The caring experience and supportive care needs of male partners for women with gynaecologic cancer: A qualitative literature review
Xiaoling Ge MSN, RN
Nurse Practitioner
School of Nursing, Anhui Medical University, Hefei City, China
The First Affiliated Hospital of Anhui Medical University, Hefei City, China
Search for more papers by this authorHuanhuan Tong BSN, RN
Master Student
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorYongxia Song MSN, RN
Lecturer
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorHongye He MSN, RN
Nurse Practitioner
School of Nursing, Anhui Medical University, Hefei City, China
The First Affiliated Hospital of Anhui Medical University, Hefei City, China
Search for more papers by this authorShuwen Li PhD, RN
Associate Professor
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorCorresponding Author
Jingfang Hong PhD, RN
Professor
School of Nursing, Anhui Medical University, Hefei City, China
Nursing International Collaboration Research Center of Anhui Province, Hefei, China
Correspondence
Jingfang Hong, School of Nursing, Anhui Medical University, No. 81 Mei Shan Road, Shu Shan District, Hefei City, Anhui Province, China.
Email: [email protected]
Search for more papers by this authorWenru Wang PhD, RN
Associate Professor
Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
Search for more papers by this authorXiaoling Ge MSN, RN
Nurse Practitioner
School of Nursing, Anhui Medical University, Hefei City, China
The First Affiliated Hospital of Anhui Medical University, Hefei City, China
Search for more papers by this authorHuanhuan Tong BSN, RN
Master Student
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorYongxia Song MSN, RN
Lecturer
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorHongye He MSN, RN
Nurse Practitioner
School of Nursing, Anhui Medical University, Hefei City, China
The First Affiliated Hospital of Anhui Medical University, Hefei City, China
Search for more papers by this authorShuwen Li PhD, RN
Associate Professor
School of Nursing, Anhui Medical University, Hefei City, China
Search for more papers by this authorCorresponding Author
Jingfang Hong PhD, RN
Professor
School of Nursing, Anhui Medical University, Hefei City, China
Nursing International Collaboration Research Center of Anhui Province, Hefei, China
Correspondence
Jingfang Hong, School of Nursing, Anhui Medical University, No. 81 Mei Shan Road, Shu Shan District, Hefei City, Anhui Province, China.
Email: [email protected]
Search for more papers by this authorWenru Wang PhD, RN
Associate Professor
Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
Search for more papers by this authorXiaoling Ge, Huanhuan Tong, and Yongxia Song are co-first authors and contribute equally to this work.
Abstract
Objective
To systematically review male partners’ caring experience and supportive care needs when caring for women with gynaecologic cancer.
Methods
The PRISMA guidelines were used to conduct this systematic review. We performed a comprehensive literature search in nine databases and qualitative studies published in English or Chinese from inception to January 2020. The included papers were appraised, using the Critical Appraisal Skills Program tool for qualitative research. An inductive thematic analysis method was adopted to synthesise major findings to construct core concepts and themes.
Results
Eight studies were included in this review, and four overarching themes emerged the following: the negative experience of disease, the need for supportive care to cope, adapting to a new life and post-traumatic growth.
Conclusions
This study shows that male partners had both negative and positive experiences in the caring process, and they could adjust themselves to some extent. Their perceived supportive care needs were often neglected.
Relevance to clinical practice
Male partners of women with gynaecologic cancer are an under-recognised group. The couple-oriented or family-oriented supportive care programmes should be implemented to meet the supportive care needs of male partners to enhance their health and well-being.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
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REFERENCES
- Abazari, P., Taleghani, F., & Hematti, S. (2016). Exploring perceptions and preferences of patients, families, physicians, and nurses regarding cancer disclosure: A descriptive qualitative study. Supportive Care in Cancer, 24(11), 4651–4659.
