Caregiver responses and needs. An ambulatory bone marrow transplant model
This longitudinal, descriptive outcomes study was conducted to compare the emotional responses and needs of the caregivers of patients who undergo bone marrow transplantation (BMT) for hematologic malignancies, as observed in an inpatient/outpatient (IPOP) setting with those in an inpatient setting....
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| Veröffentlicht in: | Cancer practice 2000-05, Vol.8 (3), p.120-128 |
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| creator | Grimm, P M Zawacki, K L Mock, V Krumm, S Frink, B B |
| description | This longitudinal, descriptive outcomes study was conducted to compare the emotional responses and needs of the caregivers of patients who undergo bone marrow transplantation (BMT) for hematologic malignancies, as observed in an inpatient/outpatient (IPOP) setting with those in an inpatient setting.
A convenience sample of 43 caregivers for patients undergoing either autologous or allogeneic BMT was selected from both the inpatient unit (n = 26) and the IPOP ambulatory setting (n = 17). Emotional responses were measured by the Profile of Mood States. The importance and satisfaction of informational, patient-care, and psychological needs were assessed with the Caregiver Needs Survey, a modified version of the Home Cancer Caregiver Needs Survey. Data were collected at six points across the BMT trajectory, from before the procedure to 12 months after. Descriptive statistics were used to report sample characteristics, emotional responses, and needs. Nonparametric statistics were used to compare the IPOP and inpatient caregiver groups, and to identify relationships between emotional responses and needs within groups.
IPOP caregivers were found to have significantly less mood disturbance at points before discharge. Both groups showed a decrease in mood disturbance 6 and 12 months after BMT. IPOP caregivers had higher levels of satisfaction of their informational and psychological needs at day 21. Significant correlations between total mood disturbance and satisfaction of informational, psychological, and patient-care needs were found for inpatient caregivers across treatment time points.
These findings support the IPOP model of care as being less emotionally distressing for and better meeting the needs of family caregivers. Specific implications for practice include the importance of caregiver education in the area of patient-care information and of assessment and intervention to meet caregiver psychological needs. Continued evaluation of the impact of changes in care delivery on family caregivers is essential for the provision of comprehensive cancer care. |
| doi_str_mv | 10.1046/j.1523-5394.2000.83005.x |
| format | Article |
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A convenience sample of 43 caregivers for patients undergoing either autologous or allogeneic BMT was selected from both the inpatient unit (n = 26) and the IPOP ambulatory setting (n = 17). Emotional responses were measured by the Profile of Mood States. The importance and satisfaction of informational, patient-care, and psychological needs were assessed with the Caregiver Needs Survey, a modified version of the Home Cancer Caregiver Needs Survey. Data were collected at six points across the BMT trajectory, from before the procedure to 12 months after. Descriptive statistics were used to report sample characteristics, emotional responses, and needs. Nonparametric statistics were used to compare the IPOP and inpatient caregiver groups, and to identify relationships between emotional responses and needs within groups.
IPOP caregivers were found to have significantly less mood disturbance at points before discharge. Both groups showed a decrease in mood disturbance 6 and 12 months after BMT. IPOP caregivers had higher levels of satisfaction of their informational and psychological needs at day 21. Significant correlations between total mood disturbance and satisfaction of informational, psychological, and patient-care needs were found for inpatient caregivers across treatment time points.
