绝症患者的尊严:一个横截面的队列研究
Harvey Max Chochinov1, Thomas Hack, Thomas Hassard
1Department of Psychiatry, University of Manitoba, Winnipeg, Canada. chochin@cc.UManitoba.CA
Lancet (London, England)
|December 31, 2002
概括
对于绝症癌症患者来说,尊严的丧失是一个重大问题,与心理痛苦和生活欲望的减少有关. 在终身护理中优先考虑尊严对于患者的福祉至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 老年学是一门学科.
背景情况:
- 尊严是终身护理的关键考虑因素,但经验研究仍然有限.
- 了解患者对尊严的看法对于改善护理质量至关重要.
研究的目的:
- 评估绝症患者在多大程度上保持尊严.
- 探索影响该人口尊严的人口统计和疾病特异因素.
主要方法:
- 对213名临终癌症患者的横截面研究,这些患者接受了息治疗.
- 使用了经过验证的仪器,包括尊严感项目,症状痛苦量表和麦吉尔疼痛问卷.
- 评估生活质量,功能独立 (日常生活活动独立指数 - IADL) 和心理困扰.
主要成果:
- 7.5%的患者表示,尊严的丧失是他们最大的担忧.
- 遭受尊严丧失的患者表现出显著更高的心理痛苦,症状痛苦,依赖和减少生活意愿.
- 丧失尊严与增加对他人的负担和需要社会支持有关.
结论:
- 丧失尊严与绝症患者的心理和症状痛苦有很强的相关性.
- 维护患者的尊严应该是息和终身护理的核心目标.
- 需要进一步的研究来探索维护尊严的干预措施.
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