- Akyüz, A., Güvenç, G., Üstünsöz, A., & Kaya, T. (2008). Living with gynecologic cancer: Experience of women and their partners. Journal of Nursing Scholarship, 40(3), 241–247. https://doi.org/10.1111/j.1547-5069.2008.00232.x
- Antonella, S., Flavia, V., Daniela, T., Giuseppe, T., & Daniele, S. (2017). The ‘Charter of Rights for Family Caregivers’. The role and importance of the caregiver: An Italian proposal. Esmo Open, 2(5), e000256.
- Ávila, M., Coimbra, J. L., Park, C. L., & Matos, P. M. (2017). Attachment and posttraumatic growth after breast cancer: A dyadic approach. Psychooncology, 26(11), 1929–1935.
- Beesley, V. L., Alemayehu, C., Webb, P. M. (2018). A systematic literature review of the prevalence of and risk factors for supportive care needs among women with gynaecological cancer and their caregivers. Support Care Cancer, 26(3), 701–710.
- Butow, P. N., Price, M. A., Bell, M. L., Webb, P. M., deFazio, A., & Friedlander, M. (2014). Caring for women with ovarian cancer in the last year of life: A longitudinal study of caregiver quality of life, distress and unmet needs. Gynecologic Oncology, 132(3), 690–697.
- Chow, K. M., Chan, J. C., Choi, K. K., & Chan, C. W. (2016). A review of psychoeducational interventions to improve sexual functioning, quality of life, and psychological outcomes in gynecological cancer patients. Cancer Nursing, 39(1), 20–31.
- Critical Appraisal Skills Programme. (2019). CASP (Qualitative Review) Checklist. [online] Retrieved from https://www.casp-uk.net/checklists
- Duggleby, W., Holtslander, L., Kylma, J., Duncan, V., Hammond, C., & Williams, A. (2010). Meta-synthesis of the hope experience of family caregivers of persons with chronic illness. Qualitative Health Research, 20(2), 148–158. https://doi.org/10.1177/1049732309358329
- Duggleby, W., Doell, H., Cooper, D., Thomas, R., & Ghosh, S. (2014). The quality of life of male spouses of women with breast cancer: hope, self-efficacy, and perceptions of guilt. Cancer Nursing, 37(1), E28–E35.
- Fahami, F., Mohamadirizi, S., & Savabi, M. (2017). The relationship between sexual dysfunction and quality of marital relationship in genital and breast cancers women. Journal of Education & Health Promotion, 6, 56.
- Ferrell, B., Ervin, K., Smith, S., Marek, T., & Melancon, C. (2002). Family perspectives of ovarian cancer. Cancer Practice, 10(6), 269–276. https://doi.org/10.1046/j.1523-5394.2002.106001.x
- Han, J. H., Han, S. H., Lee, M. S., Kwon, H. J., & Choe, K. (2015). Primary caregivers' support for female family members with breast or gynecologic cancer. Cancer Nursing, 39, E49–E55.
- Harden, J., Sanda, M. G., Wei, J. T., Yarandi, H. N., Hembroff, L., Hardy, J., & Northouse, L. (2013). Survivorship after prostate cancer treatment: Spouses’ quality of life at 36 months. Oncology Nursing Forum, 40(6), 567–573. https://doi.org/10.1188/13.ONF.567-573
- Harris, M. G. (2019). Sexuality and Menopause: Unique Issues in Gynecologic Cancer. Seminars in Oncology Nursing, 35(2), 211–216.
