The long‐term experience of being a family caregiver of patients surgically treated for oesophageal cancer

Author:

Ringborg Cecilia H.1,Wengström Yvonne23,Schandl Anna145,Lagergren Pernilla16ORCID

Affiliation:

1. Surgical Care Science, Department of Molecular Medicine and Surgery Karolinska Institutet, Karolinska University Hospital Stockholm Sweden

2. Karolinska Comprehensive Cancer Centre, Theme Cancer Karolinska University Hospital Stockholm Sweden

3. Department of Neurobiology, Care Science and Society, Division of Nursing Karolinska Institutet Stockholm Sweden

4. Department of Anaesthesiology and Intensive Care Södersjukhuset Stockholm Sweden

5. Department of Clinical Science and Education Södersjukhuset Stockholm Sweden

6. Department of Surgery and Cancer Imperial College London London UK

Abstract

AbstractAimThis qualitative study aimed to explore the experience of being family caregivers of patients treated for oesophageal cancer 2 years after treatment. To better understand the family caregiver's situation, a conceptual model was used in the analysis. The results of the study can guide future interventions to support family caregivers of patients treated for oesophageal cancer.DesignA qualitative descriptive study using semi‐structured telephone interviews. An abductive approach was used in the analysis to reach deeper knowledge about the family caregivers' experiences and to better understand deeper patterns.MethodsA qualitative study was conducted and included 13 family caregivers of patients surgically treated for oesophageal cancer in Sweden in 2018 who participated in a population‐based nationwide cohort study. Individual telephone interviews were held in 2020, 2 years after the patients' surgery. The analysis of the interviews started with an inductive approach using thematic analysis. Thereafter, a deductive approach was used to interpret the findings in relation to the conceptual model, The Cancer Family Caregiving Experience.ResultsThe most essential/evident stress factors for the family caregivers were distress regarding the patients' nutrition, fear of tumour recurrence and worry about the future. In addition, a transition was experienced, going from a family member to a caregiver, and the many psychosocial aspects of this transition were highlighted during the disease trajectory.ConclusionDespite, the long‐term survival of the patient, family caregivers were still struggling with psychosocial consequences because of the patient's cancer diagnosis and treatment. Furthermore, there is a need to improve supportive interventions for family caregivers during the whole disease trajectory.ImpactThe current study includes comprehensive information about the family caregivers' experiences when caring for a patient treated for oesophageal cancer. Family caregivers struggle with the psychosocial consequences of the patient's cancer and worry about tumour recurrence even 2 years after surgery. These findings can be useful in the development of supportive interventions, which may facilitate life for family caregivers.Patient or Public ContributionThe study was discussed and planned together with our research partnership group including patients and family caregivers. In addition, the manuscript was reviewed by some of the members to cross‐check the results and discussed them to avoid misinterpretation.

Funder

Cancerfonden

Vetenskapsrådet

Karolinska Institutet

Publisher

Wiley

Subject

General Nursing

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