Exploring the impact on family caregivers of someone living with a haematological neoplasm: systematic review

Abstract

Abstract: Title: Exploring the impact on family caregivers of someone living with a haematological neoplasm. Background: Haematological neoplasms (including leukaemia, lymphomas, myelomas) present unique challenges due to their often-rapid onset, acute symptoms, and the potential for relapse. As treatment advances and overall survival improves, the number of family caregivers navigating these complexities increases. Understanding the experiences of these caregivers is crucial for further targeted support. Aim: This systematic review aims to synthesise current evidence on the impact on family caregivers of someone living with a hematological neoplasm, identifying key themes and areas for practice and future research. Methodology: Using a systematic literature review approach, evidence was synthesised on the impact on family caregivers of someone living with a hematological neoplasm. The review was conducted using three databases, CINAHL, Medline, and PsycINFO. A total of ten studies met the criteria and were included in this review. Findings: The review revealed three main themes: 1) The positive outcomes of being a family caregiver and developing coping strategies, these include strengthened family bonds, coping through better communication, and support-seeking approaches which contributed to an enhanced experience. 2) Family caregivers face significant emotional and physical disruptions, including, distress, anxiety, uncertainty, insomnia, increased tasks and frequent visits to hospital clinics. 3) Changes occur within the home and family caregivers report lack of support from health care professional and family members, this included changes in family dynamics, undertaking additional responsibilities, and financial changes. Conclusion: Family caregivers of someone living with a hematological neoplasm face complex and challenging experiences. While the role of a family caregiver is often challenging, many caregivers are able to adapt and find positive outcomes from the experience. Future practice should consider this and further research should investigate the efficacy of interventions targeting the specific needs of this population, including a more family centred approach and learning from the positive outcomes, and overcoming challenges.