Jeanne M Ward, Christa Torrisi, Nicole Werner, Victoria Champion
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引用次数: 0
Abstract
Introduction: Informal caregivers (caregivers) in rural areas experience many stressors affecting their mental and physical health. This review will synthesize the current needs of cancer caregivers in rural areas to inform future research and interventions.
Methods: Five databases (PsycInfo, CINAHL, EMBASE, PubMed, and Family & Society Studies Worldwide) were queried to identify studies examining mental health and quality-of-life outcomes in rural caregivers of cancer patients worldwide, using the Arksey and O'Malley principled analytic framework. A priori criteria included rural caregivers of adult cancer patients in peer-reviewed studies from 2005 to 2025.
Results: Database searches yielded 337 records. After title and abstract screening, 134 articles were reviewed, and of these, 35 met a priori criteria. The most frequent problems identified among rural cancer caregivers were mental health issues (depression and anxiety), loneliness or isolation, fatigue and physical issues, provider issues, and financial issues, especially related to travel, balancing duties, and cultural differences between rural populations and urban providers. Most articles were from outside the U.S.; however, results from rural caregivers in the U.S. described needs reflected in literature from other countries.
Conclusions: Given increased utilization of caregivers in the U.S. and the rural burden of cancer, it is crucial to identify caregivers' unmet needs. Home-based cancer care is increasing, necessitating additional studies to determine needs and develop effective interventions for rural caregivers. Rurally competent care from healthcare providers who interface with caregivers of their cancer patients is vital, as caregivers are well-positioned to partner with providers to improve the well-being of those patients.
导言:农村地区的非正式照料者(照料者)经历了许多影响其身心健康的压力源。本综述将综合农村地区癌症护理人员的当前需求,为未来的研究和干预提供信息。方法:使用Arksey和O'Malley原则分析框架,对五个数据库(PsycInfo、CINAHL、EMBASE、PubMed和Family & Society Studies Worldwide)进行查询,以确定全球农村癌症患者护理人员的心理健康和生活质量结果的研究。先验标准包括2005年至2025年同行评议研究中成年癌症患者的农村护理人员。结果:数据库搜索产生337条记录。经过标题和摘要筛选,134篇文章被审查,其中35篇符合先验标准。在农村癌症护理人员中发现的最常见问题是心理健康问题(抑郁和焦虑)、孤独或孤立、疲劳和身体问题、提供者问题以及财务问题,特别是与旅行、平衡职责以及农村人口与城市提供者之间的文化差异有关。大多数文章来自美国以外;然而,美国农村护理人员的结果描述了其他国家文献中反映的需求。结论:鉴于美国护理人员使用率的增加和农村癌症负担,确定护理人员未满足的需求至关重要。以家庭为基础的癌症护理正在增加,需要进行更多的研究,以确定农村护理人员的需求并制定有效的干预措施。与癌症患者护理人员互动的医疗保健提供者提供的农村合格护理至关重要,因为护理人员能够很好地与提供者合作,改善这些患者的福祉。
期刊介绍:
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.