The experience of caregivers of hematological cancer patients undergoing a hematopoietic stem cell transplant: a comprehensive literature review

Psycho-Oncology - Tập 20 Số 11 - Trang 1137-1150 - 2011
Sara Beattie1, Sophie Lebel1
1School of Psychology, University of Ottawa, Ottawa, ON, Canada

Tóm tắt

AbstractObjective: Hematopoietic stem cell transplant (HSCT) is a demanding procedure with associated physical and psychological sequelae that affects patients and their families. Caregivers to HSCT patients not only have to cope with the life‐threatening nature of the disease and treatment, but they also have care‐giving responsibilities. This study reviews the literature on the psychosocial impact of being a caregiver to a HSCT patient.Methods: A critical review of the literature published before June 2010 was conducted. Databases searched included CINAHL, Medline, PsycInfo, and Academic Search Complete, as well as a comprehensive reference review. Studies that pertained to caregivers of children (under the age of 18) undergoing a HSCT or caregivers to patients with non‐hematological malignancies were excluded. Sixteen quantitative research articles and three qualitative research articles were reviewed and analyzed.Results: Caregiver distress is highest pre‐transplant and decreases over time, and caregivers display distress levels comparable to or higher than patients' reported distress levels. Predictors of caregiver distress include female gender, elevated subjective burden, and higher patient symptom distress. Caregivers reported uncertainty, fear of the future, juggling patients' needs with their own, and difficulties adapting to role changes; however, they also reported positive aspects to care giving, such as personal growth and developing a more positive relationship with the patient.Conclusions: There are many limitations to the current research and future directions should include both members of the dyad to evaluate the reciprocal relation between caregiver and patient variables, as well as theory‐driven research and research with direct clinical applications. Copyright © 2011 John Wiley & Sons, Ltd.

Từ khóa


Tài liệu tham khảo

Canadian Cancer Society/National Cancer Institute of Canada. Canadian Cancer Statistics2009. Toronto Canada.

10.1097/00002820-200006000-00006

10.1300/J077v24n03_03

Meehan KR, 2006, The financial requirements and time commitments of caregivers for autologous stem cell transplant recipients, J Suppor Oncol, 4, 187

10.1097/NCC.0b013e31819962e0

10.1056/NEJMra052638

Sullivan KM, 2011, Hematopoietic cell transplantation for autoimmune disease: updates from Europe and the United States, Biol Blood Marrow Transplant, 16, S48, 10.1016/j.bbmt.2009.10.034

PasquiniMC WangZ. Current use and outcome of hematopoietic stem cell transplantation: CIBMTR Summary Slides 2010. Retrieved on September 2 2010fromhttp://www.cibmtr.org/ReferenceCenter/SlidesReports/SummarySlides/index.html.

10.1016/S0033-3182(91)72045-8

10.1038/sj.bmt.1701358

10.1097/00006842-200011000-00018

10.1097/00002820-200611000-00014

10.1038/bmt.2008.405

10.1046/j.1523-5394.2000.83005.x

10.1080/10428190802663221

10.1038/sj.bmt.1705525

10.1111/j.1365‐2648.1996.tb02926.x

10.1002/cncr.24586

10.1007/BF00782883

10.1177/0164027592141001

10.1188/04.ONF.1161‐1169

10.1002/pon.633

10.1200/JCO.2007.15.3957

10.1188/07.ONF.379‐387

10.1016/S1548-5315(11)70475-2

10.1300/J077v22n02_01

10.1002/pon.908

10.2190/1C24-H366-CGC9-V1PW

10.1016/S0022‐3999(01)00202‐1

10.1002/pon.2960010307

10.1002/pon.915

10.1002/pon.996

10.1023/A:1025574626454

10.1007/BF00366062

10.1300/J077v04n04_07

10.2307/3090116

10.1348/014466602165045

10.1080/14768320600843077

10.1037/0278‐6133.27.5.616

10.1007/s11764-008-0044-3

10.1002/cncr.23450

10.1037/h0033967

Walster E, 1978, Equity: Theory and Research

10.1001/jama.291.19.2335

10.1002/pon.749

10.1177/0146167201271001

10.1111/1475‐6811.00005

10.3324/haematol.2009.015586

10.1038/sj.bmt.1701443

10.1300/J077v10n01_04

10.1038/sj.bmt.1702534

Langer SL, 2003, Mood disturbance in the cancer setting: effects of gender and patient/spouse role, Semin Clin Neuropsychiatry, 8, 276

10.1002/pon.1542

10.1097/00006842-199609000-00009

Stetz KM, 1996, Needs and experiences of family caregivers during marrow transplantation, Oncol Nurs Forum, 23, 1422

10.1037/0278‐6133.26.5.635

10.1038/sj.bmt.1703059

10.1002/(SICI)1099‐1166(199910)14:10<866::AID‐GPS38>3.0.CO;2‐Z

10.1093/geront/39.5.534

Wethington E, 1987, Gender and Stress, 144

10.1348/135910702320645435

10.1037/0033‐2909.134.1.1

10.1002/pon.916

10.1002/(SICI)1099‐1611(199801/02)7:1<37::AID‐PON314>3.0.CO;2‐♯

10.1007/s00520‐004‐0636‐z

10.1054/ijom.2002.0399

10.1300/J010v12n01_04

10.1188/02.ONF.E35–E44

10.1097/NCC.0b013e3181be5e6d

10.1017/S1478951507000466

10.1002/pon.1196

Thông tin
Thông tin xuất bản

Psycho-Oncology

Tập 20 Số 11

1137-1150

Thông tin tác giả