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Follow-up care experience of patients with invasive meningococcal disease and their family caregivers: a qualitative study

  • Alexiane Baloche,
  • Pierrick Bedouch,
  • Florence Carrouel,
  • Laurent Argaud,
  • Karine Kolev,
  • Guillaume Mortamet,
  • Carole Schwebel,
  • Gérard Mick,
  • Claude Dussart

摘要

Background

Clinical guidelines recommend systematic follow-up of patients surviving invasive meningococcal disease (IMD) to assess sequelae. However, little is known about survivors and family caregivers’ experiences of the follow-up care. Study sought to explore IMD survivors’ and their family caregivers’ experiences after hospitalization for IMD and to identify unmet needs.

Methods

Semi-structured interviews were conducted with patients and family caregivers, identified through hospitals database. Interviews were audiotaped, transcribed and subject to a thematic analysis. NVivo software was used for data management and analysis.

Results

Eight IMD survivors and 14 family caregivers were interviewed. Three themes were identified from the data: (1) perception of patient and family caregiver on follow-up after IMD and role of healthcare professionals; (2) access to care and support; (3) relationship with healthcare professionals. Although most were satisfied with follow-up care after IMD, suggestions for improving the healthcare pathway were made relating information on potential sequelae and follow-up care, coordination, and access to psychological support.

Conclusions

This study confirms the need for more structured follow-up care for patients suffering from IMD and their families which is currently limited and focused on physical recovery. Optimal follow-up should aim to provide sufficient information, emotional support and logistical support for patient and family caregivers.

Trial registration

Ethics Committee of University of Lyon, France (ref: 2022-06-23-002).