Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Palliat Support Care. 2010 Jun;8(2):137-42. doi: 10.1017/S1478951509990885. Epub 2010 Mar 23.
The aim of this study was to explore the significance of fatigue among relatives of palliative patients.
This pilot study has a descriptive and cross-sectional design and is the report of four open-ended questions focusing on the relatives' experiences of fatigue. The study population consisted of relatives of patients who were cared for in palliative care settings either at home or in an institution in Uppsala County during a specific day.
The relatives were very tired and identified worries, uncertainty, the patient's suffering, and many demands as the causes for the fatigue. The most obvious consequences of the tiredness were a lack of motivation, feelings of insufficiency and apathy, and putting their own interests aside. Many relatives expressed that having the company of close family members, taking exercise and spending time outdoors gave them strength to carry on. The health care system could make the situation easier for relatives of patients in palliative care by providing good care for the patient, and psychosocial support and respite care for the relatives.
The result of the pilot study is only preliminary, but it showed that relatives caring for patients in a late palliative phase suffer from great fatigue and require more attention, both scientifically and in the clinical settings.
本研究旨在探讨晚期姑息治疗患者亲属疲劳的意义。
这是一项描述性和横断面研究,报告了 4 个开放性问题,重点关注亲属的疲劳体验。研究对象为在乌普萨拉县的姑息治疗环境中接受家庭或机构护理的患者的亲属,这些患者在特定的一天被纳入研究。
亲属非常疲劳,认为担忧、不确定性、患者的痛苦和许多需求是疲劳的原因。疲劳最明显的后果是缺乏动力、感到不足和冷漠,以及将自己的利益放在一边。许多亲属表示,与亲密的家庭成员在一起、锻炼和在户外度过时光,给了他们继续照顾患者的力量。卫生保健系统可以通过为患者提供良好的护理以及为亲属提供心理社会支持和暂息护理,使姑息治疗患者的亲属的处境更加轻松。
初步研究结果表明,照顾晚期姑息治疗患者的亲属感到非常疲劳,需要更多的关注,无论是在科学上还是在临床环境中。