- Hartnett, J., Thom, B., & Kline, N. (2016). Caregiver burden in end-stage ovarian cancer. Clinical Journal of Oncology Nursing, 20(2), 169–173. https://doi.org/10.1188/16.CJON.169-173
- Hill, E. K., Sandbo, S., Abramsohn, E., Makelarski, J., Wroblewski, K., Wenrich, E. R., McCoy, S., Temkin, S. M., Yamada, S. D., & Lindau, S. T. (2011). Assessing gynecologic and breast cancer survivors' sexual health care needs. Cancer, 117(12), 2643–2651. https://doi.org/10.1002/cncr.25832
- Hodgkinson, K., Butow, P., Hunt, G. E., Wyse, R., Hobbs, K. M., & Wain, G. (2007). Life after cancer: Couples’ and partners’ psychological adjustment and supportive care needs. Supportive Care Cancer, 15(4), 405–415. https://doi.org/10.1007/s00520-006-0148-0
- Hollin, I. L., Craig, B. M., Coast, J., Beusterien, K., Vass, C., DiSantostefano, R., & Peay, H. (2020). Reporting formative qualitative research to support the development of quantitative preference study protocols and corresponding survey instruments: guidelines for authors and reviewers. Patient, 13(1), 121–136.
- Hwang, S. S., Chang, V. T., Alejandro, Y., Osenenko, P., Davis, C., & Cogswell, J. (2003). Caregiver unmet needs, burden, and satisfaction in symptomatic advanced cancer patients at a veterans affairs (VA) medical center. Palliative & Supportive Care, 1(4), 319–329.
- Klafke, N., Mahler, C., Von, H. C., Blaser, G., Bentner, M., & Joos, S. (2015). Developing and implementing a complex complementary and alternative (cam) nursing intervention for breast and gynecologic cancer patients undergoing chemotherapy-report from the CONGO (complementary nursing in gynecologic oncology) study. Supportive Care in Cancer, 24(5), 2341–2350. https://doi.org/10.1007/s00520-015-3038-5
- Kobayakawa, M., Ogawa, A., Konno, M., Kurata, A., Hamano, J., & Morita, T. (2017). Psychological and psychiatric symptoms of terminally ill patients with cancer and their family caregivers in the home-care setting: A nation-wide survey from the perspective of bereaved family members in Japan. Journal of Psychosomatic Research, 103, 127–132.
- Lalos, A., Jacobsson, L., Lalos, O., & Stendahl, U. (1995). Experiences of the male partner in cervical and endometrial cancer-a prospective interview study. Journal of Psychosomatic Obstetrics & Gynaecology, 16(3), 153–165. https://doi.org/10.3109/01674829509024464
- Langer, S. L., Brown, J. D., & Syrjala, K. L. (2009). Intrapersonal and interpersonal consequences of protective buffering among cancer patients and caregivers. Cancer, 115, 4311–4325.
- Lefkowits, C., W. Rabow, M., E. Sherman, A., K. Kiet, T., Ruskin, R., Chan, J. K., & Chen, L.-M. (2014). Predictors of high symptom burden in gynecologic oncology outpatients: Who should be referred to outpatient palliative care? Gynecologic Oncology, 132(3), 698–702. https://doi.org/10.1016/j.ygyno.2014.01.038
- Li, Q., Lin, Y., Chen, Y., & Loke, A. Y. (2018). Mutual support and challenges among Chinese couples living with colorectal cancer: A qualitative study. Cancer Nursing, 41(5), E50–E60.
- Li, Q. P., Mak, Y. W., & Loke, A. Y. (2013). Spouses’ experience of caregiving for cancer patients: A literature review. International Nursing Review, 60(2), 178–187. https://doi.org/10.1111/inr.12000
- Lopes, V. B., Lobo, A. P. A., Da Silva Junior, G. B., Melo, A. K., Lamboglia, C. G., & Silva, C. A. B. D. (2017). The experience of male spouses in the context of breast cancer: A systematic review of the literature. Psychology Health & Medicine, 23(1), 89–98.
- Lopez, V., Copp, G., & Molassiotis, A. (2012). Male caregivers of patients with breast and gynecologic cancer: Experiences from caring for their spouses and partners. Cancer Nursing, 35(6), 402–410. https://doi.org/10.1097/NCC.0b013e318231daf0
- Manne, S., & Badr, H. (2008). Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer, 112(11 Suppl), 2541–2555.
