Eriksson Elina, Arve Seija, Lauri Sirkka
Department of Nursing and Midwifery, Helsinki Polytechnic, P.O. Box 4030, FIN-00099 City of Helsinki, Finland.
Eur J Oncol Nurs. 2006 Feb;10(1):48-58. doi: 10.1016/j.ejon.2005.04.003. Epub 2005 Jul 11.
The purpose of this study is to find out what cancer patients' relatives think about the informational and emotional support they receive from health care professionals before and after the patient's death. The data were collected with a structured questionnaire administered to relatives of cancer patients who had died in one of seven health care centres and in one hospice in south-western Finland during a 2-year period before data collection. The questionnaires were sent out by staff to one family member of each adult patient (n=910). The final sample comprised 376 family members, most of whom were the deceased patient's spouses or children. Relatives felt that they had received fairly much support from health care professionals, both before and after the patient's death. Before the patient's death most of the information received by relatives concerned the patient's illness and treatment. They received less information about forms of financial support available. Communication had been honest and the information provided was easy to understand and based upon the relatives' needs. Emotional support before the patient's death consisted mainly of acceptance of the relative and listening to what relatives had to say. However, relatives had only limited opportunity to talk about their difficulties in everyday life. After the death of the patient, staff had mostly supported relatives by showing their acceptance of them and by giving them the time they wanted. Some background variables for both patients and relatives correlated with the support received by relatives before and after the patient's death.
本研究的目的是了解癌症患者的亲属对于在患者去世前后从医护人员那里获得的信息支持和情感支持有何看法。数据是通过一份结构化问卷收集的,该问卷发放给了在数据收集前两年内于芬兰西南部七个医疗中心之一和一家临终关怀医院去世的癌症患者的亲属。问卷由工作人员分发给每位成年患者的一名家庭成员(n = 910)。最终样本包括376名家庭成员,其中大多数是已故患者的配偶或子女。亲属们觉得他们在患者去世前后都从医护人员那里得到了相当多的支持。在患者去世前,亲属收到的大部分信息都与患者的病情和治疗有关。他们收到的关于可用经济支持形式的信息较少。沟通是诚实的,提供的信息易于理解且基于亲属的需求。患者去世前的情感支持主要包括对亲属的接纳以及倾听亲属的诉说。然而,亲属在日常生活中谈论自身困难的机会有限。在患者去世后,工作人员主要通过表达对亲属的接纳以及给予他们所需的时间来支持亲属。患者和亲属的一些背景变量与亲属在患者去世前后获得的支持相关。