Patient and caregiver perceptions of lymphoma care and research opportunities: A qualitative study.

Autor: Payne JB; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.; Department of Psychology, Stony Brook University-SUNY, Stony Brook, New York., Dance KV; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.; Rollins School of Public Health, Emory University, Atlanta, Georgia., Farone M; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.; Rollins School of Public Health, Emory University, Atlanta, Georgia., Phan A; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.; Rollins School of Public Health, Emory University, Atlanta, Georgia., Ho CD; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia., Gutierrez M; Lymphoma Research Foundation, New York, New York., Chen L; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.; Rollins School of Public Health, Emory University, Atlanta, Georgia., Flowers CR; Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
Jazyk: angličtina
Zdroj: Cancer [Cancer] 2019 Nov 15; Vol. 125 (22), pp. 4096-4104. Date of Electronic Publication: 2019 Jul 29.
DOI: 10.1002/cncr.32401
Abstrakt: Background: Although the number of lymphoma survivors has increased, the needs and research priorities of survivors and their caregivers rarely are examined and addressed. Determining the needs and priorities for this population requires an assessment of the attitudes and experiences of patients and caregivers. The authors conducted a qualitative study with lymphoma survivors and their caregivers to determine care needs and research priorities.
Methods: In the first phase, 2 semistructured focus groups were conducted with 15 lymphoma survivors and their caregivers. In phase 2, a total of 19 individual semistructured telephone interviews were conducted with lymphoma survivors and their caregivers. In both phases, participants discussed cancer experiences and research priorities. All interviews were transcribed. MAXQDA software (version 18.0.8) was used for coding and identifying themes.
Results: The majority of participants felt disconnected from their clinical care team due to a lack of communication. Focus group participants noted a lack of information regarding diagnoses, treatment, research, and survivorship care. Participants coped with fear through strong social support and fostering relationships with their clinical care teams. Some caregivers felt completely ignored by clinicians. Participants expressed interest in research, but had difficulty finding relevant studies. Several interviewees desired holistic and survivorship-oriented research and more studies regarding quality of life and mental health.
Conclusions: The results of the current study identified unmet needs in clinical care and patient-oriented research, including needs for a focus on quality of life after treatment, communication between patients and the scientific community, and emotional well-being. Health care professionals can use these data to provide care delivery, supportive services, and research that meets the needs of lymphoma survivors and their caregivers.
(© 2019 American Cancer Society.)
Databáze: MEDLINE
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