Well-being and coping: Key aspects of unmet need of people living with glioma.

IF 2.4 Q2 CLINICAL NEUROLOGY
Neuro-oncology practice Pub Date : 2025-01-09 eCollection Date: 2025-06-01 DOI:10.1093/nop/npae127
Elin Baddeley, Stephanie Sivell, Ameeta Retzer, Annmarie Nelson, Helen Bulbeck, Kathy Seddon, Robin Grant, Richard Adams, Colin Watts, Olalekan Lee Aiyegbusi, Melanie Calvert, Anthony Byrne
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Abstract

Background: The challenges and needs of people with brain tumors are complex and unique, particularly-but not limited to-the neurocognitive impacts they experience. These effects are subsequently impactful on their primary caregivers. Evidence suggests people with glioma and their caregivers experience a range of unmet needs in the clinical care setting.

Methods: Semi-structured interviews with people across the spectrum of glioma, and their caregivers in the United Kingdom, as part of a study exploring core outcomes for use across glioma trials. Interviews were analyzed using thematic analysis.

Results: Nineteen people with glioma and seven caregivers were interviewed. Three major themes were identified: (1) Well-being, support and coping, (2) Communication and care, and (3) Impact on caregivers. People with glioma and their caregivers experience uncertainty, and progressive impacts long after diagnosis. People with glioma across the spectrum of the disease have many challenges in common including long-term adjustments, impacts of glioma and its treatment, and communication/information gaps including prognostic uncertainty. These impacts also affect caregivers. While most patients and caregivers engaged in self-directed approaches to mitigate the impacts of glioma, gaps in follow-up support for lasting effects were a major source of frustration, impacting on ability to cope and manage the effects of glioma.

Conclusions: These interviews highlight the unmet needs of people with glioma and their caregivers. A consistent, systematic, and focused approach to assessing the needs of glioma patients and their caregivers in the clinical setting and support for long-term adjustment is required.

幸福和应对:胶质瘤患者未满足需求的关键方面。
背景:脑肿瘤患者面临的挑战和需求是复杂而独特的,特别是(但不限于)他们所经历的神经认知影响。这些影响随后对他们的主要照顾者产生影响。有证据表明,胶质瘤患者及其护理人员在临床护理环境中经历了一系列未满足的需求。方法:在英国,对神经胶质瘤患者及其护理人员进行半结构化访谈,作为探索神经胶质瘤试验核心结果的研究的一部分。访谈采用专题分析进行分析。结果:对19名胶质瘤患者和7名护理人员进行了访谈。研究确定了三个主要主题:(1)幸福感、支持和应对;(2)沟通和护理;(3)对照顾者的影响。胶质瘤患者及其护理人员在诊断后很长一段时间内经历了不确定性和进行性影响。神经胶质瘤患者有许多共同的挑战,包括长期调整,神经胶质瘤及其治疗的影响,以及包括预后不确定性在内的沟通/信息差距。这些影响也影响到护理人员。虽然大多数患者和护理人员采用自我指导的方法来减轻胶质瘤的影响,但对持久影响的后续支持的差距是挫折的主要来源,影响了应对和管理胶质瘤影响的能力。结论:这些访谈突出了胶质瘤患者及其护理人员未被满足的需求。需要一种一致的、系统的、集中的方法来评估胶质瘤患者及其护理人员在临床环境中的需求,并支持长期调整。
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来源期刊
Neuro-oncology practice
Neuro-oncology practice CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
11.10%
发文量
92
期刊介绍: Neuro-Oncology Practice focuses on the clinical aspects of the subspecialty for practicing clinicians and healthcare specialists from a variety of disciplines including physicians, nurses, physical/occupational therapists, neuropsychologists, and palliative care specialists, who have focused their careers on clinical patient care and who want to apply the latest treatment advances to their practice. These include: Applying new trial results to improve standards of patient care Translating scientific advances such as tumor molecular profiling and advanced imaging into clinical treatment decision making and personalized brain tumor therapies Raising awareness of basic, translational and clinical research in areas of symptom management, survivorship, neurocognitive function, end of life issues and caregiving
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