These findings support the IPOP model of care as being less emotionally distressing for and better meeting the needs of family caregivers. Specific implications for practice include the importance of caregiver education in the area of patient-care information and of assessment and intervention to meet caregiver psychological needs. Continued evaluation of the impact of changes in care delivery on family caregivers is essential for the provision of comprehensive cancer care.</description><identifier>ISSN: 1065-4704</identifier><identifier>EISSN: 1523-5394</identifier><identifier>DOI: 10.1046/j.1523-5394.2000.83005.x</identifier><identifier>PMID: 11898136</identifier><language>eng</language><publisher>United States</publisher><subject>Activities of Daily Living ; Adult ; Affect ; Aged ; Ambulatory Care ; Attitude to Health ; Bone Marrow Transplantation - economics ; Bone Marrow Transplantation - methods ; Bone Marrow Transplantation - psychology ; Caregivers - education ; Caregivers - psychology ; Family - psychology ; Female ; Hematologic Neoplasms - psychology ; Hematologic Neoplasms - therapy ; Hospitalization ; Humans ; Longitudinal Studies ; Male ; Mid-Atlantic Region ; Middle Aged ; Models, Organizational ; Needs Assessment - organization & administration ; Nursing ; Outcome and Process Assessment (Health Care) ; Quality of Life ; Statistics, Nonparametric ; Surveys and Questionnaires</subject><ispartof>Cancer practice, 2000-05, Vol.8 (3), p.120-128</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c171t-1f808478004cc48f6a4874618e6193aa18323447661d21e4078a324ba95a57453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11898136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grimm, P M</creatorcontrib><creatorcontrib>Zawacki, K L</creatorcontrib><creatorcontrib>Mock, V</creatorcontrib><creatorcontrib>Krumm, S</creatorcontrib><creatorcontrib>Frink, B B</creatorcontrib><title>Caregiver responses and needs. An ambulatory bone marrow transplant model</title><title>Cancer practice</title><addtitle>Cancer Pract</addtitle><description>This longitudinal, descriptive outcomes study was conducted to compare the emotional responses and needs of the caregivers of patients who undergo bone marrow transplantation (BMT) for hematologic malignancies, as observed in an inpatient/outpatient (IPOP) setting with those in an inpatient setting.
A convenience sample of 43 caregivers for patients undergoing either autologous or allogeneic BMT was selected from both the inpatient unit (n = 26) and the IPOP ambulatory setting (n = 17). Emotional responses were measured by the Profile of Mood States. The importance and satisfaction of informational, patient-care, and psychological needs were assessed with the Caregiver Needs Survey, a modified version of the Home Cancer Caregiver Needs Survey. Data were collected at six points across the BMT trajectory, from before the procedure to 12 months after. Descriptive statistics were used to report sample characteristics, emotional responses, and needs. Nonparametric statistics were used to compare the IPOP and inpatient caregiver groups, and to identify relationships between emotional responses and needs within groups.
IPOP caregivers were found to have significantly less mood disturbance at points before discharge. Both groups showed a decrease in mood disturbance 6 and 12 months after BMT. IPOP caregivers had higher levels of satisfaction of their informational and psychological needs at day 21. Significant correlations between total mood disturbance and satisfaction of informational, psychological, and patient-care needs were found for inpatient caregivers across treatment time points.
These findings support the IPOP model of care as being less emotionally distressing for and better meeting the needs of family caregivers. Specific implications for practice include the importance of caregiver education in the area of patient-care information and of assessment and intervention to meet caregiver psychological needs. Continued evaluation of the impact of changes in care delivery on family caregivers is essential for the provision of comprehensive cancer care.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Affect</subject><subject>Aged</subject><subject>Ambulatory Care</subject><subject>Attitude to Health</subject><subject>Bone Marrow Transplantation - economics</subject><subject>Bone Marrow Transplantation - methods</subject><subject>Bone Marrow Transplantation - psychology</subject><subject>Caregivers - education</subject><subject>Caregivers - psychology</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Hematologic Neoplasms - psychology</subject><subject>Hematologic Neoplasms - therapy</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mid-Atlantic Region</subject><subject>Middle Aged</subject><subject>Models, Organizational</subject><subject>Needs Assessment - organization & administration</subject><subject>Nursing</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Quality of Life</subject><subject>Statistics, Nonparametric</subject><subject>Surveys and Questionnaires</subject><issn>1065-4704</issn><issn>1523-5394</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS0EolD4BeQVu4SZ-JllVfGoVIkNrC0ncVCrJA52Cu3fk9AKVjPS3Dtz5xBCEVIELh-2KYqMJYLlPM0AINUMQKT7M3L1Nzgfe5Ai4Qr4jFzHuAVAhgouyQxR5xqZvCKrpQ3uY_PlAg0u9r6LLlLbVbRzroopXXTUtsWusYMPB1r4ztHWhuC_6RBsF_vGdgNtfeWaG3JR2ya621Odk_enx7flS7J-fV4tF-ukRIVDgrUGzZUG4GXJdS0t14pL1E5izqxFzTLGuZISqwwdB6Uty3hhc2GF4oLNyf1xbx_8587FwbSbWLpmTOL8LhoFYnyPTUJ9FJbBxxhcbfqwGcMfDIKZMJqtmWiZiZaZMJpfjGY_Wu9ON3ZF66p_44kb-wEoDG0H</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Grimm, P