title: [Family members integration in patients' care in haematology units: a new application of proximology.].
abstract: Hospitalization per se is a stress for the family members of a loved one. While their role as informal caregivers is well known with at home patients, especially in oncology, they usually are only mere visitors at the hospital. Hence the integration of family members of in patients' care might improve both patients and families' quality of life. Such a supportive care concept has been previously investigated in pediatric, neurology and intensive care units, but there is not such data in hematology although the therapeutic in this field is marked by long-term stay in hospitals' rooms. Since 2001, we developed in Clermont-Ferrand University hospital such a project of integration. Put together, the literature data and our first results (opinion poll) show that the main risk of this approach is the exhaustion of family caregivers, their fear of miss conduct and the alteration of the relationship they previously had with the patient. Conversely this approach is likely beneficial in improving both patients and family member's experience during hospitalization in lowering both patients' affective social and may be cultural loneliness and family members' feeling of uselessly and guilt. In France the development of supportive care and therapeutic education in oncology is nowadays encouraged and of there is no legal basis to restrain the development of this concept. Whose concept, nevertheless should be carefully set up and studied and its benefit remain to be clearly demonstrated.
authors.affiliation: Service des soins de suite et de réadaptation, maison de convalescence Les Sapins, 52, avenue Wilson, 63122 Ceyrat, France, Service d'hématologie et de thérapie cellulaire, CHU de Clermont-Ferrand, 63000 Clermont-Ferrand, France, Service de santé publique, CHU de Clermont-Ferrand, boulevard Léon-Malfreyt, 63058 Clermont-Ferrand, France, Service des soins de suite et de réadaptation, hôpital local du Mont-Dore, 2, rue du Capitaine-Chazotte, BP 107, 63240 Le Mont-Dore, France, Service de psychiatrie de l'adulte et de psychologie médicale, centre médicopsychologique A, CHU de Clermont-Ferrand, 58, rue Montalembert, 63000 Clermont-Ferrand, France, Unité de soins palliatifs, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France, Service d'hématologie et de thérapie cellulaire, CHU de Saint-Priest-en-Jarez, avenue Albert-Raimond, 42270 Saint-Priest-En-Jarez, France.
authors.forename: E
authors.initials: E
authors.lastname: Amblard-Manhès
authors.forename: M-C
authors.initials: MC
authors.lastname: Fedor
authors.forename: B
authors.initials: B
authors.lastname: Belgacem
authors.forename: D
authors.initials: D
authors.lastname: Brugnon
authors.forename: F
authors.initials: F
authors.lastname: Nore
authors.forename: M
authors.initials: M
authors.lastname: Gironde
authors.forename: J-O
authors.initials: JO
authors.lastname: Bay
authors.forename: R
authors.initials: R
authors.lastname: Hermet
authors.forename: D
authors.initials: D
authors.lastname: Guyotat
authors.forename: O
authors.initials: O
authors.lastname: Bezy
authors.forename: L
authors.initials: L
authors.lastname: Gerbaud
authors.forename: O
authors.initials: O
authors.lastname: Tournilhac
mesh_terms: D017028:Caregivers / Q000523:psychology; D005190:Family / Q000523:psychology; D006405:Hematology; D006801:Humans; D011368:Professional-Family Relations; D011788:Quality of Life