- Manne, S., Kashy, D., Weinberg, D. S., Boscarino, J. A., & Bowen, D. J. (2012). Using the interdependence model to understand spousal influence on colorectal cancer screening intentions: A structural equation model. Annals of Behavioral Medicine, 43(3), 320–329. https://doi.org/10.1007/s12160-012-9344-y
- Maughan, K., Heyman, B., & Matthews, M. (2002). In the shadow of risk. : How men cope with a partner’s gynaecological cancer. International Journal of Nursing Studies, 39(1), 27–34. https://doi.org/10.1016/S0020-7489(01)00004-9
- Mazanec, S. R., Reichlin, D., Gittleman, H., & Daly, B. J. (2018). Perceived needs, preparedness, and emotional distress of male caregivers of postsurgical women with gynecologic cancer. Oncology Nursing Forum, 45(2), 197–205.
- Noblit, G., & Hare, R. (1988). Meta-ethnography: Synthesizing qualitative data. Sage.
- Oldertrøen Solli, K., de Boer, M., Nyheim Solbraekke, K., & Thoresen, L. (2019). Male partners’ experiences of caregiving for women with cervical cancer-a qualitative study. Journal of Clinical Nursing, 28(5–6), 987–996.
- Pinar, G., Pinar, T., & Ayhan, A. (2012). The strain and hopelessness in family caregivers of patients with gynecologic cancer receiving chemotherapy. International Journal of Hematology and Oncology, 22(3), 170–180.
- Ponto, J. A., & Barton, D. (2008). Husbands’ perspective of living with wives’ ovarian cancer. Psycho-Oncology, 17(12), 1225–1231. https://doi.org/10.1002/pon.1351
- Richardson, A. E., Morton, R., & Broadbent, E. (2015). Psychological support needs of patients with head and neck cancer and their caregivers: A qualitative study. Psychology & Health, 30(11), 1288–1305. https://doi.org/10.1080/08870446.2015.1045512
- Rossen, S., Hansen-Nord, N. S., Kayser, L., Borre, M., Borre, M., Larsen, R. G., Trichopoulou, A., Boffetta, P., Tjønneland, A., & Hansen, R. D. (2016). The impact of husbands’ prostate cancer diagnosis and participation in a behavioral lifestyle intervention on spouses’ lives and relationships with their partners. Cancer Nursing, 39(2), E1–E9. https://doi.org/10.1097/NCC.0000000000000259
- Seven, M., Yılmaz, S., Şahin, E., & Akyüz, A. (2014). Evaluation of the quality of life of caregivers in gynecological cancer patients. Journal of Cancer Education, 29(2), 325–332. https://doi.org/10.1007/s13187-013-0606-6
- Stilos, K., Doyle, C., & Daines, P. (2008). Addressing the sexual health needs of patients with gynecologic cancers. Clinical Journal of Oncology Nursing, 12(3), 457–463.
- Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.
- Tedeschi, R. G., & Calhoun, L. G. (2004). Target article: "posttraumatic growth: Conceptual foundations and empirical evidence". Psychological Inquiry, 15(1), 1–18. https://doi.org/10.1207/s15327965pli1501_01
- Thombre, A., Sherman, A. C., & Simonton, S. (2010). Posttraumatic growth among cancer patients in India. Journal of Behavioral Medicine, 33(1), 15–23.
- Turner, J. K., Hutchinson, A., & Wilson, C. (2018). Correlates of post-traumatic growth following childhood and adolescent cancer: A systematic review and meta-analysis. Psychooncology, 27(4), 1100–1109.
- von Heymann-Horan, A. B., Puggaard, L. B., Nissen, K. G., Benthien, K. S., Bidstrup, P., Coyne, J. et al (2017). Dyadic psychological intervention for patients with cancer and caregivers in home-based specialized palliative care: The Domus model. Palliative & Supportive Care, 16(2), 189–197.