The significance of home-based portable pump chemotherapy for family caregivers to newly diagnosed patients with acute myeloid leukemia: A qualitative thematic analysis.

Autor: Bennich BB; Department of Nursing and Nutrition, University College Copenhagen, Denmark. Electronic address: bibe@kp.dk., Konradsen H; Department of Gastroenterology, Herlev and Gentofte University Hospital, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden. Electronic address: hanne.konradsen@regionh.dk., Renaberg TP; Department of Hematology Herlev and Gentofte University Hospital, Denmark. Electronic address: toni.petrea.renaberg@regionh.dk., Boesen J; Department of Hematology Herlev and Gentofte University Hospital, Denmark. Electronic address: jannie.boesen@regionh.dk., Wind G; Department of Nursing and Nutrition, University College Copenhagen, Denmark. Electronic address: giwi@kp.dk.
Jazyk: angličtina
Zdroj: European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2022 Dec; Vol. 61, pp. 102200. Date of Electronic Publication: 2022 Oct 03.
DOI: 10.1016/j.ejon.2022.102200
Abstrakt: Objective: Life as a family caregiver of patients with cancer can be emotionally and practically challenging. Little is known of whether home-based chemotherapy of patients with acute myeloid leukemia places excessive pressure on family caregivers or decreases their burden. To explore the significance of home-based portable pump chemotherapy for family caregivers of patients newly diagnosed with acute myeloid leukemia.
Methods: An explorative qualitative design using dyadic and individual semi-structured interviews with family caregivers and patients were followed by thematic analysis. Purposive sampling was used regarding gender, age, and distance to the hospital. At each interview, we were teams of one researcher and one clinical nurse specialist from the hematology department. The derived themes were predominately descriptive, based on patterns in the data.
Results: Five couples participated, (aged 39-72 years). Three themes were identified: 1) Going home. 2) Responsibilities due to the pump and leukopenia. 3) The shadow of the life-threatening disease. The pump was a minor concern to the family caregivers seen in the light of the life-threatening disease. Home-based treatment was a relief but the responsibilities due to leukopenia demanded the caregivers' resources.
Conclusion: The fear of losing the patient and the burdens of dealing with leukopenia suppressed the family caregivers' sense of load due to the portable pump treatment. The findings underline the importance of healthcare professionals recognizing family caregivers' sense of burden and prioritizing sufficient support and education in order to enhance the everyday life of both patient and family caregiver.
Competing Interests: Declaration of competing interest None declared.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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