, Moore S, Medina J, Ream E, Richardson A (2006) Developing and evaluating a supportive nursing intervention for family members of people with lung cancer. Kings College London
30.
Morris S, Thomas C, Soohill K (2001) The carer’s place in the cancer situation: where does the carer stand in the medical setting? Eur J Cancer Care 10(2):87–95CrossRef
31.
Langer S, Abrams J, Syrjala K (2003) Caregiver and patient marital satisfaction and affect following hematopoietic stem cell transplantation: a prospective, longitudinal investigation. Psychooncology 12(3):239–253PubMedCrossRef
32.
Langer SL, Yi JC, Storer BE, Syrjala KL (2009) Marital adjustment, satisfaction and dissolution among hematopoietic stem cell transplant patients and spouses: a prospective, five-year longitudinal investigation. Psycho-Oncology 12:239–253, 2003CrossRef
33.
Eldredge DH, Nail LM, Maziarz RT, Hansen LK, Ewing D, Archbold PG (2006) Explaining family caregiver role strain following autologous blood and marrow transplantation. 24(3):53–74
34.
Williams L (2007) Whatever it takes: informal caregiving dynamics in blood and marrow transplantation. Oncol Nurs Forum 34(2):379–387PubMedCrossRef
35.
Keogh F, O’Riordan J, McNamara C, Duggan C, McCann SR (1998) Psychosocial adaptation of patients and families following bone marrow transplantation: a prospective, longitudinal study. Bone Marrow Transplant 22(9):905–911PubMedCrossRef
36.
Girgis S, Lambert S, Lecathelinais C (2011) The Supportive care needs survey for partners and carers of cancer survivors: development and psychometric evaluation. Psycho-Oncology 20(4):387–393PubMedCrossRef
37.
King M, Jones L, Nazareth I (2006) Concern and continuity in the care of cancer patients and their carers: a multimethod approach to enlightened management. SDO/13E/2001 London
38.
Goldberg D, Williams P (1988) A user’s guide to the general health questionnaire. nferNelson Publishing Company Ltd, London
39.
Murphy H, Lloyd K (2007) Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom: a population study using the British household panel survey and the Northern Ireland household panel survey. Int J Soc Psychiatr 53(5):397–407CrossRef
40.
Graap H, Bleich S, Herbst F, Scherzinger C, Trostmann Y, Wancata J, de Zwaan M (2008) The needs of carers: a comparison between eating disorders and schizophrenia. Soc Psychiatr Psychiatr Epidemiol 43(10):800–807CrossRef
41.
Scott Baker K, Rajotte EJ (2012) Late effects after treatment of leukaemia. In Estey. E (ed) Leukaemia and related diseases Humana
42.
43.
Bowling A (2002) Research methods in health, 2nd edn. Open University Press, Berkshire
Metadaten
Titel
A survey of the supportive care needs of informal caregivers of adult bone marrow transplant patients
verfasst von
J. Armoogum
A. Richardson
J. Armes
Publikationsdatum
01.04.2013
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 4/2013
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-012-1615-4

Weitere Artikel der Ausgabe 4/2013

Supportive Care in Cancer 4/2013 Zur Ausgabe

Original Article

Topical agent therapy for prevention and treatment of radiodermatitis: a meta-analysis

Original Article

Spectrum of ocular toxicities from epidermal growth factor receptor inhibitors and their intermediate-term follow-up: a five-year review

Original Article

Psychological distress in cancer patients undergoing radiation therapy treatment

Original Article

Validation of the grip test and human activity profile for evaluation of physical performance during the intermediate phase after allogeneic hematopoietic stem cell transplantation

Original Article

Implementation of a hospital oral care protocol and recording of oral mucositis in children receiving cancer treatment

Original Article

Increased primary healthcare utilisation among women with a history of breast cancer

Neu im Fachgebiet Onkologie

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

23.04.2024 Medikamente in Schwangerschaft und Stillzeit Nachrichten

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise