Role Transition Experiences in Family Caregivers of Glioma Patients: A Meta-Synthesis of Qualitative Research

Abstract

Objective: Glioma patients often face a poor prognosis and frequently experience neurological impairments. This places caregivers under significant caregiving burden. This review aims to explore the role transition experiences in family caregivers of glioma patients and clarify their support needs. Methods: We conducted a meta-synthesis that included studies on role transition experiences in family caregivers of glioma patients. PubMed, Embase, CINAHL, Scopus, Web of Science, Cochrane Library, PsycINFO, China Knowledge Resource Integrated Database, Wanfang Database, Weipu Database, and Chinese Biomedical were searched from the inception of the database to 25 February 2025. The JBI Qualitative Research Assessment Tool was used to assess the quality of the studies, and data synthesis was performed using the Thomas and Harden method of thematic and content analysis. Results: A total of 14 qualitative studies were included. Four themes and 10 sub-themes were identified: (1) challenges at the diagnostic stage (sudden psychological shock and inadequate preparation for the caregiver role), (2) constant stress during the care process (dynamic management of disease, physical and mental burnout, and decision-making dilemma), (3) requirements for the supporting system (information requirement, emotional support requirement, and palliative care requirement), and (4) role growth (role adaptation and keep hope alive). Conclusions: We explained the challenges caregivers face in initial stage of patients' glioma diagnosis, the ongoing stress and needs during the caregiving process, and how they eventually grow into their new role. Healthcare professionals should consider the role transition characteristics of caregivers and provide targeted skills training and psychological support to help them adapt successfully to their new role.