The Experiences and Unmet Supportive Care Needs of Partners of Men Diagnosed With Prostate Cancer: A Meta-aggregation Systematic Review.

IF 0.8 4区 医学 Q4 CLINICAL NEUROLOGY Clinical Neuropharmacology Pub Date : 2024-02-02 DOI:10.1097/NCC.0000000000001172
Cara Roberts, Kellie Toohey, Catherine Paterson
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Abstract

Background: Partners of men diagnosed with prostate cancer face their own emotional struggles as they navigate additional caregiver responsibilities while concurrently adjusting to the diagnosis and coping with greater illness uncertainty for their loved one.

Objective: This qualitative systematic review examined the unmet supportive care needs of partners affected by prostate cancer.

Interventions/methods: A meta-aggregation was conducted. Four electronic databases were searched using key words. The methodology followed the Joanna Briggs Institute for qualitative evidence synthesis. The review process followed a registered priori review protocol and was reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines. Data extraction and quality assessment were conducted in parallel.

Results: Twenty-one publications were included. A total of 239 findings and 32 categories were synthesized into 7 domains of unmet needs as experienced by partners. The domains of needs expressed by the participants included interpersonal/intimacy, physical/daily living, healthcare service, family-related, psychological/emotional needs, and spiritual and social needs.

Conclusions: There are gaps in clinical service support, despite routine clinical consultation with healthcare professionals. Partners may diminish their social networks to protect their husband at the cost to their own self-preservation and well-being.

Implications for practice: Cancer organizations, policy makers, healthcare care professionals, and researchers are slowly making progress to acknowledge the unique support needs of partners affected by cancer. Healthcare professionals should encourage partners to be included in models of prehabilitation to access timely support to address informational, intimacy, spiritual, and daily living needs support.

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前列腺癌患者伴侣的经历和未满足的支持性护理需求:元聚合系统综述》。
背景:被诊断出患有前列腺癌的男性的伴侣面临着自己的情感挣扎,因为他们既要承担额外的照顾者责任,又要适应诊断结果,还要为自己的爱人应对更大的疾病不确定性:本定性系统综述研究了受前列腺癌影响的伴侣未得到满足的支持性护理需求:干预措施/方法:进行了荟萃分析。使用关键词搜索了四个电子数据库。研究方法遵循乔安娜-布里格斯研究所(Joanna Briggs Institute)的定性证据综合方法。综述过程遵循事先注册的综述协议,并按照 PRISMA(系统综述和荟萃分析的首选报告项目)指南进行报告。数据提取和质量评估同时进行:结果:共纳入 21 篇出版物。共有 239 项研究结果和 32 个类别被归纳为合作伙伴未满足需求的 7 个领域。参与者表达的需求领域包括人际关系/亲密关系、身体/日常生活、医疗保健服务、家庭相关、心理/情感需求以及精神和社会需求:结论:尽管有医护人员的常规临床咨询,但在临床服务支持方面仍存在差距。伴侣可能会以自我保护和福祉为代价,减少自己的社交网络以保护丈夫:癌症组织、政策制定者、医疗保健专业人员和研究人员在承认受癌症影响的伴侣的独特支持需求方面正在慢慢取得进展。医疗保健专业人员应鼓励伴侣参与康复前护理模式,以便及时获得支持,解决信息、亲密关系、精神和日常生活等方面的支持需求。
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来源期刊
Clinical Neuropharmacology
Clinical Neuropharmacology 医学-临床神经学
CiteScore
1.20
自引率
10.00%
发文量
63
审稿时长
6-12 weeks
期刊介绍: Clinical Neuropharmacology is a peer-reviewed journal devoted to the pharmacology of the nervous system in its broadest sense. Coverage ranges from such basic aspects as mechanisms of action, structure-activity relationships, and drug metabolism and pharmacokinetics, to practical clinical problems such as drug interactions, drug toxicity, and therapy for specific syndromes and symptoms. The journal publishes original articles and brief reports, invited and submitted reviews, and letters to the editor. A regular feature is the Patient Management Series: in-depth case presentations with clinical questions and answers.
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