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直面死亡:肺癌成年患者对善终的认知

Confronting death: perceptions of a good death in adults with lung cancer.

作者信息

Hughes Travonia, Schumacher Mitzi, Jacobs-Lawson Joy M, Arnold Susanne

机构信息

University of Kentucky College of Medicine, Lexington, Kentucky, USA.

出版信息

Am J Hosp Palliat Care. 2008 Feb-Mar;25(1):39-44. doi: 10.1177/1049909107307377. Epub 2007 Dec 26.

Abstract

Investigations regarding patients' concerns about death have focused on the importance of autonomy, resolution of concerns, family relationships, and religiosity, and relied on data from physicians, nurses, family members, and healthy older adults. Few studies have focused on patients with diseases that have short-term survival rates. This study examined lung cancer patients' perceptions of a good death. One hundred lung cancer patients answered open-ended questions about what a good death was and completed measures assessing coping, spirituality, religious coping, and life satisfaction. Content analysis revealed 4 themes describing a good death: (a) during sleep, (b) pain-free, (c) peaceful, and (d) quick. These findings have implications for those caring for terminally ill patients as the 4 themes differ from those derived from studies of more heterogeneous patients, their families, and health care providers.

摘要

关于患者对死亡担忧的调查主要集中在自主权的重要性、担忧的解决、家庭关系和宗教信仰方面,且所依据的数据来自医生、护士、家庭成员和健康的老年人。很少有研究关注短期生存率疾病的患者。本研究调查了肺癌患者对善终的看法。100名肺癌患者回答了关于善终的开放式问题,并完成了评估应对方式、精神性、宗教应对和生活满意度的测量。内容分析揭示了描述善终的4个主题:(a) 在睡眠中,(b) 无痛苦,(c) 平静,(d) 迅速。这些发现对照顾绝症患者的人具有启示意义,因为这4个主题与来自对更多样化患者、其家人和医疗服务提供者的研究所得出的主题不同。

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