Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Center of Public Health Sciences, University of Iceland, Reykjavík, Iceland.
Ann Oncol. 2010 Feb;21(2):354-361. doi: 10.1093/annonc/mdp313. Epub 2009 Jul 24.
If we can learn how to increase preparedness before the death of a loved one, we can possibly decrease the next-of-kin's long-term morbidity.
In a population-based study, 691 of 907 (76%) men in Sweden who lost a wife to cancer 4-5 years earlier answered an anonymous questionnaire about their preparedness at the time of their wife's death as well as potential predictors for preparedness.
A final logistic regression model indicates following predictors for preparedness, among others: the length of the widower's intellectual awareness time before his wife's death [relative risk (RR) 4.1, confidence interval (CI) 2.7-6.1], the widower could take in the information that his wife's disease could not be cured (RR 3.5, CI 2.3-5.2), the couple had arranged their economical affairs (RR 1.5, CI 1.3-1.7), the wife had stayed at a palliative care unit during her last months of life (RR 1.2, CI 1.1-1.4) and health care personnel supported the husband to participate in his wife's care (RR 1.6, CI 1.3-2.1).
We identified several care-related factors that may influence the preparedness of men before their wife's death to cancer. These factors can be considered in future intervention studies aiming at influencing preparedness before the death of a loved one.
如果我们能够学习如何在亲人去世前增加准备，我们可能会减少近亲的长期发病率。
在一项基于人群的研究中，瑞典有 907 名男性丧偶，其中 691 名（76%）在 4-5 年前失去了患癌症的妻子，他们回答了一份关于他们在妻子去世时的准备情况以及准备情况潜在预测因素的匿名问卷。
最终的逻辑回归模型表明，以下因素与准备情况有关：鳏夫在妻子去世前的智力意识时间长短[相对风险（RR）4.1，置信区间（CI）2.7-6.1]、鳏夫能够接受妻子的疾病无法治愈的信息（RR 3.5，CI 2.3-5.2）、夫妇已经安排了他们的经济事务（RR 1.5，CI 1.3-1.7）、妻子在生命的最后几个月住在姑息治疗病房（RR 1.2，CI 1.1-1.4）和医护人员支持丈夫参与妻子的护理（RR 1.6，CI 1.3-2.1）。
我们确定了几个可能影响男性在妻子死于癌症前的准备情况的护理相关因素。这些因素可以在未来旨在影响亲人去世前准备情况的干预研究中加以考虑。
