为了识别患有长期悲伤障碍的危险亲属 症状学:一项跨部门研究
Charlotte Boven1, Nele Van Den Noortgate1, Let Dillen2
1Department of Geriatric Medicine (C.B., N.V.D.N., L.V.H., R.P.), Ghent University Hospital, Ghent, Belgium.
Journal of pain and symptom management
|February 12, 2025
概括
自我报告调查准确地预测了丧亲亲属的长期悲伤障碍 (PGD) 风险. 医疗保健提供者的临床直觉在识别PGD时并不比机会更好,突出了验证的查工具的价值.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理医学 心理医学
- 在瘤学方面提供支持.
背景情况:
- 长期悲伤障碍 (PGD) 对一些失去亲人的个人来说带来了重大挑战,需要及早识别以防止不良健康结果.
- 医疗保健提供者的临床直觉与亲属自我报告调查在预测PGD风险方面的比较准确性尚未得到充分证实.
研究的目的:
- 评估医疗保健提供者对损失前主观风险估计的预测准确性和亲属的自我报告调查.
- 确定这些方法能够预测ICD-11长期悲伤障碍 (PGD) 症状在瘤病患者的亲属的损失后七个月的能力.
主要方法:
- 该研究包括75名丧的瘤病患者的亲属和医院和家庭的专业息护理提供者.
- 亲属完成了失前悲伤-12 (PG-12) 调查,医疗保健提供者提供了主观风险估计.
- 通过比较这些损失前测量与创伤悲伤库存-自我报告加 (TGI-SR+) 损失后七个月的得分,使用接收器操作特征分析来评估预测准确性.
主要成果:
- 损失前悲伤-12 (PG-12) 调查显示,PGD的预测准确性很强,曲线下面面积 (AUC) 为0.891.
- 医疗保健提供者的主观风险估计显示预测准确性很差 (AUC = 0.549),表现不好于偶然.
- 最佳的PG-12切线得分为30个已识别的PGD风险的亲属,具有100%的灵敏度和64.7%的特异性.
结论:
- PG-12自我报告调查是预测未来长期悲伤障碍 (PGD) 症状的有效工具.
- 在这项研究中,医疗保健提供者的临床直觉不是对PGD风险的可靠预测指标.
- 未来的研究应该探索与PGD临床访谈相比,自我报告数据的预测价值.
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