The Experience of Caregiving for Adults with Benign Brain Tumors: An Integrative Review

Amanda Kate McDaniel, Barbara Carlson, Ian F Dunn, Ryann Nipp
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Abstract

Caregiving for the adult benign brain tumor (aBBT) population is unique, as patients’ extended period of survivorship poses significant challenges related to the long-term sequelae of disease and the foreboding possibility of recurrence. In this integrative review, we examined the caregiving experience across the spectrum of the aBBT population. We searched OVID, CINAHL, and PubMed databases from 2000 to 2022. We included studies primarily focused on caregivers of aBBT and written in English. Among 594 papers identified on initial review, we included a final list of 7 papers. Among these 7 papers, five central themes emerged. First, we identified a theme surrounding psychosocial and emotional needs, which included the social isolation of caregiving. The second theme related to informational care needs, including what is considered to be the normal course of recovery after surgery. The third theme focused on access to services, including specialist neurosurgical care, and the fourth theme related to financial strain and the economic burdens associated with long-term follow-up. Lastly, we found a theme surrounding family role changes, which included the shift from spouse to caregiver. In this review, we identified themes highlighting similarities to the high-grade glioma population. However, we uncovered distinct differences in terms of caregiver characteristics, length of survivorship and the burden of caregiving over time. Collectively, our findings underscore the incomplete understanding of the caregiving experience across the spectrum of the aBBT population.
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照顾良性脑肿瘤成人的经历:综合评论
对成人良性脑肿瘤(aBBT)患者的护理是独一无二的,因为患者的长期生存期会对疾病的长期后遗症和复发的可能性带来巨大的挑战。在这篇综合性综述中,我们研究了整个非良性脑肿瘤人群的护理经验。 我们检索了 2000 年至 2022 年的 OVID、CINAHL 和 PubMed 数据库。我们收录了主要针对非苯丙胺类兴奋剂护理者的研究,这些研究均以英语撰写。 在初步审查确定的 594 篇论文中,我们最终收录了 7 篇论文。在这 7 篇论文中,我们发现了五个中心主题。首先,我们确定了一个围绕社会心理和情感需求的主题,其中包括护理过程中的社会隔离。第二个主题与信息护理需求有关,包括术后恢复的正常过程。第三个主题涉及获得服务的途径,包括神经外科专科护理,第四个主题涉及长期随访带来的经济压力和经济负担。最后,我们发现了一个围绕家庭角色变化的主题,其中包括从配偶到照顾者的转变。 在本综述中,我们发现了与高级别胶质瘤人群相似的主题。但是,我们也发现了在照顾者的特征、存活时间和长期照顾负担方面存在的明显差异。总之,我们的研究结果凸显了人们对整个老年脑胶质瘤患者群体的护理经历的不完全了解。
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