患者和亲属之间关于晚期癌症疾病和死亡的公开沟通-eQuiPe研究的结果
Michelle Haaksman1,2, Laurien Ham3,4, Linda Brom3
1Department of Health, Medical and Neuropsychology, University of Leiden, Leiden, the Netherlands. n.raijmakers@iknl.nl.
概括
与晚期癌症患者关于疾病和死亡的公开沟通与亲属失去亲人的痛苦减少有关. 医疗保健专业人员可以促进这些重要对话.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 悲伤研究 悲伤研究
背景情况:
- 关于疾病和死亡的沟通对于晚期癌症患者及其家属至关重要.
- 了解影响这种沟通的因素及其对悲伤的影响对于支持性护理至关重要.
研究的目的:
- 评估晚期癌症患者及其生命最后几个月的亲属之间关于疾病和死亡的公开沟通水平.
- 确定沟通开放性,相对特征和丧亲痛苦之间的关联.
主要方法:
- 利用了从前性,纵向的eQuipe研究中获得的数据,该研究涉及晚期癌症患者的丧亲.
- 采用单变量和多变量线性回归来分析沟通开放性 (护理人员与患者关于疾病和死亡量表的沟通) 和丧失痛苦 (事件量表的影响).
主要成果:
- 分析了160名丧亲;平均公开沟通得分为3.86/5.5.
- 较高的开放沟通与明显较低的丧亲痛苦相关 (p=0.003).
- 在沟通开放性和亲属的年龄,性别,教育,世界观,关系类型或以前的情绪功能之间没有发现显著的关联.
结论:
- 晚期癌症患者和亲属之间的公开沟通与减少丧亲痛苦有关.
- 医疗保健专业人员可以在促进患者与患者有关疾病和死亡的对话方面发挥重要作用.
- 承认个人在讨论敏感话题时的舒适度是很重要的.
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