Delivering psychosocial support to family caregivers of cancer patients: Insights from Iranian psychosocial oncology professionals and family caregivers highlighting the need for change.

IF 2.1 4区 医学 Q3 HEALTH POLICY & SERVICES
Baharan Ghavami, Fariba Zarani, Ladan Fata, Mohammad Reza Sharbafchi, Jacqueline Bender
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引用次数: 0

Abstract

Objectives: Supporting a family member with cancer poses significant challenges for family caregivers, who have unmet supportive care needs. Psychosocial oncology professionals (PSOP) are often the primary source of support for cancer caregivers in Iran. Given the lack of supportive care resources, innovative strategies are needed to support caregivers. This study explores the views of PSOP and caregivers regarding the challenges, potential solutions, and the role of digital technologies in supporting caregivers.

Methods: Employing a qualitative descriptive design, we conducted individual interviews and focus groups with 30 participants (15 PSOPs and 15 caregivers), recruited from five settings in Tehran, Iran(2023-2024). All sessions were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.

Results: PSOP identified challenges in delivering psychosocial care to caregivers , including inconsistency, uncertainty, and fragmented use of technology. Their recommendations included flexible psychosocial care via blended multi-modal digital technologies, professional development opportunities, and formal recognition and integration within the oncology setting. Caregivers experiencing frustration with the healthcare system expressed a need for family-centered care, flexible psychosocial care, and organized peer support networks.

Significance of results: Current psychosocial care in Iran is insufficient and misaligned with the preferences of PSOP and caregivers. PSOP and caregivers advocate for flexible psychosocial care through blended digital strategies. Public health strategists in Iran, as a low-resource setting with a family-centered context, should optimize resource utilization by prioritizing the training of PSOP, developing blended digital interventions, and leveraging trained peers to provide navigation and support to families, thereby easing the PSOP workload.

向癌症患者的家庭照顾者提供社会心理支持:来自伊朗社会心理肿瘤学专业人员和家庭照顾者的见解,强调了变革的必要性。
目的:支持患有癌症的家庭成员对家庭照顾者提出了重大挑战,他们的支持性护理需求未得到满足。社会心理肿瘤学专业人员(PSOP)通常是伊朗癌症护理人员的主要支持来源。鉴于缺乏支持性护理资源,需要创新战略来支持护理人员。本研究探讨了PSOP和护理人员对数字技术在支持护理人员方面的挑战、潜在解决方案和作用的看法。方法:采用定性描述设计,我们从伊朗德黑兰(2023-2024)的五个环境中招募了30名参与者(15名psop和15名护理人员)进行了个人访谈和焦点小组。所有会议都录音,逐字抄录,并使用专题分析进行分析。结果:PSOP确定了向护理人员提供社会心理护理的挑战,包括不一致、不确定性和技术使用的碎片化。他们的建议包括通过混合多模式数字技术灵活的社会心理护理,专业发展机会,以及在肿瘤学环境中的正式认可和整合。对医疗保健系统感到沮丧的护理人员表示需要以家庭为中心的护理、灵活的社会心理护理和有组织的同伴支持网络。结果的意义:目前伊朗的社会心理护理不足,与PSOP和照顾者的偏好不一致。PSOP和护理人员倡导通过混合数字策略进行灵活的心理社会护理。伊朗是一个资源匮乏、以家庭为中心的国家,公共卫生战略家应优化资源利用,优先培训PSOP,开发混合数字干预措施,并利用受过培训的同行为家庭提供指导和支持,从而减轻PSOP的工作量。
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来源期刊
Palliative & Supportive Care
Palliative & Supportive Care HEALTH POLICY & SERVICES-
CiteScore
4.10
自引率
9.10%
发文量
280
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