M</creator><creator>Zawacki, K L</creator><creator>Mock, V</creator><creator>Krumm, S</creator><creator>Frink, B B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200005</creationdate><title>Caregiver responses and needs. An ambulatory bone marrow transplant model</title><author>Grimm, P M ; Zawacki, K L ; Mock, V ; Krumm, S ; Frink, B B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c171t-1f808478004cc48f6a4874618e6193aa18323447661d21e4078a324ba95a57453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Affect</topic><topic>Aged</topic><topic>Ambulatory Care</topic><topic>Attitude to Health</topic><topic>Bone Marrow Transplantation - economics</topic><topic>Bone Marrow Transplantation - methods</topic><topic>Bone Marrow Transplantation - psychology</topic><topic>Caregivers - education</topic><topic>Caregivers - psychology</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Hematologic Neoplasms - psychology</topic><topic>Hematologic Neoplasms - therapy</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mid-Atlantic Region</topic><topic>Middle Aged</topic><topic>Models, Organizational</topic><topic>Needs Assessment - organization & administration</topic><topic>Nursing</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Quality of Life</topic><topic>Statistics, Nonparametric</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grimm, P M</creatorcontrib><creatorcontrib>Zawacki, K L</creatorcontrib><creatorcontrib>Mock, V</creatorcontrib><creatorcontrib>Krumm, S</creatorcontrib><creatorcontrib>Frink, B B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grimm, P M</au><au>Zawacki, K L</au><au>Mock, V</au><au>Krumm, S</au><au>Frink, B B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caregiver responses and needs. An ambulatory bone marrow transplant model</atitle><jtitle>Cancer practice</jtitle><addtitle>Cancer Pract</addtitle><date>2000-05</date><risdate>2000</risdate><volume>8</volume><issue>3</issue><spage>120</spage><epage>128</epage><pages>120-128</pages><issn>1065-4704</issn><eissn>1523-5394</eissn><abstract>This longitudinal, descriptive outcomes study was conducted to compare the emotional responses and needs of the caregivers of patients who undergo bone marrow transplantation (BMT) for hematologic malignancies, as observed in an inpatient/outpatient (IPOP) setting with those in an inpatient setting.
A convenience sample of 43 caregivers for patients undergoing either autologous or allogeneic BMT was selected from both the inpatient unit (n = 26) and the IPOP ambulatory setting (n = 17). Emotional responses were measured by the Profile of Mood States. The importance and satisfaction of informational, patient-care, and psychological needs were assessed with the Caregiver Needs Survey, a modified version of the Home Cancer Caregiver Needs Survey. Data were collected at six points across the BMT trajectory, from before the procedure to 12 months after. Descriptive statistics were used to report sample characteristics, emotional responses, and needs. Nonparametric statistics were used to compare the IPOP and inpatient caregiver groups, and to identify relationships between emotional responses and needs within groups.
IPOP caregivers were found to have significantly less mood disturbance at points before discharge. Both groups showed a decrease in mood disturbance 6 and 12 months after BMT. IPOP caregivers had higher levels of satisfaction of their informational and psychological needs at day 21. Significant correlations between total mood disturbance and satisfaction of informational, psychological, and patient-care needs were found for inpatient caregivers across treatment time points.
These findings support the IPOP model of care as being less emotionally distressing for and better meeting the needs of family caregivers. Specific implications for practice include the importance of caregiver education in the area of patient-care information and of assessment and intervention to meet caregiver psychological needs. Continued evaluation of the impact of changes in care delivery on family caregivers is essential for the provision of comprehensive cancer care.</abstract><cop>United States</cop><pmid>11898136</pmid><doi>10.1046/j.1523-5394.2000.83005.x</doi><tpages>9</tpages></addata></record> |
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| subjects | Activities of Daily Living Adult Affect Aged Ambulatory Care Attitude to Health Bone Marrow Transplantation - economics Bone Marrow Transplantation - methods Bone Marrow Transplantation - psychology Caregivers - education Caregivers - psychology Family - psychology Female Hematologic Neoplasms - psychology Hematologic Neoplasms - therapy Hospitalization Humans Longitudinal Studies Male Mid-Atlantic Region Middle Aged Models, Organizational Needs Assessment - organization & administration Nursing Outcome and Process Assessment (Health Care) Quality of Life Statistics, Nonparametric Surveys and Questionnaires |
| title | Caregiver responses and needs. An ambulatory bone marrow transplant model |
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