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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >A qualitative assessment of the supportive care and resource needs of patients undergoing craniotomy for benign brain tumours.
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A qualitative assessment of the supportive care and resource needs of patients undergoing craniotomy for benign brain tumours.

机译:对颅骨良性肿瘤行开颅手术的患者的支持性护理和资源需求的定性评估。

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PURPOSE: As past literature has focused on support needs of patients with malignant brain tumours, the support needs of patients with benign brain tumours have largely been overlooked. The purpose of this study was to evaluate the supportive care and resource needs of patients undergoing craniotomy for benign brain tumours. METHODS: Individual, semi-structured interviews were conducted with patients who had undergone craniotomy for a benign brain tumour within the past 2 years. Interviews were audio-recorded, transcribed, anonymized and subjected to descriptive thematic analysis by multiple investigators in the grounded theory tradition. RESULTS: Twenty-nine patients (20 women, 20-88 years of age) with World Health Organization grade I brain tumours (25 meningioma) were interviewed. Five overarching themes emerged: (1) need for formal support from diagnosis onwards; (2) complexity of supportive needs during postoperative recovery; (3) importance of regular long-term monitoring by physicians; (4) influence of psychosocial factors on supportive needs; and (5) existence of barriers to equal access to available supports. CONCLUSIONS: Patients' supportive care needs are temporally dependent on disease course and treatment, and modifiable by demographic and psychosocial factors. Findings of this study show that patients with benign tumours lacked but needed many supportive care resources currently available to cancer patients. Many of the potential solutions to this current gap in supportive care involve extending support resources already available for cancer patients to patients with benign brain tumours. We thus suggest recommendations to improve service gaps and reduce disparities in supportive care for patients with benign brain tumours.
机译:目的:由于过去的文献集中在恶性脑肿瘤患者的支持需求上,因此良性脑瘤患者的支持需求已被大大忽略。这项研究的目的是评估接受开颅手术治疗脑部良性肿瘤患者的支持治疗和资源需求。方法:对过去两年中因颅脑良性肿瘤行开颅手术的患者进行了单独的半结构式访谈。采访被录音,转录,匿名化,并由扎根于理论基础的多位调查人员进行描述性主题分析。结果:对29例世界卫生组织I级脑肿瘤(25例脑膜瘤)患者(20例女性,20-88岁)进行了访谈。出现了五个总体主题:(1)从诊断开始就需要正式的支持; (2)术后恢复过程中支持需求的复杂性; (3)医师定期进行长期监测的重要性; (4)社会心理因素对支持需求的影响; (5)存在平等获得可用支持的障碍。结论:患者的支持性护理需求在时间上取决于疾病的进程和治疗,并且可以根据人口统计学和社会心理因素进行修改。这项研究的结果表明,良性肿瘤患者缺乏,但需要癌症患者当前可获得的许多支持性护理资源。解决目前在支持治疗方面的空白的许多潜在解决方案涉及将已经为癌症患者提供的支持资源扩展到脑部良性肿瘤患者。因此,我们提出了一些建议,以改善服务差距并减少对脑良性肿瘤患者的支持治疗方面的差异。

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