Understanding the experiences and psychosocial support needs of caregivers of people with comorbid dementia and cancer.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2024-10-01 Epub Date: 2022-12-19 DOI:10.1080/08870446.2022.2157030
Mollie L Price, Claire A Surr, Brendan Gough, Laura Ashley
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Abstract

Background: Family carers of people living with comorbid dementia and cancer (CDC) play a vital supportive role, but this may be particularly burdensome and adversely impact their own health and wellbeing.

Objective: To examine the experiences and psychosocial support needs of caregivers of people with CDC.

Methods: A flyer advertising the study was distributed to relevant UK voluntary sector organisations and shared across social media. 13 carers of people with CDC were recruited. In-depth semi-structured interviews were conducted and transcripts were analysed using reflexive thematic analysis, underpinned by an inductive phenomenological approach.

Results: Complex interactions of dementia and cancer resulted in heightened responsibility for carers, who played a crucial role in recognition/management of symptoms, performing difficult cancer-related care, and treatment decision-making that posed difficult ethical challenges. Care-recipients had reduced insight into their cancer diagnosis and prognosis, so carers often carried the emotional burden alone. Responsibilities faced by carers were compounded by a lack of targeted, accessible information/support for CDC. Carers expressed a desire to talk to and learn from others who understand the unique challenges of navigating cancer-related decision-making, treatment and care for people who are also living with dementia.

Conclusions: Cancer alongside dementia presents complex challenges for carers, who desire more cancer-related information and support which is tailored to people living with dementia and their family caregivers.

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了解合并痴呆症和癌症患者的照顾者的经历和心理支持需求。
背景:合并痴呆症和癌症(CDC)患者的家庭照顾者扮演着重要的支持角色,但这可能会给他们带来特别沉重的负担,并对他们自身的健康和福祉造成不利影响:目的:研究 CDC 患者的照顾者的经历和社会心理支持需求:向英国相关志愿组织分发了宣传研究的传单,并在社交媒体上进行了分享。招募了 13 名 CDC 患者的照顾者。研究人员进行了深入的半结构式访谈,并以归纳现象学方法为基础,采用反思性主题分析法对访谈记录进行了分析:痴呆症与癌症之间复杂的相互作用加重了照护者的责任,照护者在识别/管理症状、进行困难的癌症相关护理以及做出治疗决策等方面扮演着至关重要的角色,这些都给照护者带来了艰难的伦理挑战。接受照护者对癌症诊断和预后的洞察力较弱,因此照护者往往要独自承担情感负担。由于缺乏有针对性的、可获得的 CDC 信息/支持,照护者所面临的责任变得更加复杂。照护者表示,他们希望能与了解癌症相关决策、治疗和照护痴呆症患者所面临的独特挑战的其他人进行交流和学习:癌症合并痴呆症给照护者带来了复杂的挑战,他们希望获得更多针对痴呆症患者及其家庭照护者的癌症相关信息和支持。
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来源期刊
CiteScore
7.30
自引率
3.00%
发文量
95
期刊介绍: Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.
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